20220753 Ver 1_Staff Report Perez, Douglas J_20220623

Staff Project Review Form
Please note: fields marked with a red asterisk * below are required. You will not be able to submit the form until all mandatory questions
are answered.
Staff Report Submitted on: 6/23/2022
This will be filled in automatically.
PROJECT INFORMATION
ID#: Version:
20220753 1
Project Name: capote lake house
County(ies):
Lincoln
Contact Emails:
[e-mail]
PROJECT FOLDER ACCESS
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STAFF REVIEW INFORMATION
Check all agencies that need to receive notification of your decision.
DCM
WRC DMS
Does this complete the review for this project?*
• Yes - Review Complete No - Still in Review
No - Place is hold
This updates the progress status for this project in Laserfiche.
What types of information are you providing about this project? *
Decision Letter
More Info Received
Duplicate Information
More Info Requested
REVIEW COMPLETION DECISION INFORMATION
Placed on Hold
Staff Notes
Has your decision letter been uploaded into Laserfiche?*
Yes - Uploaded separately
No - Sent for signature (TPB Unit N/A
Only)
Please select the type of decision made.
Date decision letter written *
Decision Letter*
• Yes - Attaching it to this form
Approval Letter
6/21/2022
22-0753 Capote.docx.pdf
820.12KB
PDF Only