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TRADES 03/29/2004 09:12 9108932793 HARNETT COUNTY PI PAGE 01 Harnett County Central Permitting PO Box 65 Lillington, NC 27546 • Telephone Number 910 - 893 -4759 M411, P4 APP1,JJ{;ATION Font CPRTIFICATION OF WORK PERFORMED $ CONTR 4CTOR iNPORMATION (Name), will complete the Nag 4 A IR. (trade) work on the project or ttruct herein described. My state license number is Jo r 7� Work on this project or carnotite shall moat all opphoable oodea. Company Name: 7 j"/ /S 7 154.< �e... Mailing Address: _ /U.R ? .41dI ,,; //r, ler ' _ _Business Phone:- fin -.t,? S'- 17'74 — _ JOB INFORMATION Harnett County Application Number: Tenant's Name: Land Owner's Name: f f an. /r- s if 41.1". - Addressoflab: ' Rs_o /Ioe.ri_ sLIZ te a, 4j- , t'ri ✓; a/ If" 1 -G ?eV 'ASh - 775 7 Directions to job site from Lillington, NC (be specific): Date Work is to Begin: pi~RMrr COST Permit Fee: $ / `O1 (calculated from fee schedule) Number of Tons Processing Fee $3.00 per application How many units TOTAL ENCLOSED: $ /d,; `c) Make check payable to : Harnett County Planning Department and mail with completed application form to! - - _ Harnett County Central Permitting . PO Box 65 Lillington, NC 27546 AO NOT SEND CASH. INCOMPLETE APPLICATION WELL NOT BE PROCESSED. . Contractor's Signature: - 44i .. i S Date: £ -a-A0 PL C ASE INCLUDE DESCRIPTION OF WORK: gt.yaea a P/c H..P G.) ;.u:.-c 414,4- only. 0210 / GIS_Public: Powered By Freeance 4.3.2 - TDC Group Inc. Page 1 of 1 e\ g Search I r f ow All Selections q{ r $el ns Cie arr'- lb / Sel 6I s Feature i 1 Owner Information 01 t` NAME RSK FAMILY PROPERTIES I r LLC i I, E0).] - ... S — . tlORSFSNGEBFNO RO� An11 .. ! r DDR3 k1 522 WOODLAND DRIVE b ' ' CITY 0I_ _ � E ' l STATE p NC s In 1 L P L � 27 4080000 'I t' Parcel Info lion t'-'4 4k 1 • P n / 0575-03-9001.000 � �� i PARCEL ID O 120565 0050 u 1± i REID 0017979 SITUS ADDRESS HORSESHOE BEND RD 000850 X e� LEGAL 1 184.775 ACS KELLY LAND i �- TYPE LEGAL 2 i DAVIS PL LAND_UNITS- 184.78AC CALC ACRES I 182.44487942 Sales Information 1 :�„g DEED BOOK 1 102230 719 ,,, 200 FT jn r - t' S f1 i it a I ' u °" !0 mil O�N�S" xc r e n1 ii R". Tt ■.+F ::,' „. A 50 m o i , ? cad''" . ite information Map Tool Options Active Tool: Eh The current cursor mode is set to 'Buffer'. Clicking on the map directly will Layer. Parce set the features within a specified radius as a buffer. The theme to be selected on can be set to the right. Radius: Feet 1 Clear 1 http: // gistools. hamett. org/Freeance/Client/PublicAccessl/index.html?appconfirpublic1 4/29/2010