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TOWN INFO : att# TOWN OF ERWIN tsa " ZONING APPLICATION & PERMIT 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. 6 — 13 , 5 Prr ect Name (To Be Determined By Staff) County PIN # t CO •.* ayc occ c.✓OtIrY/ 11 9 Project Address or Location /09 / rw Si: 4; - T /3 s& &c ifiId ieie 3) 39 Ap ant Name As.11- tntAddre 'Applicant Tele hone ScL Z Cf,(,�c -a e.rh_ v .1 -- ea/ Sr 9/d , . w ,„ ; ,,. ••roperty Owner , Prrperty Owner Address Appiic FAX Y € ' 4, '' •src�• 4eJIj/SAML*.n. j 1 /6 OS - 4 nd4c br- free , Nct. 4 - 144 Pree ious Use Pro.osed Use (I .. .c cis S,tfDf AP v ACi CC R( 45 fi.Rrnraz Existing Building S ware Fobta Existing Height Estimated Project Cost 4'G) CC .r � - Description of Proposed Improvements • S /s iruiele'j' ac44y(24.cG a/X/Q k&(&4 Upon issuance of this permit, I/we agree to conform to all applicable town ordinances, zoning regulations, and the laws of the State of North Carolina regulating such work and to the specifications of plans submitted. I/we hereby guarantee that the above I formation is accurase and erect to the best of mylour knowledge. Signature of Appll t • ,0 / I �(J / I Date of A 7 Use Classification t i'f anr.Ac1-IAr vlo ac, f2 6 4/15 , and prn(QQss, r> ; Zoning District / ( ) R -15 ( ) l"1 O ( ) R -6 ( ) R -D ( ) B -1 ( ) B -2 ( ) C-B ( ) B -1 ( ) B -2 ( ) CON ((.)'M-1 ( ) MHP Non - Conforming Use ( ) Yes ( ) No 1 Non- Conforminq Feature ( ) Yes ( ) No Comments Other Permits Required: Zon Permit Status ( ) Conditional Use Permit () 1 ding Permit (pproved ( ) Water /Sewer Availability ( Fire morAbAl Plan Q - Denied Comments p ° C; or • as t 'i Am) # rLiCGA I/ .f Ai, /4 Gal P , , , J 4 'rY f '. , c.:.....,.,.,.:...= DateAp•rpv -d /Denied r •IAf '- - I / $ /D Fee Paid I Date Paid Staff Initials Zonin Permit uto I V Zoning