TOWN INFO TOWN OF COATS
(Extra- Territorial Jurisdiction or City)
APPLICATION FOR ZONING PERMIT
To TOWN PLANNER/TOWN OF COATS Permit No. CQ, 17 7 Al d- j
P.O. Box 673 n 'a
Coats, NC 27521 L d Fees: .4 20 . r,a
Phone: (910) 897 -5183 A UG 1 7 2010 i
Fax: (910) 897 -2662
Date: $ l 1-, 11 P ' B Y- ] Saacinirl ----- CY ("coot 0 /0-2, noon i
t Area Zoned As -p-
Applicant: i ; Property Owner:
�U C Cu2�sN
Name (Print) Name zi..IrtLE1...e..s.baald
Address 1. J &W. D ` Address toAf FY eytkij no
City, State ,, ': $ , C. " ; City, State affi -N!'
Zip Code t a/ °'' Zip Code --2-1 4'4
Phone # £7)9' '7,`r7_ Phone # C11' _ 2tr7 1 o4a
Location of Property: IN-TOWN I/ ETJ:' - ETJ (contiguous)
Present Use of Property tt CS ; arr:A-iM ,_'` - -
Proposed Use of Property '
H'Single Family Dwelling: # Rooms / # Bedrooms 3 Square Feet:
1 1 Multi Family Dwelling: # of Units ' #Bedrooms (per unit) : Square Feet (per unit)
[ 'Mobile Home (single lot): single wide: Double Wide:
[ 1 Mobile Home Park: Section 16, Zoning Ordinance must apply
[ 1 Business: Total # of employees per day Type of business
[ 1 Others (specify):
[ 1 Existing structure: )•Renovate: Addition: Demolish:
Water and Sewer Supply: Water Sewer
Puce V
Public 1./
Proposed
Existing
NOTE: Attach a site plan that includes property lines (front, side, and rear), location of proposed structures
(including driveways, decks, etc.), and existing structures. This plan should be drawn to scale. Also, in order to
receive a Privilege License from the Town of Coats to open a business, you must have a valid Zoning Permit,
along with all applicable inspections from Harnett County.
Applicant: I certify that all of the information presented in this application is true, complete, and accurate to
the best of my kno ledge. False information is grounds for rejection of the application.
Signature: Al dfrt0 Cio,GV— 4-.- Date: 0 /7 0
ZONING ADMINISTRATOR USE ONLY
Notes: G i * 'i$( r, / r ):�I-1 'rn& , ! j >rn ac-re
Zoning Administrator: Date: _ ) /Z7 1)
Approved: Denied• /