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3 <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 <br />APPLICATION NUMBER: <br />I (We) request a Class A Special Use Permit as provided for in Article of the. <br />Orange County Zoning Ordinance for use of the property as a Bed & fac <br />The following information is provided in support of this request: <br />A. PROPERTY INFORMATION: <br />Street Address or Location: <br />Orange County Tax Map 20 Block Lot(s) 66 & 67 Township Fns <br />Zoning District(s): Orange County <br />Lot /Parcel Size: 6.46 acres or N square fee, <br />Number of Existing Buildings: 4 Gross Floor Area: square fee: <br />Number of Proposed Buildings: same Gross Floor Area: souare fee: <br />Water Supply: well Public (Specify) N/A Community N Individual <br />Wastewater Disposal: sentie sys.Public (Specify) N/A Community N/A India icual <br />- School District: Orange County Fire District:_ OrangP Rural <br />General Land Uses in Area: rcsi6pnrial o - <br />Critical Areas: none Stream /Drain aeewa) a Flood :rang r.rea <br />NIA Watershed (Specify) :Iistoric Site <br />Other (Explain) none <br />B. SITE PLAN INFORMATION: <br />Twenty -six (26) copies of a Site Plan, prepared by a registered North Ca- rolina <br />surveyor or engineer, are provided as required by Article 8.8 and which contain the <br />following information: <br />* see sate plan ' <br />* N rtfi point, scale, and date. <br />�- Extent of area to be developed. <br />* Locations and widths of all easements and rights -of -way within or adjacent to <br />the site. <br />* Location of all existing and proposed structures on the site. <br />none Location of all areas on the site subject to flood hazard of inundation as shown <br />on flood maps or soils maps. <br />none Location of all water courses on the site, including direction of flow. <br />* Existing topography at a contour interval of five (3) feet based on mean sea <br />level datum. <br />* Existing and proposed fencing, screening, gates, parking, service, and storage <br />areas. <br />s * Access to site, including sight distances on. all roads used for access. <br />.- <br />(PLEASE COMPLETE REVERSE SIDE) <br />