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COUNTY,
FL
REAL
FLORID
A • R
EAL
CLO
SE
________________________________________________________
Office of
Planning and Zoning
Lot Exception for Density
Date: _____________
Please submit the following items for the lot of record determination:
A current copy of the tax receipt or property record card for all parcels
Review fee as shown below:
Contiguous Lots $150.00 (up to four (4) parcels)
Non-Contiguous Lots $200.00 (up to four (4) parcels)
Please make checks payable to: Lake County Board of County Commissioners. You may pay with a debit or credit card, however, an
additional fee equal to 2% of the transaction total will be added for the convenience of using a debit or credit card.
Applicant’s Name:
Mailing Address
Phone Number: __________________ Fax Number: __________________ Email Address:
Alternate Key #’s: __________________, __________________, __________________, __________________
Is the property vacant or developed? _______________ Number of sites requested:
Please be advised that this approval only grants an exception to the density requirements established by Comprehensive Plan and does not
guarantee that the property is buildable. Determining whether or not the property can accommodate a development depends on the applicable
Land Development Regulations and Comprehensive Plan Policies; requirements of other agencies (i.e. Department of Health, Department of
Environmental Protection, and Federal Emergency Management Agency); and site constraints.
Applicant’s Signature
If you have questions, please call 352-343-9641 or email us at zoning@lakecountyfl.gov.
TO BE COMPLETED BY STAFF
LED Application No. ________________________________
Address Screen Nos. ______________, ______________, _____________, _____________
Section: Township: Range: Comm. District: Size of Parcel ________________
Existing Zoning:____________________________________ Future Land Use Designation:____________________________________
Green Swamp Protection Area: Yes ________ No ________ Wekiva River Protection Area: Yes ________ No ________
Unity of Title required: Yes _______ No _______ ORB: ___________________ Page: _________________
Exception for Density: Yes _______ No _______ Comprehensive Plan 2030 Policy No.: ____________________________________
Staff Comments: ______________________________________________________________________________________________
Staff Planner Signature: __________________________________________________ Date: _______________________________
Office of Planning & Zoning Revised 2020/03
Lot Exception for Density Page 1 of 1
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