DOCUMENTS R Initial Application Date 4idr _._ Application# ILA-5003(4(p 6 ` R
111)- '2 1 t a COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION CU#
Central Permitting 108 E.Front Street,Lillington,NC 27546 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.harnett.org/permits
"*A RECORDED SURVEY MAP,RECORDED DE (OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"'
LANDOWNER: +ffi t/t/( Mailing Address: �fP Cc. 1,4
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City: /f State: ' .Zip: "' Contact No: ."/ E
mail:
APPLICANT*: _..._ .d ,,i i, ,..... / .Mailing Address: ,4_ x 7:977
City: 41/7/7 State:4Zip:01-4gA7SContact
No: 9/69 -€9a-43V5-Email: _JCa4'il 7ar,is_&lei 44%/Ief
Please fill out applicant information if different than landowner {� ,��//
CONTACT NAME APPLYING IN OFFICE:C/)//j/ j 0 ' D4L■/ Phone# 9/4—o 90Z- 4/2V5--
PROPERTY LOCATION:Subdivisiorr 7 4/ 6'T ,.lei/./ .aCA_ Lot#: /541. Lot Size:
State Road# /1/3 State Road Name: /✓ . L i i Map Book&Page:2 /z &S
Parcel: q.• ISO (,S� lose PIN: S�II—pl.�- 31 ��1
Zoning:A/-c30lood Zone:,__Watershed:__ Deed Book&Pager` /IDLIIS Power Company*: -Pralt-&
New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
• SFD:(Sizes x 1-2'
)#Bedroams3 #BathsZ" tasement(w/wo bath):_Garage:irlcK_9 Crawl Space: Slab:V/Mnbo:_lithic
(Is the bonus room finished?(�yes U no WI a closet?( )yes ( )no(if yes add in with#bedrooms)
❑ Mod:(Size x )#Bedrooms_#Baths Basement(w/wo bath)__Garage:_._Site Built Deck:_ On Frame Off Frame_
(Is the second floor finished?U yes ( )no Any other site built additions?( -_)yes ( )no
❑ Manufactured Home:_SW_DW_TW(Size x )#Bedrooms: Garage: (site built? )Deck: (site built? )
❑ Duplex:(Size x )No.Buildings: No.Bedrooms Per Unit:
❑ Home Occupation:#Rooms: Use: Hours of Operation: *Employees:
❑ Addition/Accessory/Other:(Size x )Use: Closets in addition?( )yes (_-_)no
Water Supply: 17C unty Existing Well New Well(#of dwellings using well )"Must have operable water before final
Sewage Supply: Y New Septic Tank(Complete Checklist) Existing Septic Tank(Complete Checklist) County Sewer
/
Does owner of this tract of land,own land that contains a manufactured home within five hundred feet(500')of tract listed above?( )yes (I)no
Does the property contain any easements whether underground or overhead( )yes (___)no
Structures(existing or proposed):Single family dwellings: Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks Comments: I�' '? \- t L4 - /6(...)1,--.12-.Q....___
Front Minimum 35- Actual MI .
Rear OC J M f I
/0 *7``" SCANNED
/ �
Closest Side ay
Sidestreet/corner lot �nn /i/ �f
Nearest Building /Y n
on same lot
Residential Land Use Application Page 1 of 2 03/11
APPLICATION CONTINUES ON BACK
. ,
SP DIRECTIONS TO THE PROPERTY FROM LILLINGTON: ALI �l �,����.1
0"/ Az l‘)?i gd . 0 /:414) i.S/4. /If permits are granted I agree to conform to all ordinances and I. of the State of North Carolina regulating such work and the specifications of plans submitted.
I hereby state that for:,! g state - is are accurate and,orre the best of my knowledge. Permit subject revoc tion if false information is provided.
Imo!_ /
gnature of Owner or Of. er's Age Date
***It Is the owner/applicants responsibility to provide the county with any applicable information about the subject property,including but not limited
to:boundary information,house location,underground or overhead easements,etc.The county or its employees are not responsible for any
incorrect or missing information that is contained within these applications.***
**This application expires 6 months from the initial date if permits have not been issued`*
Residential Land Use Application Page 2 of 2 03/11
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GWENDOLYN WAY
RAILLENNIIUM HOMES, LLC.
ThE TRAVIS \,111711 SCREEN PORC H
LOT * 154 BALLAD MOODS
SCALE: 1"240'