TOWN OF MAXTON
OFFICE ZONING ADMINISTRATION
APPLICATION ZONING PERMIT

Date Applied: _____________________ Permit Number: _________________________

Application and Plot Plan are hereby submitted for a Zoning Permit to:
(  ) Construct a building        (  ) Use a building          (  ) Use land
(  ) Alter a building                (  ) Move a building       (  )Erect a sign
Located at: _____________________________________________________________
Said (Land), (Building), (Sign) is to be used for: __________________________________

INFORMATION
Group I
Property Owner: _________________________________________________________
Property Occupant: _______________________________________________________
Person Making Application: ________________________________________________

Contractor: _____________________________________________________________
Estimated Cost: ______________________
Subdivision: ________________________ Robeson County ( ) Scotland County ( )

Group II
Building Height: ____________________ Type of construction:______________________
Type Heat: _________________________ Power by: _____________________________
Water by: __________________________ Sewer by:______________________________

Group III
Number of off-street parking spaces: ____________________________________________
Amount of off-street loading-unloading spaces: ___________________________________
Will a sign be erected? ______________ Sign size _____ X _____ Sign Height ___________
Type of buffer where required: ______________________ Lot in flood area? _____________

I certify that any construction, alterations, or placement of buildings and/or the use of the land shall be carried out in accordance with this application. THIS APPLICATION FEE IS NON-REFUNDABLE.

Signed: ____________________________________________
Address: ___________________________________________
Phone Number: ______________________________________

Note: Attach or sketch on back of this form a drawing showing:
1. The shape and dimensions of the lot.
2. The location of all adjacent rights of way.
3. The shape, dimensions and locations of all buildings, existing and proposed.
4. The nature of the proposed use of the building or lot, including the extent and location of the use.
5. The location and dimension of off-street parking, loading space, and means of ingress and egress to such space.

PUBLIC WORKS
Available Water: _________ Sewer: __________ Public Works Director: ______________________
Estimated Cost: ___________________________
________________________________________________________________________________________________
TO BE COMPLETED BY THE ZONING ENFORCEMENT OFFICER

Zone: ___________ Use Permitted: ________ Conditional: _______ Located in Flood Plan: ________
Application Approved: Yes ( ) No ( )
Reason if denied: ____________________________________________________________

Officer: ____________________________ Date: ______________________
Zoning Permit Fee: ___________________ Paid: ______________________

NOTE: Applications for conditional use permits must accompanied by a list of surrounding property owners names and addresses.