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TOWN INFO ir,r4'3 TOWN OF E ZONING APPLICATION & PERMIT • /9w 19 %% 100 west F Street, Erwin, NC 28339 (910) 897 -5648 FAX (910) 897 :5543 Attach a plan with the proposed use showing lot shape, existing & proposed buildings, parking & loading areas, access drives and front, rear and side yard dimensions, • Project Name (To Be Deted By Staff) County PIN # erWlr C Uenin'1 Project ddress or l.ocatijp 1 .. C n I f) Ap licant Nam � fn\f/ ^ : � ' l J, 'iT ` licantt r u�, 1 `c / ,,br ,.y Eats, Applicant Telephpo q Property Own , t . /:..c Pry o�K� PrA � r n g 1® S / ! '��� r P Applicant FAX # gib Previous Use " ^ Proposed Us L Existing Building Square ge \ Existing Height �� �� Estimated Project Cost Description of Proposed Improvements • lnuJ FiLko E.,4 Upon issuance of this permit, I/we agree to conform to all applicable town ordinances, zoning regulations, and the laws of he State of North Caroli . regulating such work and to the specifications of plans submitted. I/we hereby guarantee t at - - above 1 .n t• acc rate and correct to the best of my/our knowledge. t na ur of App nt I Date of Application • �I 0 • 904;1:$11, E' US r y Use Classification Zoning District . ( ) R -15 () R410 () R -6 ( ) R -D () B -1 () B -2 (f.)-CB () B -1 () B -2 () CON () M -1 () MHP Non - Conforming Use ( ) Yes ( ) No i Non- Conforming Feature ( ) Yes ( ) No Comments • Other Permits Required: Zoning Permit Status ( ) Conditional Use Permit ( ) Building Permit (roved ( ) Water /Sewer Availability (;if ,-; - pa , , // /`, ( ) Denied Comments pJ Si nature = .TO_ entative Date � en Approved /Denied 9/ >> js:� Fee Paid Date Paid Staff Initials nine Permit #