TOWN INFO TOWN OF COATS
(Extra- Territorial Jurisdiction or City)
APPLICATION FOR ZONING PERMIT e S D r „ {l
O
To: TOWN PLANNER/TOWN OF COATS Permit No. 1'17010 — 1 1 Q /U -
P.O. Box 675
Coats, NC 27521 Fees: 7 o u it
Phone: (910) 897 -5183
Fax: (910) 897 -2662
Date: j /)'7 /1 T) Parcel ID*: O 7 0 ct o I (403 000/
Area Zoned As: G _Z
Ap plicant: '' p/� Property Owner:
Name (Print) TA � .t 14) 5u r Name 43,425 PL, ?Lc
Address
1 7 1 4-fit Li •gni( Qd Address
City, State )c i .,d eti '1'9i City, State
Zip Code g13s7 Zip Code
Phone # j p ru a 0060 [9i) qq pc»g2 Phone #
Location of Property: IN -TO Y ETJ ETJ (contiguous)
Present Use of Property: ' _ fr
Proposed Use of Property:
[ j Single Family Dwelling: # Rooms: # Bedrooms: Square Feet:
[ 1 Multi Family Dwelling: # of Units: #Bedrooms (per unit): Square Feet (per unit)
[ 1 Mobile Home (single lot): single wide: Double Wide:
[ j Mobile Home Park: Section 16, Zoning Ordinance must apply
[A Business: Total # of employees per day 2 1- Type of business Q s-{(4 r72
[ 1 Others (specify):
Icrici structure: Renovate: Addition: Demolish:
Water and Sewer Supply: Water Sewer
Private i
Public
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 m knowledge. False information is grounds for rejection of the application.
Signature: 111 . Date: I / 7 j j
ZONING STRATOR USE ONLY
Notes: nP6 A ir.ES ii 0:10.X
Zoning Administrator: Date: Z a
Approved: lv ! c 4 i / Denied: