FM REVEIEW Fire Marshal /Emergency Management
Mailing: P. 0. Box 370 Lillington, NC 27546 CD 910-893-7580
Physical: 200 North 13th Street, Suite 19 ( J 910-893-5025
Erwin, NC 28339
APPLICA TION FOR PLAN REVIEW
APPLICATION NUMBER: /17 /
- % � 2 7 7
TODAY'S DATE: (d I ` I
1 ` I ��/
0 RECEIVED BY:
i
SUBMITTED BY: cos v \ � 1
NAME OF PROJECT: P I C / � W Ci ✓ t (40 ..) S r
PHYSICAL ADDRESS: 1 60 ) 4 'no , /C1 SI 2. :// --4,
PHONE NUMBER: it - g 3 C/ 6 S 23 EXT.:
CONTACT PERSON: Jos in S v✓i i' c4�
MAILING ADDRESS: 1 o 12 !
PHONE NUMBER: ?T' - eft g L
CONTRACTOR'S NAME: �� �-1 C Y I �!`
L _
» / MAThNGADDRESS: 1? 0 -./ ( PHONE NUMBER: (I q" FY c / - 65 Z
NOTICE
PLANS THAT ARE SUBMITTED WILL BE REVIEWED AS QUICKLY AS
POSSJLBE, WITH AN AVERAGE TIME OF REVIEW BETWEEN 7 -10
WORKING DAYS.
FM REVIEW 4/08
ti i' r ` +rr —.
Town Of Lillington Harnett County Fire Marshal's Office
106 Front Street Office (910) 893-7580
x` Lillin g to N.C. 27546
Fax (910) 893 -5025
(910) 893 -2654
FIRE MARSHALS NOTIFICATION
REGISTRATION OF INCOMING BUSINESS
FOR THE TOWN OF LILLINGTON
(PLEASE PRINT)
I„: n
KT; NEW NAME OF BUSINES: o'I r RSSi Dried Horne C'
c - a`C
l PHYSICAL ADDRESS OF THE BUSINESS: 1 (O i - . el i SI •
n ; CITY: Li I ii n3- n Zth:
BILLING ADDRESS: P 0. Box 1 I / (,
li
x' TELEPHONE NUMBER: ( ) A J 0 • 8 J y • 256
r
to EMAIL ADDRESS: D @ ehcres ra op r t7m
ti OWNERS NAME: y L 1 art Shaman
OWNERS ADDRESS: I I,35 J o J JDhr)San WA. Q 954 6
`I N
*IS THE BUILDING CHANGING OCCUPANCY CLASSIFICATION ?
*IF OCCUPANCY CLASSIFICATION IS CHANGING NEW PLANS MUST
- SUBMITTED TO HARNETT COUNTY CENTRAL PERMITTING (910) 893 -4759
f. e
STATE TYPE OF BUSNIESS OR OCCUPANCY APPLYING FOR : F e tfa 1 Co 14 /
WHO WAS THE LAST KNOWN OWNER OF THE BUILDING ? Qo nnie Pryor
W y} W � AS THE LAST KNOWN BUSINESS NAME?
1 � � Y Ort c K abine
* ALL THAT APPLY) SEE NOTE BELOW
HAS THE BUILDING BEEN VACANT FOR 30 DAYS.OR.MORE? OR -
YES NO
i WILL THE BUILDING BE RENOVATED? OR ,/
YES NO
IS THERE POWER AND WATER TO THE BUILDING? I/ OR
YES NO
1 * I UNDERSTAND THAT I MUST COMPLY W H ALL APPLICABLE CODE
REQUIREMENTS OF THE TO F LILL TONN AND HATETT COUNTY.
-S 3 - to A .. b -eaytc_( (}0 (A.1(etc
DATE SI AT OF APPLICANT AND TITLE
•
yr °
b t
: Get
o eaiW,
- -- % - a o 1 TOWN OF LILLINGTON
' i :1 - ZONING PERMIT
ch >+cani`� Planning & inspections Department
106 West Front Street, PO Box 296 Langton NC 27546 • phone 910 -693 -2654 •fax 910
Required Attachments: Submit a site plan showing the driveway, streets, parking, open space, sidewalk, utility lines,
major landscape features, and any existing and new structure(s) located in relation to the lot lines.
Name of Property
Applicant I Hor+'�° Inc_ Owner �U' 1 and awensttrmcLn
Home X 129 Home
Address -. Address 1 135 Joel Jhnso n I -
City/State LEI li n9bn NC a1)5(1‘0
City /State
/Zip p Ailing -hn NC ag94e
Telephone Clio,. big . 2 - e0 a . Telephone q j o ' 893. Q5 33
UI oc J
............
Etnai'l Pile @ phc re-St or? . am Email
Property Address: What are you requesting to build Does property access DOT road?
