alt ElAiPPLlC.;\i.i\'T infors1..{1'io[\7 APPLICATION REZONING 9 I if /\,7L/3 i?oiiéiorlrzcriseo.\iii"5m

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1 *7 H 0 " REZONNG APPLCATON TOWNOF CLAYTON Planning Department 11 l ESecond St PO Box 879 Clayton NC Phone: Fax: Pursuant to Article 7 Section ofthe Uni?edDevelopment Code an owner ofland within thejurisdiction ofthe Town (or a duly authorized agent) may petition the Town Council to amend the (hficial Zoning Map Application Fees: Standard Rezoning Fee: $50000 Rezoning to Planned Development District Fee: $ $500 acre Advertisement Fee: $1-00: Allfeesare due when the application is submitted Note on Planned Developments: Requests to rezone to a Planned Development District must be accompanied by a Master Plan submittal Master Plans are approved as V Preliminary Subdivision Plats please submit a concurrent Preliminary Subdivision Plat application and Master Plan Name of Project: pgudg Acreage of Property: gg Q C County Tag Number: Q5 5: 02 ooz 2 NC PN: t69o*'1»1(~ Z5:35 Address/Location: Te'u( C} JUST OFG? 09 No ;5 555t Existing Zoning District: 3» Proposed Zoning District: / '5?gp ElAiPPLlC ;\ii\'t infors1{1'io[\7 Applicant: 9 if /\7L/3 Mailing Address: 442'/7 Eu Mm-4 6+ Cmiron H Phone Number: U i- 563 r 5104; Fax:!\"'l?>~ 3bLa3 Contact Person: 9 \ 5:4 Address: 4-5(/?g Com Date Received: l alt 5' i?oiiéiorlrzcriseo\iii"5m Amount Paid: $ File Number: Z0 Z' Page of 0

2 - PROPERTY Property ' L A i J [T A A7 mm 0 NER l\'f()r\-\tl()\' Name gq Vanda; Mailing Address: Po 9 0 Phone Number: 313 EL-Z2U15 Fax: Address: '1errg?au?g? o helm eon EXPL-\\'ATl()\' OF PROJZCT Attach additional sheets ifnecessary Please provide detailed informationconcerning all requests -6 C(Jv\a-16 5U D C y?cltal u ;6 Da jjr Ll) «From Zonins [ REQLTRED \' F()R\lATl ON ( to be SH/)7lffL (/ with the app/icatimz) description The followingitems must aeconqqanya Rezoningapplication To be combined " Su?/rniyt 9?ll noterlor Yes NlA" * directe(1bysi i?' l A preapplication conference was held with Town of Clayton staff Date: (424: (1; l k/ 1 p 2 Review Fee ($500 for standard rezoning Q $ l $500/acre for Planned Developments) and Advertisement Fee 4/ ($100) 3 Completed application A f 4 Ownefs Consent Form l Required ifagplicunl is not property owner? * 5 A signed and sealed boundary survey (not more than a year old unless otherwise approvedby the Planning Department) 6 lfproperty to be rezoned is a pg)-lion Q/ aparcel: l legal description typed (10 pt font or greater and also submitted electronically in MS Word format) - Plat showing property to be rezoned matching legal 7 Adjacent property owners list 7 8 Neighborhood meeting notice letter ( copy) 7 L!' E ' P N/A See sample letter and meeting requirements included in this paclret form feighbéiheod <1mm ncluded in this packet 1 >: meeting 10 Stamped addressed empty envelopes with no return atldress l E H using the adjacent property owner list (1 set) '/ hi5for (1 public notice ofthe public hearing mailed by the Town thus l neighbors will receive both a neighborhood meeting letter from the E g gppz il *(trit and (1 notice Qftlzenemirigfrom 1 thelawn

3 APPR()VAL CRTERA A[1 applications jbr a Rezoning must address the following?ndings: l Consistency with the adopted plans of the Town Suitability of the subject property for uses permitted by the current vs the proposed district Allows -For --HmEqu;Q ;(? MA as /Pggpgzi? [mare g«l*cl>l +2 -l~ué~l'/2 lv\qwll4 :k Whether the proposed change tends to improve the balance of uses or meets speci?c demand in the Town /f" / 4/1 / W/4420 M /// km [/54 4/6/1514 The capacity of adequate public facilities and services including schools roads recreation "facilities wastewater treatment potable water supply and stormwater drainage facilities is available for the proposed U55-3 r\(/as}//luro 5&3 / : sww let Ln ELLA r uéc 1% be ;li 2l4/mma/ A] U65 t has been determined that the legal purposes for which zoning exists are not violated m sad - E t has been determined that there will be no adverse effect upon adjoining property owners unless such effect can be justified by the overwhelming public good or welfare m? 44 Z 14L4 24/ 4///44/4415bu t has been determined that no one property owner or small group of property owners will bene?t materially from the change to the detriment of the general public / lam44 //445 /in 0?1/ /4/4715 W 1714"-4 /rm Jim; Z952/45 -? gl/ta Q/?mzjc/'oo

4 APPLCA\'T AFFDAVT /We the undersigned do hereby make application and petition to the Town Council of the Town of Clayton to amend the Zoning Ordinance and change the OfficialZoning Map of the Town of Clayton as requested hereby certi/'vthat have full legal right to request such action and that the statements or informationmade in any paper or plans submitted herewith are true and correct to the bed of myknowledge understand this application related material and all attachments become officialrecords of the Planning Department of the Town of Clayton North Carolina and will not be returned A! Print Name Sign Applicant 2{gt5

5 typ ty g "-7 e six K 1- OWNER'S CONSENT FORM TOWN OF CLAYTON Engineering & nspections ll 1 E Second St PO Box 879 Clayton NC Phone: Fax: Consent is required from the property owner(s) if an agent will act on their behalfa separate form is required from each owner Consent is valid for oneyear fromdate ofnotarjv unless otherwise speci?ed All fields must be completed Project Name: jef/y / 70(yLCZ Address or PN #: ll 5 cl 0 q ' lb AGENT/APPLCANT (Name NFORMATON: - Zia 35 erp Ma 22 Al VLS 4-LSl7«6»El'lZAll-1 5l= print clearly) (Address) C4?/» (City ate 2ip) Ne '2'7o z0 l hereby give CONSENT to the above referenced agent/applicant to act on my behalf to submit applications and all required materials and documents and to attend and represent me at all meetings and public hearings pertaining to the following processes (list applicable requests below): /ll5c7 Q'iz3a x2t Furthermore l hereby give consent to the party clesignated above to agree to all terms and conditions which may arise as part ofthe approval ofthis application hereby certify that l have authority to execute this consent form as/on behalf of the property owner 1 understand that any false inaccurate or incomplete information provided by me or my agent will result in the denial revocation or administrative withdrawal of this application request approval or permits l further agree to all terms and conditions which may be imposed as part of the approval of this application OWNER AUTHORZATON: Tag/z/as//4/J (Name ~ pnntc c 47 c lea M4275 (Address) (Owne s ignat (City S ate Zip) E STATE 0F COUNTY or Sworn and subscribed before me 5 A Q pk W4 :9 "" 0 E 3 0 = UBU0-"05 '3lZfi?\ am ) ) é : vhcoupi Wt» a Notary Public for the above State and County this the gmday off wa2o - '1 < ~ we SEAL Notary Public ll ) My Commission Expires: Cl theater LW

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