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4 <br />(PLEASE TYPE OR PRINT - IN1; ONL`f) S;cg <br />APPLICATION FOR CLASS A SPECIAL USE PERMIT <br />ORANGE COUNTY BOARD OF COKNUSSIONERS <br />DATE: G i Z9 / ?R <br />APPLICATION NUN1BER: XV- <br />I (We) request a Class A Special Use Permit as provided for in Article 8 of the <br />Orange County Zoning Ordinance for RECL{CL /Ua CLASS A -a 4-167Wc c.v,.,s <br />O lu A 5-0 k 1 S o Fo 10-r C a,&.; C A 6T'E S 4.4 a W, T- H T cu'o Z) <br />S t4k OS L-1714 OPEC' r /DES. WA ,42E A04/ij4 ,4 A., A.00 /7)�r.¢L <br />4/ 4. 4, d O S (2 )C T OA 6° E A ve L 'R o q v r4-++ P/M�C /- G 4A44, <br />The following information is provided in support of this request <br />A. PROPERTY INFORIMATION: <br />Street Address or Location: 1 S iy F tj 8A ukS R D. <br />Orange County Tax Map 1$ Block Lot(s) --2-7.D Towasaio <br />Zoning District(s): 1R B- 7-0 / &JT PL A N u l,u G 0 /Si,Q i c T <br />Lot /Parcel Size: 1 2. 7j6 acres or <br />square feet <br />Number of Existing Buildings: I Gross Floor Area: '-/oo o <br />square feet <br />Number of Proposed Buildings: Gross Floor Area: <br />square feet <br />Water Supply: t=xrrr, we-t- Public (Specify) Community <br />v Individual <br />Wastewater Disposal: sfP7 -►c Public (Specify) Community <br />E Individual <br />School District: C_t+04oE 4 N < « Fire District: Ajaw <br />E40 PE <br />General Land Uses in Area: Rug.A� LAA441L <br />Critical Areas: — Stream /Drainageway — <br />Flood Prone Area <br />�. r.- 40FRR c"e PEAR Watershed (Specify) — <br />Historic Site <br />Other (Explain) <br />B. SITE PLAN INFORINIATION: <br />Twenty -six (26) copies of a Site Plan, prepared by a registered North Carolina <br />surveyor or engineer, are provided as required by Article 8.8 and which coataia the <br />following information: <br />✓ North point, scale, and date. <br />Extent of area to be developed. <br />v Locations and widths of &If easements and rights -of -way within or adac:nt to <br />the site. <br />v Lacatioa of all existiaz 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 =alas or soils mans. <br />too Location of all water causes oa the site, iacladinz direction of flow. <br />L- E.isting topography at a caetour interval of five (S) feet based as mess sel <br />level datum. <br />E: :sting and proposed felting, screening, gates, parking, service, an: <br />areas. ,. <br />✓ Acc:ss to site, including sight distances on all roads used for access. <br />(PLEASE COMPLETE REVERSE SIDE) <br />