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General Zoning Application

2. Town of Holly Ridge
   212 N Dyson Street<br>P.O. Box 145<br>Holly Ridge, NC 28445<br>Phone: 910-329-7081<br>Fax: 910-329-1593

   212 N Dyson Street
   P.O. Box 145
   Holly Ridge, NC 28445
   Phone: 910-329-7081
   Fax: 910-329-1593

3. 

5. Application Number

6. Date Submitted
   Date Submitted

8. Application Fee

9. Receipt Number

11. Request Type

    1. Annexation
    2. Appeal
    3. Conditional Use

    1. Rezoning
    2. Variance

13. Applicant

14. Owner

16. Address

18. Phone Number

19. Cell Phone Number

21. Purpose of Permit

23. Property Location

25. Parcel ID Number

27. Lot Size

28. Square Footage

29. Zoning District

31. Number of Buildings to Remain

32. Gross Floor Area to Remain

34. Number of Proposed Buildings

35. Floor Area of Proposed Buildings

37. Total Acreage of Land to Be Disturbed

38. Estimated Cost of Project

40. Supporting Materials

    If need to illustrate appeal or request for variance, attach plot plan. Also, a survey of the site prepared by a registered surveyor licensed to practice in North Carolina may be required.

42. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
44. Signature of Applicant

45. Date
    Date

47. Signature of Owner

48. Date
    Date

50. A fee will be required at submission of this application per current adopted fee schedule.
    View Fee Schedule (PDF)

Leave This Blank:


52. 1. Receive an email copy of this form.
53. Email address

    This field is not part of the form submission.

54. Submit

* indicates a required field