!~ APPLICATION. Chw~cb/~OL~.thr~ 4~r S. Cu\~ex~ i~nur~4-~j Bc~,1-~~~- v~ec1 t 6 ô ~ j g 7 ~5. ~ Cj~Mt~ur~t+~/~Qy~45 4 Ch~~h~/.

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1 SPECAL USE PERMT!~ APPLCATON ~_~~_i~ Submjtrequ,red ~ Wake County Planning Department/Current Planning Section ~ P0 Box 550 Wake County Office Building -, COUNTY Raleigh, NC Fayetteville Street Mall, Downtown Raleigh NORTH CAR~UNA Contact Current Planning at (919) for additional information. -Pt-- Complete with required information (write n/a if information is not applicable to proposal). Type of Special Use (be as specific as possible and cite code section listing use as permitted special use) ~h ExPA,t/f/,4.~ ( i- ~i (E- ~.) Modification of previously issued Special Use Permit? (vfres ( )No f Yes, provide relevantspecial Use Permit Number: ~A 5~U t g ~5 Property ~ ~ q Lj 01 a ~Ct lf~ Parcel dentification Number:T}~p~e~ckr~e.~ c~nn~bj v~ec1 t 6 ô ~ j g 7 ~5. Address: 1.33 r~l ro~ Rrnd Pt~Qd- ~ N. ~.. ~ Location: side of 1~gv~d ~oc*c1, (north, east, south, west) (Street) 035 at/between and (street). (street) Total site area in square feet and acres: 3(l~)S ii square feet.z. 13 acres Zoning District(s) and Overlay Districts (if any) and land areawithin each: 133 ~ ~jnr1~.. O~ce/i.zi Rgh~1~. ~-q~p\~j/ iog ~nc~ ~. ~- 4OO List C~nditionsof any Conditional Use Zoninj Districts: ~ 4~ nv~< t \~J Present land use(s); Land Owner A~#~ ye.. Land Owner Name: Business Operator Name (if different from Land Owner): Address: 13~ Pc~r~\ ~ Chw~cb/~OL~.thr~ 4~r S Cu\~ex~ i~nur~4-~j Bc~,1-~~~- City: Ra\ e.i, State: 3~ ~. ~2.Zip Code: a Address: Fax: Telephone Number: Applicant (person to whom all correspondence will be sent) Name: ~V(E~ Ci~lt~. ~ Cj~Mt~ur~t+~/~Qy~45 4 Ch~~h~/.~iid3i~n~k Address: ~1 00 U(cl ~k4 3 e.. ~ d City: ~ State:~1o Zip Code: ~ 7 (~O3 9/28/05 T:\Current Planriing\Forms\Special Use Permit Application.doc Page 1 of

2 Address: Telephone Number: ~ ~2.SC.g r4o.bi1~. ~ ~q-~~_ 9 B Fax: Relationship to Owner: ~ Max. allowable floor area ratio (see applicable zoning district/use regulation): Proposed total floor area: 11/ ED.. bo Sf Proposed floor area ratio (floor area/site area): Max. allowable impervious surface coverage (see applicable zoning district/use regulation):.zt~. % Proposed impervious surfaces area:,.2.~+fs Sf Proposed impervious surface coverage (impervious surfaces area/site area x 100): ~t..o.~ % Required transitional bufferyard types and depths (see Sec ): Front(~) 0 ft Left (~_) S ~O ft Right (Aj5 O ft Rear(A_) ~ ~ ft Proposed transitional bufferyard types and depths (see Sec ): Front (~..) 0 ft Left (~J 50 ft Right(~J.~E ft Rear (...&).z.5 ft Mm. yard depths (see applicable district/use regulation): Front 30 ft Corner side.3-0 ft Side (5 ft Rear.30 ft Proposed yard depths: Front 5 ft Corner side N/A ft Side 13 ft Rear ~ - ft Max. building height (see applicable district/use regulation): 30 ft Proposed building height:.30 ft Mm. parking space standard (see Sec ): 1 _spaces per Mm. no. of parking spaces: 4~f- Proposed no. of parking spaces S Number of employees:_ 0 Hours of operation:3~~ t 1 ay Clmr~[i ~:~p ~. v~. 1:304. ia- Vehicular Access: \i~~c~day 7:N3~1b.,~. Names of access street(s) and number of access points along each: ~an~1 ~ C -) Name of access or adjacent street ~ar~ri~ ~d Right-of-~ way width (ft) Pavement width (ft) ~. O No. of lanes Paved? (YorN) f~c Roadway design capacity Traffic volume (ADT) 2 Est. traffic generated oo-~ri ~Susd~y See NCDOT Highway Capacity Manual or most recent Wake County Thoroughfare Plan Appendix ~ CAMPO web site ( or NCDOT Traffic Survey Unit Base on nstitute of Transportation Engineers ratios - ratio used for estimate (e.g., x trips per y sf) Estimated traffic generated by heavy vehicles (vehicles other than automobiles and light trucks): Type ofvehicle: N A ADT: Type of vehicle: N ~ ADT: Utilities and Services: Water supply provided by: ( ) municipal system: N A 9/28/05 T:~CurrentPlanning\Forms\specjal Use Permit Application.doc Page 2 of 4

