Orange County NC Website
Browse       Search
DocuSign Envelope ID: 454AC100- 1926- 4795 - 13946- 86138133246CC0 <br />• TOWN OF CHAPEL HILL <br />ZONING COMPLIANCE f Planning Department <br />PERMIT - WIRELESS/ 405 Martin Luther King Jr. Blvd <br />■ phone (919) 968 -2728 fox (919) 969 -2014 <br />COMM. FACILITY www.townofchapelhill.org <br />Parcel Identifier Number (PIN): Click here to enter text. Date: 11 September 2017 <br />Project Name: OWASA - Agua La Vista AMi Project <br />Property Address: 101 Purefoy Dr Zip Code. 27516 <br />Zoning District: Chapel Hill Street /Cross Street: Rogers Road <br />900 Mhz ISM AMI System <br />Project Description: <br />Any persons intending to construct, install, remodel, repair, or alter any property in Chapel Bill, may be required to obtain a <br />Business /Privilege License. The application can be found at: http.// www, townofchapelhili_org /index.aspx ?page =1199 Please <br />contact the Revenue Collector, 919- 968 -2759, if you have anyquestions. <br />Applicant Information: (to whom correspondence will be walled) <br />Name: John M Krumenacker Business Name: Mueller Systems <br />Address: 10210 Statesville Blvd <br />City: Cleveland State: NC Zip Code: 27013 - <br />Phone: 704-278 -2221 Email: jkrumenacker @mueller <br />The undersigned applicant hereby certifies that, to the best of his knowledge and belief, all information supplied with <br />this application is t e and accurate. <br />Signature: "c e to ent r - Date: Ciic t .n�e�s <br />Owner /Contract Pu chaser Information: <br />® owner ❑ Contract Purchaser <br />Name: Orange Water and Sewer <br />Address: 400 Jones Ferry Rd <br />City: Carrboro State: NC Zip Code: 27510 <br />Phone: (919) 9684421 Email: ttaylor @owasa.org <br />The undersigned applicant hereby certifies that, to the best of his knowledge and belief, all information suppiied with <br />this application is true and accurate. <br />Signature: Date: Clich:91 xt. <br />Page 1 of 3 <br />