Fillable i:ftt Planning and Zoning COUNTY A completed pre-submittal (Lake County Board of County Commissioners)

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i:ftt Planning and Zoning COUNTY A completed pre-submittal (Lake County Board of County Commissioners)

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BROWSE LAKE COUNTY BOARD OF COUNTY COMMISSIONERS (FL) FORMS

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i:ftt
COUNTY
,
FL
RE
AL
FL
ORI DA · RE
AL
CL OSE
___________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Office of
Planning and Zoning
Pre-submittal Application
Please submit the following information:
• A completed pre-submittal application.
• Copies of the tax receipt or property record card and the latest recorded warranty deed, which
shows the current fee-simple title holders of the property. If the legal description shown on the
warranty deed is not correct or does not close, you may be required to submit a boundary survey or
sketch of description of the subject property, certified by a professional land surveyor. The legal
description should appear on the face of the survey or description.
• A conceptual drawing (drawn to scale) showing as much detail as possible; please include all
existing and proposed development.
• Application fee of $659.00 (cash, check, or credit card); checks are made payable to Lake County
Board of County Commissioners. A 1% service charge will apply if paying by credit card.
You have the option to request a Development Review Staff (DRS) meeting or written comments only.
Please check which one you would prefer.
____ DRS meeting requested ____ Written comments only
1. Project Name: ____________________________________Alternate Key#:____________________
2. Proposed Use: ____ Commercial/Retail ____ Industrial ____ Office ____ Mixed Use
____ Residential ____ Institutional Community Facility
If residential subdivision, is it age restricted? ____________
3. Description of project & type of use: ___________________________________________________
4. Location of property:_______________________________________________________________
5. Has any previous application(s) been filed in connection with this property? _____ Yes _____ No
If yes, please describe the request and include the case number:______________________________
6. Water and Sewer provided by: _______________________________________________________
7. Are there any existing septic tanks or wells on this site?
__________________________________________________________________________________.
8. Will you be adding a well on this site?
Office of Planning & Zoning Revised 2019/05
Pre-submittal Application Page 1 of 2
___________________________________________________________________________________
_________________________________________________________
Pre-submittal Application
9. Will there be any hazardous materials stored on site, which may include fuel tanks, mineral/acid
tanks, caustic materials, etc.? _________Yes _________ No. If yes, please give detailed information,
including the size of the tank(s), aboveground or underground, distance between tanks and other
structures, etc. ______________________________________________________________________
__________________________________________________________________________________.
10. Site Development Data: Acreage of property: _______________
Commercial: Building square footage: _________________ Construction acreage: _______________
Residential: Number of proposed lots: ________________
Applicant Name: _____________________________________________________________________
Address: _______
Telephone Number: _________________________ Fax Number: ______________________________
Email: ______________________________________________________________________________
Applicant signature Date
Helpful Hints:
Suggested information to submit or place on the conceptual plan:
1. A survey of the property;
2. The conceptual plan should show all existing and proposed structures, easements, driveways,
location of septic tank and drain field, parking, signs, landscaping, irrigation, and proposed storm
water management plan.
To be completed by Staff:
Pre-submittal Project#_____________________________ AR#________________________
Existing zoning: _________________ Future Land Use Category: ________________________
Section: _____ Township: ______ Range: ______ Commissioner District: __________________
Planning Area: ______________________________ Utility Area: ________________________
Fee Codes: DRS-PS $250.00, HDPF $125.00, FDF $181.00 and PSSGDR $103.00
Staff Name: ___________________________________________ Date: _________________
Comments: __________________________________________________________________
Office of Planning & Zoning Revised 2019/05
Pre-submittal Application Page 2 of 2
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i:ftt Planning and Zoning COUNTY A completed pre-submittal (Lake County Board of County Commissioners)

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Completed 18 July 2020

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