HomeMy WebLinkAboutCBPR-10-2023-45680.TIF ENVIRONMENTAL HEALTH
Catawba County Government Center
catawba county 25 Government Drive I P.O. Box 389 I Newton, NC 28658
public health Phone: (828) 465.8270 I Fax: (828) 465.8276
Email: EHAdrninistrativeAssistanisCutuwbuCountyNC.gov
Walk-Through A pplicationC6Pg'l0')P)3 .� Ut
Name of Applicant: —00IR V\ce_ ly kc-,J2 �1
Contact Person: vA,A.
Mailing Address: - 6 . OY Lt()?
City/Town:---j")p✓lV-e lI' State: AI( Zip Code: 0 3 7-
Phone: 10`1-50 - 2�So?( Fax:
E-mail Address: .--1-Iie d eo-f n-i O VC'_re7)4 t ( l C Pl'Y!
Location Address: 026 /1 w l C
City/Town: A/PiAJI-e✓l Zip Code: , Z
Type of Proposed Establishment:
Was this a previous establishment?
�Pres Name if known: t+2 j ❑ No
Type of water: Type of Sewage:
ei' Public Water n Public Sewer
I I Well ,On-Site Sewage System
I certify that the infor ation in this application is correct.
Signature &Date:
(Owner or Responsible a sentetive)
�4'A • CATAWBA COUNTY
y �/ 100A SOUTHWEST BLVD
■ NEWTON, 8
NORTH
CAROLINA 28658 RECEIPT
PHONE:Alit
V Tuesday,October 17,2023
18 4 2 SM www.catawbacountync.gov
PAYOR:
Hasen,Donnie
PAYMENTS
TRANSACTION NUMBER: TRC-75637051-17-10-2023
PAYMENT DATE: 10/17/2023
PAYMENT TYPE: Credit Card
312049661
INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT
10-23-429360 110-580200-663000 Food and Lodging Review Fee $75.00
TOTAL PAYMENTS: $75.00
CBPR-10-2023-45680
CASE TYPE: Commercial Building Plan Review WORK CLASS: Building Alteration
SITE ADDRESS: 2612 S NC 16 HWY,NEWTON NC 28658
Owner DONNIE HASEN,7923 STILLWATER DR,SHERRILLS FORD NC 28673
C:7043082826 THEDENTREMOVERaGMAIL.COM
**NO PEOPLESOFT ACCOUNT ASSIGNED**
receipt 10/17/2023 12:08 Page 1 of 1