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LJtKE
COUNTY,
FL
REAL
FLORIDA ·
REAL
CLOSE
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Office of
Planning and Zoning
Application for Capacity Reservation Certificate
Internal Use Only:
Application Request Number: Project Number:
For those developments that (1) are not subject to a Vested Rights Determination or (2) exceed De Minimis
thresholds as outlined in the Lake County Land Development Regulations, Chapter 5.
Items to include:
Packet items:
A copy of the valid Capacity Encumbrance Letter Site Design Information, if applicable
Warranty deed for each parcel included on this Property record card for each parcel included on
application this application (http://www.lakecopropappr.com/)
(http://www.lakecountyclerk.org)
Application Fee: made payable to “Lake County Board of County Commissioners”
$165.00 (non-refundable) Capacity reservation fee (equivalent to the estimated applicable impact
fees). Please contact Development Processing at (352) 343-9855 for an
estimate.
Application and Owner Information:
An Owner’s affidavit must be submitted if the applicant is different from the property owner.
Application Date:
Building Permit Number (If Available):
Applicant:
Phone Number:
Contact Person: Additional Contact Name:
Address:
City: State: Zip:
Owner:
Phone Number:
Address:
City: State: Zip:
Office of Planning & Zoning Revised 2017/10
Capacity Reservation Certificate Page 1 of 2
