Fillable CS04 Average Or Rear Setback Application (Lake County Board of County Commissioners)

Fill Online, Printable, Fillable, Blank CS04 Average Or Rear Setback Application (Lake County Board of County Commissioners) Form

Use Fill to complete blank online LAKE COUNTY BOARD OF COUNTY COMMISSIONERS (FL) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

CS04 Average Or Rear Setback Application (Lake County Board of County Commissioners)

On average this form takes 17 minutes to complete

The CS04 Average Or Rear Setback Application (Lake County Board of County Commissioners) form is 2 pages long and contains:

  • 6 signatures
  • 3 check-boxes
  • 42 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Lake County Board of County Commissioners

BROWSE LAKE COUNTY BOARD OF COUNTY COMMISSIONERS (FL) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Office of
Planning and Zoning
Average Setback Application
Office of Planning & Zoning Revised 2017/11
Average Setback Application Page 1 of 2
Date: _____________________
Owner(s)Name:
Phone #
Mailing Address:
City
State
Zip Code
Applicant Name:
Phone #
Mailing Address:
City
State
Zip Code
Email Address:
Legal Description:
Alternate Key #
Section
Township
Range
Detailed Directions:
Requested average: ____front average setback ____rear average setback ____front and rear average setback
Please submit the following documentation:
Plot plan showing proposed development
Property record card and/or recorded warranty deed
Original documentation from adjacent property owners granting County staff permission to enter their property to
perform the average setback determination. The attached signature page can be used.
Fee in the amount of:
$157.00 for individual lots, or
$250.00 + $5 per lot over 25 lots for a Master Park Plan.
You may pay with a debit or credit card, however, an additional fee equal to 1% of the transaction total
will be added for the convenience of using a debit or credit card.
When the average setback is verified, the applicant may apply for a permit at the average setback line.
To be Completed by Staff Only
Address Measured:
Results:
Field Verification:
Verified average front setback: ___________________ Verified average rear setback: ______________________
Staff conduting verification: ____________________________________________ Date: ____________________
File #: _________________________________________________ Address Screen: ______________________
Office of Planning & Zoning Revised 2017/11
Average Setback Application Page 2 of 2
Dear Property Owner,
This letter is a request for permission for a Lake County Economic Growth employee to enter your property to
perform an average rear/front setback for your neighbor. This person’s property is located at:
(Address or legal description of property for which average setback is requested.)
By requesting an average setback, your neighbor will be able to place their residence/structure in a manner
consistent with similar structures in the neighborhood.
If you have any questions or concerns, please contact our office at 352-343-9641, the Fax Number is 352-343-
9767, or email us at zoning@lakecountyfl.gov.
I hereby allow Lake County to enter my property for the purpose of determining an average setback.
Property Owner’s Signature
Address
Property Owner’s Signature
Address
Property Owner’s Signature
Address
Property Owner’s Signature
Address
Property Owner’s Signature
Address
I hereby certify that the above property owners did sign and give their consent for a Lake County employee to enter their
property for the sole purpose of determining an average setback.
______________________________________ ______________________
Signature Date
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

CS04 Average Or Rear Setback Application (Lake County Board of County Commissioners)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 18 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document