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DOCUMENTS S003q(t) -3 NORTH CAROLINA ALCOHOLIC BEVERAGE CONTROL COMMISSION 4307 MAIL,SERVICE CENTER RALEIGH NC 27699-4307 (919)779-0700 FAX:(919)662-3583 www.neahr_eom INSPECTION/ZONING COMPLIANCE IMPORTANT:The Applicant will complete SECTION A,below.SECTION B through SECTION E,below,are to be completed by the appropriate Inspection/Zoning OfficiaL To request inspections and zoning certifications,please contact the city or county building and fire inspection and zoning departments for your area.Failure to submit this form in a timely manner to these local authorities may result in delays in processing of an ABC permit application. This form must be completed by the building,tire and zoning officials before a permit will be issued SECTION A-APPLICANT TO COMPLETE Name of Applicant S iii r , l ri C Trade Name of Business Address of Rnsiness L3 W• o tNell tS c kA, 44 City Li ��r fl - ;� County 1-11X C n t E. Phone#CIO) ` 104 SECTION R- RI,`II,I)INF. INSPECTOR TO COMPLETE Building Code: Building is in- Compliance Non-compliance* 0 Not Applicable Building Inspector's Name(printed)and Signature Phone# ( ) Date of Inspection SECTION C-FIRE INSPECTOR TO COMPLETE Fire Code: Building is in- = Compliance = Non-compliance* Not Applicable Fire Inspector's Name(printed)and Signature Phone# ( ) Date of Inspection SECTION I)-ZONING OFFICIAL TO COMPLETE Zoning: Business is in- compliance ❑ Non-compliance* _ Not Applicable Is business located in an Urban Redevelopment Area(Article 22 of Chapter 160A) 2O If"Yes" has establishment been given notice that it is in an Urban Redevelopment Area and must comply with the requirements ofN.C.G.S. 18B-309 DYes r !No Zoning Classification C-*; �,,,ip 1 / d5,,nG 54 Permitted uses in this zone Ro s�r rna_ ^,,.J �,,,,4h r Zoning Official's Name(printed)and Signature A, ,.... 41 Phone# (t /O )43gJ"' 030c. Date of Inspection /©, /g no/L __