~ (~ix~ (street) ~_square feet

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1 WA COUNTY ~ c.~i4a Attach $ review fee, SPECIAL USE PERMiT APPLICATION Submit required documentation to: Wake County Planning Department/Current Planning Section P0 Box 550 Wake County Office Building Raleigh 1 NC Fayetteviite Street Mail, Downtown Raleigh Contact Current Planning at (919) for additional information. 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 ilsting use as permitted special use) (~((. ~ L ~ 10 Modification of previously!ssued Special Use Perrrtit? ( )Yes If Yes, provide r&evant Special Use Permit Number: ~LQP~~Y Parcel Identification Number: Address: /V C Location: ~OLL+~ (north east, ~v~uth,west) Th~p)D-)±~J (strsat) t77~ P~:~7o~ cm side of ~. Total site area in square feet and acres: and 4~ ~ ~ (~ix~ (street) ~_square feet Zonin~District(s) and Overlay Districts (if any) and land area within each: k 40 List Conditions of any Conditional Use Zoning Districts:_ ~F75ciJ at/between acres Present land use(s): Vu ~&+ ~&L~14 Iili i j.~,andowner... Land Owner Name: ~rfjrqjij~n. t-i~ai~f BusIness Operator Nam~(if di~f&entfrom Land Owner): ~1~(AL2..I(~k~c ~ I7krris Address: 13f~O ~JiI&A4J7~C~ti+ U J. City: t.l~w.4i.ii Address: (~tjifi~.j4k ~L~i7(Jf 1~ LCi2i Telephone NumbeW ji0 ~ ~.~~lican,çjperson to wrpm all correspon~ncewill be Name:Jij1tE~IT~ ~ KL~t. Address: 13Q~O ~+flkt1x7a C1DU~4t1~... State: AK~Zip Code: ent) L ag? 5~( Fax: ~(AIiiUt~~~ 1~U&) ~. ~c~f U I 1/16/04 T:\COMMON\Forms\Fomis - 03\Speclal Use Permit Application 03.doc Page 1 of 4

2 City: ~~I~JILC &t&.- ~,0~1 4-~ II State: Zip Code: e~.~s-q / YqJ1)~XL1M~J~ ~ Telephone Numbe~(~1I 7 DO Relationship to Owner: tvor)(, Propo~a! Max. allowable floor area ratio (see applicable zoning district/use regulation): Proposed total floor area:~ft& sf Proposed floor area ratio (floor area/site area): ~?I % Max. allowable impervious surface coverage (see appucable zoning distr!ctfuse regulation): I~% Proposed impervious surfaces area: I~2~~/O/~ sf Proposed impervious surface coverage (impervious surfaces area/site area x 100): % Required transitional bufferyard types and depths (see Sec. 1-1~29): Front (Já ~O± ft Left (_j 0 ~ Right L) 0 ft Rear LV5 SC) / ft Propose~transitiona1bufferyard types and depths (see Sec ): Front (~) LO ~ ~ Left (_j () ft Right (_) ft Rear (A..) 5O ft Mm. yard depths (see applicable district/use regulation):. / Front ~D ft Corn%side (30 / ft Side I 6 ft Rear ~O~ ft Proposed yard depths: Front LI I ft Corner side J J(!~ ft Side ij-5 ~ ~ Rear Max. building height (see applicable district/use regulation): ~ 1 ft Proposed building height: ft Mm. parking space standard (see Sec ): spaces per Mm. no. of parking spaces: Proposed no. of parking spaces. 7 Number of employees: 4 Hours of operation: ~7~Vi rk Vehicular Access: Names of access street(s) and number of access points along each: _JV~..Qq. L~) Name of access or adjacent street Right-ofway width (!t) Pavement width (ft) No. of lanes Paved? (Y or N) Roadway design capacity Traffic - ~iolume (ADT) 2 Est. traffic generated (ADT) 3 qr7 c~o t I2~ 2 --_ See NCDOT Highway Capacity Manual or most recent Wake County Thoroughfare Plan Appendix 2 See CAMPO web site (www,raleigh-nc.org/campo) or N000T Traffic Survey Unit ~~eseon institute of Transportation Engineers ratios - ratio used for estimate (e.g., xtrips pery st) Estimated traffic generated by heavy vehicles (vehicles other than automobiles and fight trucks): Type of vehicle: WA: ADT: Type of vehicle:,ita ADT: ~/2OIO4 S:\COMMON\Forms\Forrns - 03\Special Use Permit Application 03.doc Page 2 of 4

