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LAND USE RRRRInitial Application Date: I " pplication # V. ) 11"1 COUNTY OF HARNETT LAND USE APPLICATION Central Permitting 102 E. Front Street, Lillington, NC 27546 Phone: (910) 893-4759 Fax: (9+10) 893-2793 LANDOWNER: _ 'S - Nailing Address: 1 State: Zip., I_ I LPhone City: APPLICANT: Mailing Address: City: State: Zip Phone KM- 10~ -16,-V4 77577S PRO) -S PROPERTY LOCATION: _ SR i SR Name: l 11 ~~C~I'~ 1^( l Address: `'t C-~ le t Parcel: l? Uai` l 01 PIN: Lk- _ V I7 Zoning: M Subdivision: . I n Lot : Lot Size: C I A~ Flood Plain: Panel: ~ Watershed: _ Deed Book/Page: Plat Book/Page: _ DIRECTIONS TO THE PROPERTY FROM LILLINGTON: c 1 L ' ~ t Ike C F\ TCY-) i d lit LD t~ - A t1C~Ct n~ ri - - PROPOSED USE: J EW r Lr )C) Ott o-"Sg. Family Dwelling (S145 • X) # of Bedrooms & # Bath Basement (w/wo bath) arage tL. i _ Deck ' ❑ Multi-Family Dwelling No. itS 7~ 'u, No. Bedrooms/Unit j ❑3 Manufactured Home (Size x_) # of Bedrooms Garage Deck \1~'1 t(1 l U / Number of persons per household `-c `7l Z c ❑ Business Sq. Ft. Retail Space Type ouccacc~ ❑ Industry Sq. Ft. Type ❑ Church Seating Capacity Kitchen ~MP ❑ Home Occupation (Size x~ # Rooms Use Additional Information: c ❑ Accessory Building (Size x ) Use ❑ Addition to Existing Building (Size x ) Use ❑ Other v d LAQU Additional Information: Water Supply: LCouQty Well (No. dwellings ) Other Environmental Health Site Vnisi Date: t S Sewage Supply: New Septic Tank U Existing Septic Tank County Sewer Other j ~x o-3 I Erosion & Sedimentation Control Plan Required? YES Co- fit l 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 C 1_.. Structures on this tract of land: Single family dwellings M nufactureed o es Other (specify) ` r Required Residential Property Line Setbacks Min mu►n'~1Q~Actual 1 O C e V ,Q.vl J 1 n t U 1 a)~ Front 35 Rear 25 CA-A Side 10 Corner 20- ~j Ise- 14 0-7 ~ r-~ ``k) I 1 t Nearest Building 10 ' If permits are granted I Xeeto-conform to all ordinances and the laws of the State of North Carolina regulating such work and the specifics ins or plans s bmi oled. I hereby s r th~the foregoing statements are accurate and correct to the best of my knowledge. D2 [sAd opcn Signature of Owner or Owner's Agent 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 06/04 CREK5VILLE CHURCH ROAD PER SECTION 5.11 OF HARNE COUNTY SUBDIVSION REGULATIONS 1Gt(L~~ r Co I I I -15' STREE 20' SIDE q3 BUFFER ^ LST` - MSSL I V} 28 7 5 s~. ft. acres / 1, 46' c~S o so ,c'ovoip-~ C k 2SZ-) C) 5 13 -35 - LA 13 t r V)6\ QZ) L r--_- - i I { I 23,852.30 sq. ft. SITE PLAN AppROVAL I { DISTRICT SE { I~ -----JBfDROOMS -L-L Date l , { 3~ I 22,000.00 sq. ft. { { 0.505 acres ( { I { I~-_--------------{ IJ En ,INCINNATI CAPITAL PARTNERS XXI, 91nn_+„ {m 1 ® Iz I 22,000.00 so. ft. I n L r Z 0 I-- rri < iCJ D 0 v cl; Z w oI