Orange County NC Website
■ <br /> j MINOR SUBDIVISION APPLICATION <br /> if ra <br /> Q. <br /> / zer 4,,,...be. ': .. .- . <br /> . . <br /> Property Owner(s) % ' / <br /> Address ' 5170 r VMS Phone (9 ) <br /> fli Developer/Contact Name ice, „C,G,. -.ems.,./. <br /> � <br /> Address �a " � I� i "� .�jc7) 7Q 4 6 o C <br /> iLocation of Property /1 /37 d <br /> township map block lot <br /> Zoning R -K Fire District (....:, 0 <br /> ' Watershed ^ ____ Impervious Surface <br /> Joint Planning C.H. • . - ---- Carrboro ---- School District S%? .CJ <br /> State Road Number Name 614;,.. , /249 TYpe SteZitch _. <br /> A 4474_44 % <br /> Private Road Class • C, Name Atura",..,•_ 1.1g.. . • . <br /> Do you plan to build the road before final approval? iVe2.9 ' <br /> or secure construction with a security document? <br /> Utilities: Public Sewer 1 Community System Septic Tank <br /> Public Water Community Water Well <br /> If on a septic system, the Health Department must examine all existing and potential <br /> building sites on lots shown on the plat. • <br /> Total Lot Area 642 aL&1. " Number of Lots 2 <br /> , (r LC. t, 6 I <br /> Lot Number: Size of Lots: rl structures (proposed or existing) : <br /> 2 ) 44063.q , <br /> Za 5, 8 . AA_ ,LA:d6A.44 A..- , <br /> 1 I (We) hereby certify that I (we) have read the above information and that the information <br /> I (we) have supplied is accurate to the best of my (our) knowledge. I (we) understand <br /> . my (our) application is not complete and cannot --e approved unless -- .1 required 'nformation <br /> and <br /> ma <br /> terial jhas been provided. / <br /> ‘ ////q/t • <br /> Allik <br /> Date Signature <br /> Date Signature <br /> Filing Fee # of Lots Fee Private Road Fee Other Fee <br /> Total Fees Date Paid <br />