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zs <br />(PLEASE TYPE OR PRINT - INK ONLY) 8/88 <br />APPLICATION FOR CLASS A SPECIAL USE PERMIT <br />ORANGE COUNTY BOARD OF COMMISSIONERS <br />DATE: 7 1 6 /of <br />APPLICATION NUMBER: /A- I - ?? <br />I (We) request a Class A Special Use Permit as provided for in Article B. 8.1Ia <br />of the <br />Orange County Zmiag Ordioance for Toconstruct, and m <br />muti- <br />reless telecommunication faaili[ nsistin ofaa <br />27n <br />or[in lattice structure enclose wi [cin a <br />locked a moment compound. Please see Statement intent <br />subma[[ed herewr[h. <br />The fallowing information is provided is support of this reque L <br />A. PROPERTY INFORMATION: <br />Street Address or Location: Lloyd Town Road Koranic, NC 27302 <br />Orange County Tax Map 24 BIock Lots) 21 <br />Towaship Bingham <br />Zoning District(s): <br />Lot/Parcel Size: 4.40 e <br />square feet <br />Number of Existing Buildinge 11 Grass Floor Ares <br />square feet <br />Number of Proposed Buildings: • Gross Floor Area: <br />square fee( <br />Water Supply: N/A Public (Specify) Commodity <br />Individual <br />a Initial <br />B. SITE PLAN <br />Twenty-six (26) copies of • Site Plan, prepared by a registered North Carolina <br />surveyor or engineer, are provided as required by Article 8.8 and which coamin the <br />followid8 information: <br />_ Noah paint, scale, and date. <br />—Extent of area an be developed. <br />_ Locations and widths of all Consumers and rights.of. way within or adjacent to <br />the site. <br />_ Location of all existing and proposed structures an the site. <br />_ Location of all area on the site subject to flood hazard or inundation as share <br />am flood map or soils nape <br />Location of all water wanes on the site, including direction of flaw. <br />Existing topography at a consent interval of five (5) feet based on visa <br />level dames. - - <br />Existing and proposed femin8, screening. Bates, parking, service, sad storage <br />seem I <br />Access to site, including sight distances an aSl roads used far access, <br />(PLEASE COMPLETE REVERSE SIDE) <br />