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General Information Sheet y` <br /> <4KfSHOQ'4 <br /> Date:5/ C71 r//) Time: Counter ❑ Called <br /> Property Information <br /> Property Address: <br /> I (,u c( c)w 1Th , <br /> City, Zip bAr L-C2K— rYlf\ c <br /> Zoning Classification: <br /> RT e) Map Attached:t Yes ❑ No <br /> Contact Information <br /> Name: <br /> B 0,-N 03 u /clot t <br /> Home Phone: <br /> Cell Phone: / <br /> Email: <br /> br-lot_v\ cpcn ckpC? a bud-m4 <br /> Questions Handout(s)Given:9t ❑ No <br /> ❑Animal Regulations(Type: ) ❑ Hardcover Regulations <br /> ❑ Building Permit (Type: ) ❑ Land Alterations(_Minor/_Major) <br /> ❑ Building Permit Status ❑ Rebuild Questions <br /> ❑ CUP Process ❑ Retaining Walls(_<4'/_>4') <br /> ❑ Decks ❑ Setbacks <br /> ❑ Demo or Teardown Process ❑ Stairway to Lake <br /> ❑ Escrow Questions or Escrow Refund ❑ Subdivision Process <br /> ❑ Fence Regulations (_Lakeshore/_Non LS) ❑Variance Application Process <br /> ❑ Other/Additional <br /> Other/Additional Questions & Staff's Notes/Response <br /> Warms o � e fo semrThl o up in, <br /> r.e_bL.).‘ Uocoti <br /> Kvo w bs o o <br />