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15\ <br /> (PLEASE TYPE OR PRINT INK ONLY) g/gg <br /> APPLICATION FOR CLASS A SPECIAL USE PERMIT <br /> ORANGE COUNTY BOARD OF COMMISSIONERS <br /> DATE: /_�/ <br /> APPLICATION NUMBER: PD- <br /> I (We) request a Class A Special Use Permit as provided for in Article of the <br /> Orange County Zoning Ordinance for <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 Black Lot(s) Township <br /> Zoning District(s): <br /> Lot/Parcel Size: acres or square fee <br /> Number of Existing Buildings: • Gross Floor Area: square fee <br /> Number of Proposed Buildings: Gross Floor Area: square Supply: Public (Specify) Community Inuaruare e f f a <br /> Wastewater Disposal Public (Specify) Community Individual <br /> School District Fire District: <br /> General Land Uses to Area: <br /> Critical Areas Stream/Dralnageway Flood Prone Area <br /> Other (Explain) Watershed (Specify) Historic Sil <br /> $. 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 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 /> Location of all areas on the site subject to flood hazard or inundation as shown <br /> on flood maps or soils maps. <br /> Location of all water courses on the site, including direction of flow. <br /> Existing topography at a contour interval of five (5) feet based on mean sea <br /> level datum. <br /> Existing and proposed fencing, screening, gates, parking, service, and storage <br /> areas. <br /> Access to site, including sight distances on all roads used for access. <br /> (PLEASE COMPLETE REVERSE SIDE) <br />