Orange County NC Website
138 <br /> Orange County Planning & Inspections Department <br /> ORANGE COUNTY 131 W.Margaret Lane,Suite 200,Hillsborough, NC 27278 <br /> NORTH CAROLINA 919-245-2575 or planningapps(a)orangecountvnc aov <br /> Special Use Permit Application <br /> Please check all applicable boxes and complete the required documentation.Additional information and submittal <br /> requirements are contained in Section 2.7 of the Unified Development Ordinance(UD% <br /> If completing by hand, please use black or blue ink. <br /> Please fill out all required fields <br /> The Orange County Board of Adjustment shall approve or deny Special Use Permit applications as provided for within the Unified Development Ordinance <br /> (UDO)with a mafonty vote.The applicant must provide material,competent and substantial evidence for each standard required by the UDO.Please <br /> check all applicable boxes and complete the required documentation. <br /> Date: <br /> Contact Information* <br /> Property Owner(s): <br /> Mailing Address: <br /> Phone:I Email: <br /> Applicant(if different than Dertv owner <br /> Mailing Address: <br /> Phone:i Email: <br /> Property Information* <br /> Parcel ID Number(PIN): <br /> Address: <br /> Zoning. Watershed: <br /> Certification and Signatures* <br /> I, , have standing as described in Exhibit A and hereby <br /> request the Board of Adjustment to conduct an evidentiary hearing on my permit application, a use <br /> described, and limited as described, in Exhibit B. I anticipate the presentation of evidence to be: <br /> ❑Thirty(30)minutes or less, and understand Exhibits C, D, E and F are optional. <br /> ❑More than thirty(30) minutes and have included the following: <br /> ■ A listing of intended evidence(Exhibit C), <br /> ■ Proposed Findings of Fact(Exhibit D), <br /> ■ Proposed Conditions (Exhibit E), and <br /> ■ Proposed Order(Exhibit F). <br /> STATEMENT BY PPL NT: I certify that the information presented by me in this application is <br /> acc to the b st y nowledge, information, and belief. <br /> Z IM \ — A F =1 <br /> Uwd&JArffighatdre(sx, Applicant Signature (if different from owner) <br /> - Z2- - <br /> Date Date <br /> Page 7 of 9 <br />