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(PLEASE TYPE OR PRINT - INK ONLY) 8188 <br />APPLICATION FOR CLASS A SPECIAL USE PERMIT <br />ORANGE COUNTY BOARD OF COMMISSIONERS <br />DATE: 7 / 6 / 9? f P <br />APPLICATION NUMBER: I . ?f <br />I(Wer) request a Class A Special Use Permit as provided for in Article B. 8.17a of the <br />Orange Crusty Zoning Ordinamce for To construct, and m mta[i- <br />reless telecommunication fagt lit astin ofaa 270 ale <br />supporting lattice structure a osed withinsa 0 x 60 fence <br />locked a uLpment c and lea f Intent and—exii-IlTi—tz <br />subms tted herewsbhomp <br />The following information is provided in support of this request <br />A. PROPERTY INFORMATION: <br />Street Address or Location: Lloyd Town Road Mebane, NC 27302 <br />Orange County Tax Map <br />zoning Distda(s): 24 Block Lo[(s) 21 Township Bingham <br />�g <br />Lot /Parcel Size: 4.40 acres or square feet <br />Number Of Existing Buildings: 0 Gross Floor Area: square feet <br />Number of Proposed Building= Gross Floor Area square fee[ <br />Water Supply: N/A Public (Specify) Community Individual <br />Wastewater Disposal: N/A Public (Specify) Community fadividual <br />School Dis[ri(= N/A Fire District: White Cross <br />General Load Uses sn Area: <br />Critical Areas S[r m /Drs oageway Flood Prone Area <br />Watershed (Specify) Historic Site <br />Other (Explain) <br />s Initial Equipment Ca ne height , width 53", depth <br />B. SITE PLAN INFORMATION: <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 contain the <br />following information: <br />North paint, scale, and date. <br />Extent of area to be developed. <br />Locations and widths of all easemmm sad rights-of-way within or adjacent to <br />the rite. <br />Location of all existing and Proposed structural an the site. <br />_ Location of all areas an the site subject to flood hazard or inundation u shown <br />on flood maps or solid maim, <br />_ Location of all water courses on the site, including direetioa Of flaw. <br />_ Existing topography at a eoo[aur interval of five (5) feet based an sea <br />level datum. -- <br />. Existing and proposed fenaia &screening, small, parkin& service, and storage <br />Access to size, including sight d'mtanm on alll reads used for access <br />(PLEASE COMPLETE REVERSE SIDE) <br />