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TOWN INFO FNMA Town Ut Coats (WED)RUS 18 2010 13:41/ST.13:41/No.7515832250 P 2 TOWN of COATS - ,` (Extra- Terrtortal Jurisdiction or City) APPLICATION FOR ZONING PERMIT \ _ 5 co 5((D9 To: TOWN PLANNER/TOWN OF COATS Permit No. aCia ]e,-i/n 1 P.O. Box 675 Coats, NC 27521 Fees: 47.n. Ob Phone: (910) 897 -5183 Fax: (910) 897-2662 Date: _ S! 19) IA Parcel ID": en o s cc! a 13D e ! b Area Zoned As: ^x A i q co : Applicant: Owner. Name (Print) ?. _ y' r: ee Name to- 1 `n-in t- .6,61 S? f r Address .T�r� : _ _ s1 Address 'l3 '7A,n+.- 4r.:4' 'L City, State trial/Ur r r City, State tun's tic _ w Zip Code _ l Zip Code Q/ SZ/ Phone # :Bath' — •4 , Phone # K1 7 -'7 L74 9 Location of Property: EN-TOWN ETJ J ETJ (contiguous) Present Use of Property: -p s 10 ft tiro .- P Use of Property: ficSingle Family Dwelling: # Rooms: 0 Bedrooms: Square Feet: [ J Multi Family Dwelling: # of Units: #Bedrooms (per unit): Square Feet (per unit) 1 J Mobile Home (single lot): single wide: Double Wide: [ J Mobile Home Park: Section 16, Zoning Ordinance must apply [ ] Business: Total # of employees per day Type of business [ J Others (specify): 1 1 Existing structure; ✓ Renovate: Addition: Demolish: Water and Sewer Supply: Water Sewer Private Public •/ Proposed Existing NOTE: Attach a site plan that includes property lines (front, side, and rear), location of proposed structures (induding 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. Applicants I certify that all of the information presented in this application is true, complete, and accurate to the best of my knowledge. False 1 rrmation is grounds for rejection of the application. Signature : CO - iS'ri . L y'-c vUl` ! Date: .i/ J 7�i' ZONING ADMINISTRATOR USE ONLY Notes: r 4 i Jc g- 4 -e,. 0,0 rr Zoning Admiaiatrato9..-_e=S Date: Denied-