(2 0 I G`'. nt ivei l l S{ • / what is the proposed use of the Yes
property? Be specific. Number of dwellings / structures on
G ev.e rat Co.44 o C f irk, the property already: ,Q, ) t: A 4.� o r
Parcel Identification Numbers : - 42e -:on.
O ii Property / parcel size: q
I I J u S 5 ° i D5 6 05
Cowl clekh;,ny r / s 4o�wJC, oS, ��, � -
lesidcsklrs G ( ;nldro /ProJoJs. Lotnumber(s):
Owner / Applicant Must Read and Sign
AFFIDAVIT: The undersigned property owner, or duly authorized agent/representative thereof certifies that this application and the
foregoing answers, statements, and other information herewith submitted are in all respects true and correct to the best of their
knowledge and belief, WITH THE UNDERSTANDING THAT ANY INCORRECT INFORMATION SUBMIT LED MAY RESULT
IN THE REVOCATION OF THIS APPLICATION. I hereby authorize the Town of Lillington to review this request and conduct a
site inspection to insure compliance to this application. I also understand that this Zoning Permits will expire six (6) months from the
date of issuance, if the permit is not acted upon.
�) 61 kta 4 ). Sv"i vim- r Ji� - l� (.11- ' i
Print Name i gnature of Owner or Representative Date
FOR OFFICE USE
Zoning District: Watershed District: Is property located in floodplain
L1 ❑ Not located in one according to the FEMA map?
❑ Cape Fear - Critical I N6 ❑ Yes
Front Setback: % Cape Fear - Protected
Side Setback: "IL., \r)Li Exempt from Watershed Regulations? � ! �_
❑ No, more than one acre of land Planner's Signature
Rear Setback: will be disturbed throughout entire 5/ C9 i 0
(including phases) project area. Date
'je Yes, less than one acre
FAX TO FIRE MARSHAL'S OFFICE: (910) 893 -5025 & NCDOT (910) 437 -2529
•
16 •
F OR aa01aT Y1 Re01 OF oasaf
1 RN 5 OUNTY TAI D# 38 84
D' 6651. 05110' U:2737 PG:871472 FEE:$71210
NC IS SW: 12.08
PM t al "•'. .
Excise Tax - 1. Recording Time, Book and Page
Parcel I •'- . r No• 1005 .rye,, 05
Mall after • •' : to t'%:. McRae, LLP, Attorneys, 65 Bain Street, 11111ngton, NC 27546
This ire . wag • • • . , Tt, Buzzard A McRae, LLP, Attorneys, 65 Baln Steed, Ulllagteo, NC 27546
Brief Doc e ie es : Lot 4 Circle T Properties
!ap Buuk 2001, Page 33
NO 1NA GENERAL WARRANTY DEED
THIS DEED made this 29 day i s1. • • between
GRANTOR lr P GRANTEE
Roane D. Pryor and wife, WilllamTarl Sherman,Jr. and wife,
Elizabeth G. Pryor Gil i - bermaa
204 Curtb Drive • 1 Joel • basoa Road
Erwin, North Carolina 28339 1,11 _ on, 27546
Enter in appropriate block for each party: mune, •.dream .. , iate, character of entity, e.g., corporation or
partnership. -
The designation Grantor and Grantee as used herein shall iacl • sal • it their heirs, successors, and assigns, and
shall include singular, plural, masculine, &mining or neuter as - • c • .
WITNESSETH, that the Grantor, for a valuable considerati• pat • by - - •gee, the receipt of which is hereby
acknowledged, has and by these presents does grant, bargain, - •• • • ey unto . e Grantee in tee simple, all that
certain lot or parcel of land shamed in the Town of Liilingtcn, Litho r . 1 T.. • . ip, Harnett County, North Carolina
and more panicularly descdbed as follows:
THAT certain lot of Mod beingdncrlbed as lot 4, contain log 2.11 -, i. . re or • i i adlacen*to NCSR
2016 (Ron Road) as described on that map of survey dated Nov i. , ' I'. - . • + "Davey for Circk T •
• Properties, LLC", by Bennett Surveys, Inc., Registered Land Surveyor, . . -• t . Book Na 2001, Page
33, Remelt County Registry, to which reference b hereby made for a . re 11 • , d plete description of
subject lot of land by meta and bounds description. Thb Is the lame rat 1 • . - as • • . t forth on that map
entitled "Survey for Byrd Realty Co., Inc.", prepared by Bennett Survey_ • , an. . • . al November 15,
2000, and recorded at Map Book No. 2001, Page 91, Harnett County R • ry o kh • rence is hereby
made for a more accurate and complete meter and hounds description tor sub
This is the same property conveyed to Ronnie D. Pryor and wife, Elizabeth C. P • , b • ed from : yrd Realty
Co., Inc., dated July 10, 2001 and recorded in Book ISIS, Page 378-380, Harnett Co • • • -.rr .
9