LAND USE /25 g 7 **
Initial Application Dale: - e Application #
DRB# CU#
COMMERCIAL
COUNTY OF HARNETT LAND USE APPLICATION
Central Permitting 108 E. Front Street. Littington, NC 27646 Phone: 693 -7525 Fax (910) 893 -2793 www.harnett.org /permits
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LANDOWNER: W Vr V.I)t � ��l(t 7H �/'1LS �L // 1(, A -�77g �� --7�r� Maifing Addd ' s / =r p'r�! �7y��
City: de,TOv7 Slate:AZ Zipa1-� 7y - Contact # ag O/ ( Email:
APPLICANT`: I! sl L"✓1 -�i 7 Se✓� NC_ Mailing Ad O ga‹. 7c C /
C it y : � .rz�ef' Slate:iC Zipt%5 Contact# ("'1t KC- M55 et Cl Email: yUS 1 C-
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'Please fill our applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE: 11/1 KC kSSC( Ptwne# ` dO - 315 _6a {aZ -Z r-7
PROPERTY LOCATION: Subdivision: /�,.,, Lot #: Lot Size 74 /
State Road # State Road Name: ,y ( 20-7 Map Book &Page 79 /s 1
Parcel: 0 �yta `/ 7'° 4 PIN:
Zoning: (CA Flood Zone: X Watershed_ Deed Book &Page: L'E,1 t Power Company':
New structures with Progress Energy as service provides need to supply premise number from Progress Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: ,/ (fb'S / s /✓tcZ Jp(r 7d / > d r2`f/ v y /
PROPOSED USE:
❑ Multi - Family Dwelling No. Units: No. Bedrooms /Unit:
❑ Business Sq- Fl. Retail Space: Type: # Employees: Hours of Operation:
❑ Daycare # Presehoalers: # Afterschooters: # Employees: Hours of Operation:
❑ Industry Sq. Ft: Type: # Employees: Hours of Operation:
A ��\ / / /���CCChurch Sealing Capacity. # Bator, Kitchen:
ccessory/Addition/Other (Size _) Use: t2/,3/ ( 47
Wafer Supply: County Existing Well — New Well (#o1 dwellings using well ) 'MUST have operable water before final
Sewage Supply: _ New Septic Tank (Complete Checklist) Existing Septic Tank (Complete Checklist) County Sewer
Comments:
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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 st me is are accurate and corre to the best of my knowledge. Permit subject to revocation If false information is provided.
SignaLrUre ner or Owner's Agent Date
**This application expires 6 months from the Initial date H permits have not been Issued"
A RECORDED SURVEY .NM RECORDED DEED (OR OFFER TO PURCHASE) AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPLICATION.
Commercial Land Use Application Page 1 of 1 03/10
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. -V c- THIS RIGHTS A ING IS THE PROPERTY Highway 401 South
‘ ',,2 ''a`d /a. OF PARISH SIGN 8 SERVICE, INC_-- p Rae1M7. NC 28376
/ & (910)875-6121
MOVING NO. a,.m.a. ammOM. SIGN V SERVICE 800. 622.2431
FAX (910) 875 -7100
MIAOW mart INCORPORATED
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