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(PLEASE TYPE OR PRINT - INK ONLY) <br />APPLICATION FOR CLASS A SPECIAL USE PERMIT <br />ORANGE COUNTY BOARD OF COMMISSIONERS <br />DATE: <br />APPLICATION NUMBER: PD- - <br />I (We) request a Class A Special Use Permit as provided for in Article <br />Orange County Zoning Ordinance for <br />The following information is provided in support of this request: <br />A. PROPERTY INFORMATION: <br />Street Address or Location: <br />8/88 <br />11 <br />of the <br />Orange County Tax Map Block Lot(s) Township <br />Zoning District(s): <br />Lot /Parcel Size: acres or square feet <br />Number of Existing Buildings: Gross Floor Area: square feet <br />Number of Proposed Buildings: Gross Floor Area: square feet <br />Water Supply: Public (Specify) . Community Individual <br />Wastewater Disposal: Public (Specify) Community Individual <br />School District: Fire District: <br />General Land Uses in Area: <br />Critical Areas: Stream/ Drainageway Flood Prone Area <br />Watershed (Specify) Historic Site <br />Other (Explain) <br />B. SITE PLAN INFORMATION: <br />Twenty -six (Z6) copies of a Site PIan, prepared by a registered North Carolina <br />surveyor or engineer, are provided as required by Article 8.8 and which contain the <br />following information: <br />North point, scale, and date. <br />Extent of area to,be developed. <br />Locations and widths of all easements and rights-of-way within or adjacent to <br />the site. <br />Location of all existing and proposed structures on the site. <br />Location of all areas on the site subject to flood hazard or inundation as shown <br />on flood maps or soils maps. <br />Location of all water courses on the site, including direction of flow. <br />Existing topography at a contour interval of five (S) feet based on mean sea <br />level datum. <br />Existing and proposed fencing, screening, gates, parking, service, and storage <br />areas. <br />Access to site, including sight distances on all roads used for access. <br />(PLEASE COMPLETE REVERSE SIDE) <br />