General Application Form - Town of Lake Waccamaw, North Carolina
GENERAL APPLICATION FORM
TOWN OF LAKE WACCAMAW
Application No. _______
Date _______
Permit Fee ________
Receipt # __________
Permit or Relief Requested:
____ Appeal ______ Variance
Applicant ________________________
Owner _____________________________
Address __________________________
Address ____________________________
_________________________________
___________________________________
Telephone ________________________
Telephone __________________________
Legal relationship of applicant to property owner _______________________________
Purpose of permit ________________________________________________________
Property Location ________________________________________________________
Street Address
Tax Map ___________________
Block ______________
Lot ______________
Lot Size ____________________
Sq. Feet ____________
Zoning District _____
No. of buildings to remain ______
Gross floor area to remain ____________________
No. of buildings proposed ______
Gross floor area of proposed buildings __________
Total sq. footage of land to be disturbed ________________
Estimated cost of project $___________________________
If needed to illustrate appeal or request for variance, attach plot plan.
____________________________________________
Signature of Applicant
GENERAL APPLICATION FORM
TOWN OF LAKE WACCAMAW
Application No. _______
Date _______
Permit Fee ________
Receipt # __________
Permit or Relief Requested:
____ Appeal ______ Variance
Applicant ________________________
Owner _____________________________
Address __________________________
Address ____________________________
_________________________________
___________________________________
Telephone ________________________
Telephone __________________________
Legal relationship of applicant to property owner _______________________________
Purpose of permit ________________________________________________________
Property Location ________________________________________________________
Street Address
Tax Map ___________________
Block ______________
Lot ______________
Lot Size ____________________
Sq. Feet ____________
Zoning District _____
No. of buildings to remain ______
Gross floor area to remain ____________________
No. of buildings proposed ______
Gross floor area of proposed buildings __________
Total sq. footage of land to be disturbed ________________
Estimated cost of project $___________________________
If needed to illustrate appeal or request for variance, attach plot plan.
____________________________________________
Signature of Applicant
