LAND USE R
SCANNED
Initial Application Date: ' iGgTE Application #
' Sl~gl~
COUNTY OF HARNETT LAND USE APPLICATION
Central Permitting 108 E. Front Street, Lillington, NC 27546 Phone: (910) 893-7525 Fax: (910) 893-2793 www.harnetl.org
LANDOWNER:ELMWOOD PARTNERS, LLC Mailing Address: P.O. BOX 87555
City: FAYETTEVILLE te: NC Zip: 28304 Phone 910-484-9091
APPLICANT: 11r[*_- Mailing Address: I -.I ?qjG f•.e L7 0
City: FAYETTEVILLE State: NC Zip: 28304 Phone 910-48
48(D-LWILo~ f
PROPERTY LOCATION: StateROad 1121 SR Name: RAY -RnAn Parcel: ~~DiS 3S l3 DI DoS~.. PIN: O 5_= 59-
Zoning: RA Z OR Subdivision: ANDERSON CREEK CLUB - Lot (Po Lot Size: a or7
Flood Plain: Panel: MLl Watershed: Deed Book/Page: /
Plat Book/Page: ~ f
DIRECTIONS TO THE PROPERTY FROM LIL INGTON: HWY. 210 S. TO RAY RD. TURN RIGHT AND FOLLOW TO ANDERSON CREEK CLUB. TURN ONTO ANDERSON CREEK DRIVE AND FOLLOW TO
PROPOSED USF Circle if appropriate: On Fr/a)me Modular/Off Frame Modular P/~ Circle:
q SFD (Sizeedrooms # Baths Basement (w/wo bath) Garage Deckl
MSpace lab
❑ Multi-Family Dwelling No. Units No. Bedrooms/Unit Circle.
❑ Manufactured Home (Sizex_) # of Bedrooms Garage Deck Singlewide/Doublewide/Triplewide
C}[ Number of persons per household
❑ Business Sq. Ft. Retail Space Type
❑ Industry Sq. Ft. Type
❑ Church Seating Capacity Kitchen
❑ Home Occupation (Size-x-) # Rooms Use
Additional Information:
❑ Accessory Building (Size_x_) Use
❑ Addition to Existing Building (Sizex_) Use
❑ Other
Additional Information: -
Water Supply: (y) County Well (No. dwellings _I Other Environmental Health Site Visit Date:
Sewage Supply: New Septic Tank (Need to fill out New Tank Checklist) Existing Septic Tank (_x) County Sewer I_) Other
Erosion 8 Sedimentation Control Plan Required? YES NO
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
Structures on this tract of land: Single family dwellings 1 Manufactured homes Other (specify)
Required Residential Property Line Setbacks: Minimum Actual
Front 35
Rear 25 4`'t -
Side 10 IL D -
=Y-
Corner 20
Nearest Building 10
If permits are granted I agree to conform to all ordinances and the laws of the State of North Carolina regulating such work and the specifications or
plans submitted. I hereby swear that the foregoing statements are accurate and correct to the best of my knowledge.
Signature of Owner or Owner's ent Date
"This application expires 6 months from the initial date if no permits have been issued"
A RECORDED SURVEY PLAT AND RECORDED DEED ARE REQUIRED WHEN APPLYING FOR A LAND USE APPLICATION
Please use Blue or Black Ink ONLY
8106
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32
CI
O R C H A R D F A L L S D R I V E
GO' PUBLIC WLW
5 ET 8 AC K5
FRONT 30'
AREA CAI_COLATFD BY GRIFFIN LAND 5URVFYING H d H CON3TRUCTOR5 REAR 25'
IS DIFFERENT FROM RFCORDED MAP 2919 bREEZEWOOD AVE. STE 400 51DE 101
FAYET6'VILlE, NC 2,5303 CORNER SIDE 20'
Cl: R=266.50'L=38.02'N69°1828"W37.99' REVISION: 50UTHPOINTE 5/7/09
C2: R=25.00' L-32.97' N35°36'35"W 30.64'
LEGEND
P R E L I M I N A R Y EIP FY15TING IRON PIPE PL5 FLARED END 5ECTION 51 /r
IP5 IRON PIPE SET WM WATER METER qy I
NOT FOR RECORDATION, RLW RIGHT Of WAY CO CLEAN OUT III1
SALES OR CONVEYANCE NIF NOW OR FORMERLY FH FIRE HYDRANT
E15 EXI5T(NG IRON STAKE CB CATCH 8A51N `t
en7B GRIFFIN LAND SUR U MV6 /Y( PLOT PLAN
FOR
P. o. B x'` e H 8 H HOMES
F U O U A A Y- V A R I N A, N C 2 7 5 2 6 j
(91 9) - 56 7- 1 963
ANDERSON CREEK CLUB
PDRAWN BY KDIF DATE 4~1 l09 LOT 600
ORCHARD FALLS DRIVE
E D B Y MPG S C A L E 20e NORTH CAROLINA
HARNETT COUNTY ANDERSON CREEK TOWNSHIP