Orange County NC Website
(PLEASE TYPE OR PRINT - INK. ONLY) <br />APPLICATION FOR CLASS A SPECIAL, IONS PERMIT <br />ORANGE COUNTY BOARD OF COMM IS <br />DATE- 01 I Z°_ -1 —° (- Sop Ob <br />APPLICATION NUMBER: T�07— — <br />request a Class A Special Use permit as provided fo in <br />Orange County Zox� ng Ordinance for <br />N !�P` <br />pport of this request! <br />The following information is provided in su <br />A. PROPERTY INFORMATION: <br />1p 1p �45'� <br />8/88 <br />8 g of the <br />tt rJ <br />� Township_ <br />Street Address or Location: y _Lottsl <br />Orange County Tax Map_- __- Block' 2u J square fee <br />Zoning District(s): square fe, <br />Lot/Parcel Size: .. l Gross Floor Area: 2 00o square f� <br />Number of Existing Buildings :_._____ --- Gross Floor Area: Gyp Zndividu <br />Number of Proposed Buildings:_ _ �_ ss ltsb04o,) to Community Individu; <br />Public (specify) C�_ f + S w au5� _Community_ <br />Water Supply:_____X-- X public (Sp _ - - -. -- <br />Wastewater Disposal: _ _ _ - -- Fire DostricVR' Nr di <br />�� �� t x�%i�t 5 <br />School District: Drri r Flood Prone Ar <br />General Land Uses in Area: k� Std am /Drainage ay o - -- klistoric s <br />Critical Areas O Watershed (Specify) <br />rJ Other (Explain) <br />B. SITE PLAN INFORMATION' registered North Carolina <br />Twenty-six (26) copies of a Site Plan, prepared y a h contain the <br />re <br />surveyor or engineer, are provided as required by Article 8,8 and whic <br />following information: <br />North point, scale, and date. <br />T— Extent of area to be developed. within or adjacent to <br />/ Locations and widths of all easements and rights-of-way <br />Elie site, <br />J 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. direction of flow, <br />the site, based on mean sea <br />Location of all water courses on including <br />Existing topography at a contour interval of five (5) feet <br />V/ <br />level datum. screening, gates, parking, service, and storage <br />✓ Existing and proposed fencing, <br />areas. <br />Access to site, including sight distances on all roads used for access. <br />(PLEASE COMPLETE R,EVI~RSE SIDE) <br />