SW3170503 (3)

III. CONTACT INFORMATION
1. a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the project):
Applicant/Organization:CK Afton Ridge Land, LLC
Signing Official & Title:Landon Wyatt, III - Organizer
b. Contact information for person listed in item 1a above:
Street Address:c/o Childress Klein, 301 South College Street, Suite 2800
City:Charlotte State:NC Zip:28202
Mailing Address (if applicable):
City: State: Zip:
Phone: (704 ) 342-9000 Fax: ( )
Email:[e-mail]
Please check the appropriate box. The applicant listed above is:
® The property owner (Skip to Contact Information, item 3a)
❑ Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
❑ Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and
2b below)
❑ Developer* (Complete Contact Information, item 2a and 2b below.)
2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the
person who owns the property that the project is located on):
Property Owner/'
Signing Official &
b. Contact information for person listed in item 2a above:
Street Address:
City:
Mailing Address (if applicable):
City:
Phone: ( )
Email:
Zip:
State: Zip:
Fax: ( )
3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other
person who can answer questions about the project:
Other Contact Person/Organization:Colelenest & Stone. P.A.
Signing Official & Title Joel Causey, PE, LEED Green Associate
b. Contact information for person listed in item 3a above:
Mailing Address:200 South Tryon Street, Suite 1400
City:Charlotte State:NC Zip:28202
Phone: (704 ) 376-1555
Email:[e-mail]
Fax: (704 ) 376-7851
4. Local jurisdiction for building permits: Cabarrus County
Point of Contact:Todd Culp Phone #: (704 ) 920-2128
Form SWU-101 Version Oct. 31, 2013 Page 2 of 6