NORTH CAROLINA ALCOHOLIC BEVERAGE CONTROL COMMISSION 4307 MAIL SERVICE CENTER RALEIGH NC 27699-4307 (919) 779-0700 FAX: (919) 662-3583 www.ncabc.com 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 - Compliance Non-compliance* Is business located in an Urban Redevelopment Area (Article 22 of Chapter 160A) Not Applicable Yes No If "Yes", has establishment been given notice that it is in an Urban Redevelopment Area and must comply with the requirements of N.C.G.S. 18B-309 Yes No Zoning Classification Permitted uses in this zone Zoning Official's Name (printed) and Signature Phone # (_____)____________________________ Date of Inspection *Pl f "N li " i SECTION E b k f hi American LegalNet, Inc. www.FormsWorkflow.com SECTION E - Noncompliance REASONS FOR NONCOMPLIANCE NC ABC-002 DATE CORRECTED Inspection/Zoning Compliance - Form 002 Rev 02/2009 American LegalNet, Inc. www.FormsWorkflow.com American LegalNet, Inc. www.FormsWorkflow.com