LAND USE1rnTial Application DatJ0 -,2!4- 0 J Application #00-. 5rCC AC)
COUNTY OF HAR T L I E C TION
Planning Depzrtment 102 E. Front Street, Lillington, 2 5 Phone: (910) 893-7525 Fax: (910) 893-27~
LANDOWNEA": Do, Address: ~ `/f ck/c
City: A State: /'(C Zip: 77 s y/ Phone c7l G ~S -7~2~
APPLICANT: Address:
City: State: Zip: Phone
PROPERTY LOCATION: SR 5 SR Name: NC, ! fWU _P15
Parcel: - CCQ4 - PIN:
O Zoning: Subdivision:
Ta: Lot Size: ~i
1 Flood Plain:_ Panel:_ Watershed: Deed Book/Page:
546 Plat Book/Page:
64-
DIRECTIONS TO THE PROPERTY FROM LILLINGTON: ~~2 S d Le ~G Y`i 6C
TO/
7POSED USE: Sg. Family Dwelling (Sine l~ # of Bedrooms Basement'' Garage24: 2 Deck a
Multi-Family Dwelling No. Units No. Bedrooms/Unit L ltl- <i/
C_) Manufactured Home (Size _x_) # of Bedrooms Garage Deck LA- ~'ep 1v
U
1 Comments:
~
M
.
C~ Number of persons per household
C~ Business Sq. Ft. Retail Space
Type
s
! io
p
U Industry Sq. Ft.
Type
v
C_} Home Occupation (Size x_ _j # Roo
ms Use
V
Accessory Building (Size x__) Use
r
Addition to Existing Building (Size x
Use
U Other
1
County Well (No. dwellings
Water SIs
YES NO
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Count
Other ~ ~
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Structures on this tract of land: Single family dwellings
home
Manufactured
s - Other (specify)
Property owner of this tract of land own land 'that contains a manufactured home w/in five hundred feet (500') of tract listed above? YES NO
Required Property Line Setbacks: Minimum
Actual
Minimum Actual
Front
Rear
)
Side JU lOO Corner
Nearest Building 0
~ 2-6If permits are granted I agree to conform to all ordinances and the laws of the State of North Carolina regulating such work a
plans submitted. I hereby swear that the foregoing statements are accurate and correct to the best of my knowledge.
Sig lure of Applicant Date
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