FM REVIEW atH$rnett
BUTT * ®
Fire Marshal Division
INS Edward.Brother Drive
Lal agtoa,NC 2716 •
910.M2.71W
Application for Tent/Canopy Permit
Application/1_ fl €(5)L4 I IO S Dalt 1p J .{..CIj
Applicant: L�;lLSA u� 4.0641 l)f..aft G,gre W t
•
Billing Address: 3/W Ck4haat. cj . IRS), ,1nD
City F41gs,.P-!Km.* StateNC Zip 12rlS7C �y
Contact Phone M C/f'/- 66q. Yt
Locatimt of Ten/Canopy: 3 I L1& ('k4A-ttt ?Arlo .
City hr.**, ' it w'r, state AIC f Zip ‘2,SZ
Set-up Date t /2!s / l Completion Date LO /.2,94_12
This application mut be completed and mined to flair.!Permitting,prier to the
issuance of the penult.A site inspection will be conducted to verify eompliaace. Please
allow 17)working days for processing.There will be a permit fee assessed for the tenni).
Permit fees shall be paid after reviewed has been completed.The following items are
reulFS to be submined with this application:
I Site plan dowing location of tent/canopy on property and distance from
buildings.
2 Number of tents/canopies including dimrn.itma of each and whether the tent will
be equipped with enclosed tides.
Proposed3 4 Flame tee of each�pcancpy.
kr°"121"'resiIft014 tent/canopy
hccat Signature - �
APP � Date
HARNETT COUNTY CASH RECEIPTS
*** CUSTOMER RECEIPT ***
DOper:
!BROCKType: CP
17 52
Recei t Drawer: 1
p rw: 387476
Year Number
2017 58941659 Amount
3138 CHALYBEATE SPRINGS RD
FUWAY-PARINq NC 27526
B5 DP - F
FIRE MARSHAL FEES
FM FEES 475.00
DRAKE LANDING LLC
Tender detail
CK CHECK PAYMEN
Total tendered 6127 475.98
Total payment $75.00
$75.09
Trans date: 6/16/17 Time: 10:18:16
** THANK YOU FOR YOUR PAYMENT **