Inspection Zoning Compliance {ABC-002}

NORTH CAROLINA ALCOHOLIC BEVERAGE CONTROL COMMISSION 4307 MAIL SERVICE CENTER RALEIGH NC 27699-4307 (919) 779-0700 FAX: (919) 662-3583 INSPECTION/ZONING COMPLIANCE IMPORTANT: The Applicant will complete SECTION A, below. SECTION B through SECTION E, below, are to be 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 COMPLETE Name of Applicant Trade Name of Business Address of Business City Phone # ( ) County SECTION B - BUILDING INSPECTOR TO COMPLETE Building Code: Building is in Compliance Non-compliance* Not Applicable Building Inspector's Name (printed) and Signature Phone # ( ) Date of Inspection SECTION C - FIRE INSPECTOR TO COMPLETE Fire Code: Building is in Compliance Non-compliance* Not Applicable Fire Inspector's Name (printed) and Signature Phone # ( ) Date of Inspection SECTION D - ZONING OFFICIAL TO COMPLETE Zoning: Business is in Business is located in Zoning Classification Permitted uses in this zone Zoning Official's Name (printed) and Signature Phone # ( ) Date of Inspection Compliance Non-compliance* Not Applicable * Please state reasons for "Noncompliance" in SECTION E on back of this page. American LegalNet, Inc. www.FormsWorkflow.com SECTION E - Noncompliance REASONS FOR NONCOMPLIANCE DATE CORRECTED NC ABC-002 Inspection/Zoning Compliance - Form 002 Rev 10/2001 American LegalNet, Inc. www.FormsWorkflow.com