LAND USE Initial Application Date: 7 7 - /0 Application # / " .5 ? 7,4 2
CU
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting
r' 108 � E.. Front Street, Lillington, NC 27546 Phone: (910) 893 -7525 Fax: (910) 893 -2793 p � www.harnelt.org /permits
LANDOWNER: Pis A dJra6� eta Detic/O,p ers Mailing Address: 7 9 4 0 z 10 y A ei• fir(
City: G.14/0/., *Wit,s State: AK Zip: 27152 Home #: Contact #:
APPLICANT': Caws (err &„z es na... Mailing Address: Ed, L&GX 36 q
City: £.[at,y Inc state/I/4 Zip:225 -7 0 Home Contact #:
Please lill out 5pplicanl information it different Than landowner �� /
CONTACT NAME APPLYING IN OFFICE: IS/fe.srrtn. /3a yr Phone #:�S! ?)SSA :nV
PROPERTY LOCATION: Subdivision: ,StC7 Q Lot #: 43 ci Lot Acreaggge:O. ( Q
State Road #: / 9 it 8 State Road Name: L`/ {� rrr S /foal c Map Book&Page: L '7,J / 19y
Parcel: U 9.06 7 6 00 96 3 f q PIN: fl6G,7 [' J - 7O.7 3.3 . 0co
Zoning: ER - 3n Flood Zone: /VO Watershed: 1 IL— Deed Book&Page: Off // Power Company': /La T
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: 401 A., - ( 14.41an Rar.... is Church i?J.
L'c retest ATk:ns 8oaj 5 /.o,,. £fiY Noah /j 4t 17. -:ve
PROPOSED USE (Include Bonus room as a bedroom it it has a closet) Circle:
SFD (Size /Lx ( 19 . )# Bedrooms-3 # Baths 2 Basement (w /wo bath) 4//4 Garage ins Deck ytS rawl Space Slab
❑ Mod (Size x 1# Bedrooms # Baths Basement (wiwo bath) Garage Site Built Deck ON Frame / OFF
❑ Manufactured Home: SW OW TW (Size x ) # Bedrooms Garage (site built? ) Deck (site built? )
❑ Duplex (Size x ) No. Buildings No. Bedrooms/Unit
• Home Occupation # Rooms Use Hours of Operation: #Employees
❑ Addition/Accessory/Other (Size x 1 Use Closets in addition( )yes ( )no
'Homes with Progress Energy as service provider need to supply premise number from Progress Energy
Water Supply: County (_j Well (No. dwellings / ) MUST have operable water before final
Sewage Supply: ( New Septic Tank (Complete New Tank Checklist) (J Existing Septic Tank ( ) County Sewer
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 (][ 1 '
)NO
Structures (existing • imposed Single family dwellings ( Manufactured Homes Other (specify) (X )NO
Required Residential Property Line Setbacks: Comments:
Front Minimum 33 J Actual 3 ,
Rear aS (yf r
Closest Side 10 r 2t3"
Sidestreet /corner lot gUrS_
Nearest Building 4./# ,
on same lot
If permits are granted I agree to conform to all ordinances and laws of the State of North Carolina regulating such work and the specifications of plans submitted.
I hereby state that foregoing statements are accurate and correct to the best of my knowledge. Permit subject to revocation if false Information is provided.
Signature of Owner or Owner's Agent Date
**This application expires 6 months trom the initial date it no permits have been Issued"
A RECORDED SURVEY MAP, RECORDED DEED (OR OFFER TO PURCHASE) AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPLICATION
Please use Blue or Black Ink ONLY
3/08
T1 -0 O Zf L+I Z
V N * 9z Vl VIPS..� ox, o y0 z z mmo
_ r = a
0 gc ° w° C �l mm m P1 alDP1
Z C co O r W N P. P C h " � _ - an d Q91
r D . a Ps PI p z p5 a om
I ?I 0 0 a U l M 0 of v) z r z a d d w
•
Z 0 .< �..g§ g . o rya o m m „m c is
�N- X P 9 o ° mpp 5 ; 0 0 0 Z1-.14 0 a dZ L Z 1 () ¢�
W Z /` co
I T y C l- .9.9.7.11P Z .Zt /
up � o GO Z � 0 Z y . a
V f ° 4NOl Z cm c c „C Z
C
ir
D • N m o o.4- ....- D Z Z m
r o 1sbl°.c gy r -1 m 24.1 A ..
0 73 U7 0 u 1-.0.1.1.+ O o m C y � 0 D 3�0 a.ea § Q F
m ti n i °- � ` ° C .. xi U) E -0 m r < MI to in rU 7 E
(] n c ° S ° . . . m on roi r O 0 Ao1
7S' ` i 9.°..N 0 n=1 0 41 Z 0 ru CO r il
D ...... nm 3 o n m0 < r r ; 4 WL9
P r Z
Q i d0 p w . 4 a . ° Z G N m .r N NwC woro7A�
-r �k. v x a3 C7 Z :p m< 10P ."O
3 r I z o or °z o m c aririM °
D � . �?.