3 Utilities and Services: ~ _1~.~ (~~1~dividual well(s) ( ) community system specify type: Est. total water demand; gpd Wastewater collection/treatment provided by: ( ) municipal system: ( ) community system specify type: Est. total wastewater discharge: ~pd Solid waste collection provided by: u~s1ri~~ Electrical service provided by: ~ne,r~9~fj Underground( Natural gas service provided by: /v IPr Telephone service provided by: ~..&JL2X..L411 Cable television service provided by: Land Use Plan Classificatipns General Classification (note associated municipality and/or watershed): ( ) Short-Range Urban SeMoes Area/Water Supply Watershed (v5 Short-Range Urban Services Area ( ) Long-Range Urban Services Area/Water Supply Watershed ( ) Long-Range Urban Services Area ( ) Non-Urban Area/Water Supply Watershed~,~ ( ) Non-Urban Area (V~ndividualon-site system, ($AIL IA~~rnLC Fire pro~ectionprovided by: o f.l ~dl( I Miscellaneous: Generalized slope of site ~ g o/~, Valuable historic resources (homestead, mill, archeological site) on or adjoining site: AJ~- c~- Land Use Classification(s) (Note Area Land Use Plan, if applicable): )yea (~ 1~o Underground (4yes ( ) no Underground( )yes ( )no Valuable natural features (rare plant community 1 wildlife habitat, lake, stream, geology, etc.) on or adjoining site: /V?c 1/16/04 T:\COMMON\Forms\Eorms - 03\Special Use Permit Application 03.doo Page 3 of 4

4 Appiicant s statement of comøliance 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 develooment standards fl ThL~. r~ rj~ctii s. (g,~gt~s~~r+ LOt ~)-t 1 lord 1~e~ Cfrdire~s ~CLU~ Lf i~ ry~/~* Lüi~&i~Lt~ K~. ~ Lot-Ji-~ ü ~ r~14 frçl U~, (tom ~ir7~ K). 17 TtJ ~ Other information (additional relevant information about the site or proposal you wish to note or cite) 1Jie~~çO ~edcklc~( fl(zd~ k?~lj ~jni~~) ~ig~! 11~j air~~ (~u~~i/i )yt~/-+hl~ CotL~çtt~ CIh(/f2 CO it~. 1~4(~ i~r -tit& (~UtL K?i ~ 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 rei~yant.sit~~ in~pec)~ns as 1 deerned necessary to process the application. Signature:// P~/~1ML ~, Date: (2/ Signature: Date: b /6 ~ S Signature: ~,z ~~_0-:t Date: ~ ~ 1 The undersigned applicant hereby certifies that, to the best of his or her knowledge and belief, all information ~piied with ~h~sappucation ~rue and ac 9 urap. signatur~1 i~fr&.~pj1j11oj (Nt) k!.s Date: 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 1/16/04 T:\COMMON\Forrris\Forms - 03\Speciai Use Permit Application 03.doc Page 4 of 4

5 SPECIAL USE PERMIT S-T-A-TEMEN-T-oF--Jus-TIF1eA-1~ioN Submit this form and other required documentation to: Wake County Planning Department/Current Planning Section P0 Box 550 Wake County Office Building RaI&gh, NC Fayettevilie Street Mail, Downtown Raleigh Contact Current Planning at for additional Information, \,\Tft~}(F~ COUNTY ~o~t.1~icou r uc For each of the 5 required conclusions listed below, attach a statement that explains how any existing conditions, proposed development features, or other relevant facts would allow the Board of Adjustment to reach the required conclusion, and attach any additional documents or materials that provide supporting factual evidence. The considerations listed under each required conclusion are simply those suggested in the Zoning Ordinance. You should address any additional considerations potentially raised by the proposed development. Important: You bear the burden of presenting sufficient factual evidence to support findings of fact that allow the Board to reasonably reach each of the required conclusions. If you fail to meet that burden, the Board has no choice but to deny the petition. (1) The proposed development Will not materially endanger the public health or safety. Considerations: Traffic conditions in the vicinity, including the effect of additional traffic on streets and street intersections, and sight lines at street intersection and curb cuts. Provision of services and utilities, including sewer, water, electrical, garbage coliections, fire protection.. Soil erosion and sedimentation. Protection of public, community, or private water supplies, including possible adverse effects on surface waters or groundwater. (2) The proposed development will comply with all regulations and standards generally applicable within the zoning district and specifically applicable to the particular type of special use or class of special uses. (3) The proposed development will not substantially injure the value of adjoining property, or is a public necessity. Considerations; / The relationship of the proposed use and the character of development to surrounding uses and development, including possible conflicts between them and how these conflicts will be resolved. Whether the proposed development is so necessary to the public health, safety, and general welfare of the community or County as a whole as to justify it regardless of its impact on the value of adjoining property~ (4) The proposed development will be in harmony with the area In which it is located. Considerations: The relationship of the proposed use and the character of development to surrounding uses and development, including possible conflicts between them and how these conflicts will be resolved, (5) The proposed development will be consistent with the Wake County Land Use Plan. Considerations: Consistency with the Planes objectives for the various planning areas, its definitions of the various land use classifications and activity centers, and its locational standards. Consistency with the municipal and joint land use plans incorporated in the Plan. Notes: All documents and maps submitted as required become the property ofwake County. The Wake County Subdivision and Zoning Ordinances are on the web at 1/16/04 T:\COMMON\Forms\forms 03\Special Use Permit Statement of Justification 03.cioc -,C ~ 7~~h,2Le/?~3 _-_~ ;) Page 1 of I

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