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DOCUMENTS Initial Application Date: L - I O +/Lf Application# i4 Sb L(D' 5 DRB CU COMMERCIAL COUNTY OF HARNETT LAND USE APPLICATION Central Permitting 108 E. Front Street,Lillington,NC 27546 Phone:(910)693-7525 Fax:(91 0)893-2793 www.harnett.org/permits LANDOWNER: _See Attached Mailing Address: City: State: Zip: Home#: Contact#: APPLICANT": Spout Springs Retail Investments, LLC Mailing Address: 550 Long Point Road City: Mount Pleasant State: SC Zip: 29464 Office it: 843-654-7888 Contact#:_ 'Please fill out applicant Information if different tha` d o er Murphy, VP - Director of Planning& CONTACT NAME APPLYING IN OFFICE: Construction Phone#: 864-654-7879 PROPERTY LOCATION: Subdivision: See Attached Lot#: Lot Size: State Road#: 24- 87 State Road Name: NC Hwy 24 - 87 Map Book&Page: / Parcel: 5 parcels currently(See Attached) PIN: 5 parcels currently(See Attached) Zoning:COmmerCialFlood Zone: None Watershed: None Deed Book&Page: / Power Company*: New structures with Progress Energy as service provider need to supply premise number from Progress Energy. SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILUNGTON: South on Highway 27 approximately 17 miles then turn left onto Highway 87 and travel approximately 3.5 miles. 87 turns into 24, travel 1.5 miles to property. PROPOSED USE: ❑ Multi-Family Dwelling No. Units No.Bedrooms/Unit l Business Sq.Ft.Retail Space 250,000 Type Commercial Retail #Employees: 500 Hours of Operation:24 hrs -7 days ❑ Daycare #Preschoolers_ #Afterschoolers #Employees Hours of Operation ❑ Industry Sq.Ft. Type #Employees: Hours of Operation: ❑ Church Seating Capacity #Bathrooms Kitcnen ❑ Accessory/Addition/Other(Size x ) Use Water Supply: (20 County ( ) Well (No.dwellings ) MUST have operable water before final Sewage Supply: U New Septic Tank(Complete Checklist) ( )Existing Septic Tank(Complete Checklist) ( x )County Sewer Comments: 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 state ents are accurate and correct to the best of my knowledge. Permit subject to revocation if false information is provided.f 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 MAP,RECORDED DEED(OR OFFER TO PURCHASE)AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPLICATION Please use Blue or Black Ink ONLY LAND USE 0 5/08 1, al Katherleen B Thomas 308 Donald Ross Drive Raleigh, North Carolina 27610 PIN:9594-13-2817 Acreage: 10.84 Book/Page:00696-0559 Zoning: Commercial Sam Brinkley 85 Brinkley Hill Lane Cameron, North Carolina 28326 PIN: 9594-13-2283 Acreage: 11.36 Book/Page:00696-0561 Zoning: Commercial Willie Calvin Brinkley 85 Brinkley Lane Cameron, North Carolina 28236 PIN:9594-23-6757 Acreage:12.86 Book/Page:02134-0047 2004-1292 Zoning: Commercial Willie Calvin Brinkley 85 Brinkley Lane Cameron, North Carolina 28236 PIN:9594-23-6997 Acreage:11.46 Book/Page:02031-0116 2004-1292 Zoning: Commercial Willie C. Brinkley 85 Brinkley Hill Lane Cameron, North Carolina 28326 PIN:9594-24-8583 Acreage:1.39 Book/Page:02853-0047 2011-37 Zoning: Commercial