LAND USE RInitial Application Date: ( Application #
CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Pemdting 108 E. Front Street, Liliington, NC 27548 Phone: (910) 893 -7525 ext:2 Fax: (910) 893 -2793 www.hamett.org /permits
*'A RECORDED SURVEY W. RECORDED DEED (OR OFFER TO PURCHASE) & SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
LANDOWNER Mailing Address:
city: _ ��_ state Zip:a , Contact NoU413; 95C.- Email: � Cta2��a '
APPLICANT *: S Mailing Address:__ y• d i T
City: m*`)nits` State: ( , Zip: Contact No: "dog' Email: L/,—)6L rm 1 Y p p
*Please 1111 out apolM IMormation If d11'erant than landowner
CONTACT NAME APPLYING IN OFFICE: Plume
PROPERTY LOCATION: Subdivision: SUL
6UL4 Lot #: O Lot size
State Road # 11(o _ _ State Ro ad Name: C_CMW r"r Ut e-44-- Ln r Map Book & Page: QO j Egg
Parcel: .r.t�c� �[ (� PIN: t *r�
Zoning: :�0S` flaai Zone: tiNatershed: Deed Bonk &Pager " t 431 < Z Power Company *:
*New, stniauYbs witch Progress Energy as service provider need to supply premise number from Progress Energy.
7s,FD: OSED USE:
Monolithic
(SlzeqO_x # Bedrooms: # BathsWj asement(w/wo bath):` Garage: Deck: Crawl Spaoe.Z: Siab:_ Stab :_,_
(is the bonus roo flntshed yes („j no w/ a closet? (,_}'yes („_) no (1f yes add In with # bedrooms)
❑ Mod: (Size x } # Bedro orns_ # Baths Basement (w/wo bath) Garage; Site Built Deck.-_ On Frame Off Frame
(Is the second floor finished? " yes L_j no Any other site built additions? (__) yes (_ ) no
❑ Manufactured Home: ,_,_SW _,_,DW TW (Size x�) # Bedrooms: _,__ Garage :___,(site built?_) Deck,____(site built ?„_)
3 Duplex: (Size _x,_,_._) No. Buildings: No. Bedrooms Per Unit:
:i Home Occupation: # Rooms: Use: Hours of Operation: #Employees:
3 Addition /Accessary /Other. (Size x____) Use: Closets in addition? (_) yes (_) no
Vater Supply: ,rK County Existing Welk New Well (# of dwellings using well ) *Must have operable water before final
sewage Supply: -�4 New Septic Tank (Complete Checklist) Existing Septic Tank (Complete Checklist) County Sewer
saes owner of this tract of land, own land that contains a manufactured home within five hundred feet (500') of tract listed above? (_j yes ( j no
*as the property contain any easements whether underground or overhe d (_) yes (} no
tructures (existing or(roposed Ingle family dwellings: Manufactured Homes: Other (specify):
equired Residential Property Line Setbacks: Comments:
ont Minimum Actual
osest Side
lestreet/corner lot
arest Building
same lot
Residential Land Use Application
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APPLICATION CONTINUES ON BACK
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