� , .� fi d ? �1r - N
° o �
.,,,.v; •;,i; " I I O I a Ca
t } 2p9 3a Da'•I I A „ r0A
(ISh3
A P P j � r 41 . T1� 1� a
m Z99 9d 1 *9! HILWON MINI n n o v ' > z
< °m u- p
mm rim
r7
>>o
mmm
z
a
0
m
S`4DDL es ROOIC
SO' PUB DRIVE
LIC Iv*
N 08 0501 4E 144.10'
co
011 ° a
1/40 C °j o "2 �4e
ait sfNT d o
• a.
8.6 6. �.
.» i� � 0 9 4 , cp, 2.0 �o-
�_ s
».. �o oc >o ��
Q PoSBD o, 24 . p � 04,
6Liroc - / c:2 y 0 0 • 4
O 24
4B.0
.0
LA, c0 8,1. 0 W
b ,.
•• 0 i it \
0m • 1 Al it?
• co
t td
r
CO
PI
CO • •
1 I a p .o Z x c� f Md
i � o o o o y o Z 0 r
t 0 g> m> n co �O � x O H
cry c N C
tS R w 7F
z D yOO Z -1
H •• o C d C,
o i N C£ S 00 °56' 49" W 103.67' \ I y
0
R ut rv, 1-< C/1
a o n LOT 96 OF MAP
NUMBER 2008 -199 P O
1
0
0
„,,,,,,,___ ,___ 7. 20
OWNER NAME: LCJ4t7 / h Wt ' 5 y�. APPLICATION #:
*This application to he lilted out only when applying for a new septic system.*
Count' Health Department Application For improvement Permit and/or Authorization to Construct
IF THE INFORMATION IN THIS APPLICATION IS FALSIFIED, CHANGED, OR 'HIE SITE IS ALTERED, THEN TI IE
IMPROVEMENT PERMIT OR AUTIIORIZATION TO CONSTRUCT SHALL I3ECOME INVALID. The permit is valid for either
60 months or without expiration depending upon documentation submitted. (complete site plan = 60 months; complete plat = without
expiration)
I)EVELOI'I111 ?N'I' INFORMATION
New single family residence
U Expansion of existing system
O Repair to malfunctioning sewage disposal system
❑ Non - residential type of structure
WATER SUPPLY
o New well
❑ Existing well
❑ Community well •
Public wader
U Spring
Are there any existing wells, springs, or existing waterlines on this property?
SI yes {_) no {Xf unknown
sti "'IC
If applying for authorization to construct please indicate desired system type(s): can be ranked in order of preference. oust choose one.
{_} Accepted {} Innovative
{_} Alternative I Other
Ix Conventional {_j Any
'the applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in
question. If the answer is "yes ", applicant must attach supporting documentation.
I }YES 1'$1 NO Does the site contain any Jurisdictional Wetlands?
{_;YES L NO Does the site contain any existing Wastewater Systems'?
i_ }YES ()LINO Is any wastewater going to be generated on the site other than domestic sewage?
I_)YES {X) NO Is the site subject to approval by any other Public Agency'?
1_ }YES Lk} NO Are there any easements or Right of Ways on this property? ����.7-�sl>tt��kr
I_)YES I } NO Does the site contain any existing water, cable, phone or underground electric lines? On a a
If yes please call No Cuts at 800 -632 -4949 to locate the lines. This is a fee service.
I have head T Application And Certify That The information Provided Deceit' Is True, Complete And Correct. Authorized County And
State Officials Are Granted Bight Of Entry To Conduct Necessary Inspections To Determine Compliance With Applicable Laws And Rules.
I Understand That 1 Am Solely Responsible For The Proper Identification And Labeling Of All Property Lines And Corners And Making
The Site Accessible So That A Complete Site Evaluation Cnu Ile Performed.
PROPERTY OWNERS OR OWNERS LEGAL REPRESENTATIVE I IVE SIGNATURE (REQUIRED) DATE
3/07
ca„, i /f/�"�(Yf // , � /ILL/' r. A.,-411/0-
_
919- 553 -3242
July 6, 2010
Comfort Homes, Inc. has an option to purchase Lots 11 and 39, in Stetson Subdivision, recorded in
Map Book 2008, Page 199, Harnett County Register of Deeds.
(Seal)
I, Patricia F. Waite, do hereby certify that Julian R. Stewart, President of Comfort Homes, Inc.,
personally appeared before me this day and acknowledged the due execution of the foregoing
instrument.
Witness my hand and Notarial Seal, this 6th day of July 2010.
V1/40._.I"C (Notary Public) ,a
�`� GIA ��''•.
.
My commission expires 4/2/12. 4 2. 0TA ..y��,'
•
•
% "O UBUG :Jai
.•,, C • p N ' OUN ...