3 ( ) N community system specify type: A J ( 4individual well(s) Est. total water demand: 1, p.~. gpd Wast~atercoJiecionLtreatment-provided-by4-(- )-munioipa--system: ( ) community system specify type: (4 individual on-site system Est. total wastewater discharge: i, ~ gpd Solid waste collection provided by: R-~iJtrl-~ 10 C 1 U Electrical service provided by: ~ ~r~t~j Underground ( ) yes (~-1no Natural gas service provided by: M ~ Telephone service provided by: fl Underground ( ) yes ( -lno Cable television service provided by: t%~)a Underground ( ) yes ( ) no Fire protection provided by: r~r \jô jr 4~ i,- ~. ~ ~ G~r MiscellaneOus: Generalized slope ofsite ~~r~~-sa ~LO.\)e~ ~P1-. Valuable natural features (rare plant community, wildlife habitat, lake, stream, geology, etc.) on or adjoining site: p Valuable historic resources (homestead, mill, archeological site) on or adjoining site: ~o Land Use Plan Classifications General Classification (note associated municipality and/or watershed): ( ) Short-Range Urban Services Area/Water Supply Watershed. ~ 03- ( ) Short-Range Urban Services Area ~4) A ( ) Long-Range Urban Services Area/Water Supply Watershed A (vçlong-range Urban Services Area ( ) Non-Urban Area/Water Supply Watershed ( ) Non-Urban Area Land Use Classification(s) (Note Area Land Use Plan, if applicable): C~reik La~d M~rn~~v~ PJah ~t~a~ Da+~o~ Applicant s statement of compliance with county, municipal and joint Land Use Plans (How is proposal consistent with Land Use Plan objectives for planning area, Land Use classification, activity centers, locational standards and transitional urban development standards?) ~n,~ ( hurc ~ t~~4~a~v ~ v uv aj ~c~emc~ 4 inp,~ 9/28/05 T:~CurrentPlanning\Forms\Special Use Permit Application.doc Page 3 of4,

4 Other information (additional relevant information about the site or proposal Qdd ~+~ar~4~ you wish to note or cite) 4~ iv~ a99~r~ig-~c~0~ Cj~u~~h av~ All property owners must sign this application unless one or more individuals are specifically authorized to act as an agent on behalf of the collective interest of some or all of the owners (provide a copy of such authorization). The undersigned property owner(s) hereby authorize the filing of this application (and any subsequent revisions thereto). The filing of this application authorizes the Wake County staff to enter upon the site to conduct relevant site inspections as deemed ecessary to pr cess the application. Signature: Date: 41 ~ Signature: Date: Signature: Date: The undersigned applicant hereby certifies that, to the best of his or her knowledge and belief, all information supplied with this application is true and acc ate. Signature: é fti~i)date: ~t( Notes: All documents and maps submitted as required become the property of Wake County. The Wake County Subdivision and Zoning Ordinances are on the web at 9/28/05 T:\Current Plarining\Forms\Special Use Permit Application.doc Page 4 of 4

5 Molt, 1.7)039W (SNOT [0001(0)0 A (7)104 FLOOD ~0Q3J0ll0 RflO 000 OSEO P CSP000Y 010J ( ) (POOP. * ( ) (POOP ) ( tool) * PPP000200E.1 310* 004 P P SPACES (370( ) / * (TO ) MCA j *000( L CR Ol Mat ~ (0070 $ P SEP ( (J ( ( P * ( ) 101*4. PROPOSED 3*0000* ~ * PN : , lp % OP-lP 100* , , % 10, ,400 OP 20.0% a 3ARAO , P PRELMNARY PLAT Not for recordotloil conveyancesorsam. PRELMNARY DESGN NOT FOR CONSTRUCTON ADRAN J. BAli PU PROFEO10ONAL LAND 302* L0, (010)

6 *421! 0,10* * P00. W * * *9% Al) SF ( <0 RA~ PROPOSED PARSER CRUNCH SZE ( ) BUP.OAO SZE (POOP *) (FOOT FLOOR 70000) OlE (POOP. 2000(08) (RECORD FLOOR) (1 APPOO010N-Y (4(41 P80050 OE00J SPACES P P0000W D SPACES (37 NEW S1140) ZONAG 0 400/ DPEOALUSE SRJS AREA (TO BE ) % TOTAL AREA aq ~E18 80T LOAM8O ll A (880 (that UA2MOD AREA AS COMAE MAR00 3, O1U1ES 1.00* OlE DY R00000L ARPOC S?510M2. 4. *0 PEO2A1ENT C081$ OCCUR ( MOEO NOT 3350 looner. 0<01010 UP AREA (P000PPOOSEO) P PEO ARJS 400*11000 HRED) PROPOARO MP00300S AREA WARE WAlE Pll WAlE l355~4l_uor i~ , , *900*0* * ( ,355 OF 2.0% % % 0* <(( PG 700 pin ~RO932OBl FARt * *951* ~F-405. PRELMNARY PLAT Not lot recotd~flqfl, conveyaflcl Of bill PRELMNARY DESGN NOT FOR CONSTRUCTON ADRAN J. BAU~iii PLS P(OOF0000NAL LAND OUR V~Y0R

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