HomeMy WebLinkAboutBLD2009-00028 ALE INSPS.TIFr 'I
NORTH CAROLINA
ALCOHOLIC BEVERAGE CONTROL
4307 MATL SERVICE CENTER
RALEIGH NC 27699 -4307
(919) 779 -0700 FAX: (9I9) 662 -3583
INSPECTION /ZONING COMPLIANCE
IMPORTANT: The Applicant will complete SECTION A, below. SECTION B through SECTION E, below, are to
he completed by the appropriate Inspection/Zoning Official. To request inspections and zoning certifications, please
contact the city or county building and fire inspection and zoning departments for your area. Failure to submit this
form in a timely manner to these local authorities may result in delays in processing of an ABC permit application.
This form must be completed by the building, fire and zoning officials before a permit will be issued.
SECTION A - APPLICANT TO COATPLETF
Name of Applicant
'trade Name of Business'"k CS. � I�
Address of Business r
City ' c=- County C C4 . A= ✓.r1 c� _
Phony
SECTION B - BUILDING INSPECTOR TO COMPLETE
Building Code:
Building in - Con pliance U Xon- compliance* U :4' A licahl
Building Ins ector's / "aam — e (pr: ' nted) and.Sigmaum
y r y f l
Phone i ? � j _ Date of lmspectwn
SECTION C - FIRE INSPECTOR TO COMPLETE
Fire Code: � l,
Building is in- U om9liancc U Non ❑Not Applicahte
Fire Incpeclor '.Name (prinlea ) and Signature
Phone:' (0EI
SECTIOA' D - ZONING OFFICIAL TO COMPLETE
Date gflnspection l �7 '100�j
Zoning:
Business is in - B' C"amlphance �t 7 l Non-compliance* ❑ .kol.4pplicahle
Business i.c Grcared in 1. 'A
lonirfg Classification —1Zt r2N LfMl tnbr ar _
Permiltednaesinahiszone / - -Ad � �
Ammg Ofcial..;Name(printeO and Signature !� °•ri rli.a �j E��i.IE� �Q� _1���1
phomr d ( H6S B3 L � 2. Date oflnspectian
* Please state reasons for "Noncompliance" in SECTION E on back of this page.