20171409 Ver 1_PCN form - page 2_20171221

4. Applicant Information (if different from owner)
4a Applicant is:
4b Name:
Chase Kerley
4c Business name
(if applicable):
Crescent Apex, LLC
4d Street address:
27 W. Trade Street, Suite 1000
4e City, state, zip:
Charlotte, North Carolina 28202
4f Telephone no.:
4g Fax no.:
4h Email address:
5. Agent/Consultant Information (if applicable)
5a Name:
Kelly Roth, Environmental Consultant
5b Business name
(if applicable):
The John R. McAdams Company
5c Street address:
905 Meridian Parkway
5d City, state, zip:
Durham, NC 27713
5e Telephone no.:
'919-361-5000
5f Fax no.:
919-361-2269
5g Email address:
[e-mail]
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