LAND USE Initial Application Date: `) ` (∎ 0 . I ` - Application 11 i ✓ 2 - 047
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COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E. Front Street, Lillington, NC 27546 Phone: (910) 893 -7525 Fax: (910) 893 -2793 f� www.harnett.org /permits
LANDOWNER: P/rrs-y 11 .4646 - Mailing Address: q/1 lhfl+ ' � tie
City: *s & t -AICe State: PCZip: 24 ,7/(eontact# Email: p
APPLICANT* AN t-) � c_�I e a.4z7t1 - talet � L,T Mailing Address: 323eo V • &m.1 /q
City: 'GI4 State: Zip: Qntact# id— 7/ b 74mail:
'Please fill out applicant information if different than landowner � �q�,,,
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CONTACT NAME APPLYING IN OFFICE: l' Phone # �` (Q — Z / t - G./��
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PROPERTY LOCATION: Subdivision '/ // Name; i 1) r) L i1 k (,, V t ` / )/ Lot #: / 1 12 Size:
State Road # 41 State Ro 1l (t (Pe (1 ~)cut ej/ Map Book &Page: /
q7 Pl&& (� 7
L (7 dl . lq
5 - • �f2_. LO 80
Parcel: 1 J
Z o t -- d / /�D Zo - 9 7 7 gj
Zoning: / i Mood Zone: Watershed: eed Book &Page: -ower Company:
'New structures with Progress Energy as service provider need to supply premise number p {,� fro � m Progress Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: 2.1 O I Jve / \a -
1?' cam' Red e27 04 4 1 toe TO
t - _ 04" ek r AI
PROPOSED USE:
Monolithic
❑ SFD: (Size x ) # Bedrooms: # Baths: Basement(w/wo bath): Garage: Deck: Crawl Space: Slab: Slab:
(Is the bonus room finished? U yes ( )no w/ a closet? ( ) yes (ono (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? Li yes Lino Any other site built additiion ?? (� yes ( )no
lY Manufactured Home: SW jDW _TW (Size '243x fie) # Bedrooms: y Garage: ^'isite built? !f Deck: l'(site built? Y�
❑ Duplex: (Size x ) No. Buildings: No. Bedrooms Per Unit:
❑ Home Occupation: # Rooms: Use: Hours of Operation: #Employees:
❑ Addition /Access'ory/Other: (Size x ) Use: Closets in addition? ( ) yes ( )no
Water Supply: V County _ Existing Well New Well (# of dwellings using well ) *MUST have operable water before final
Sewage Supply: _ New Septic Tank (Complete Checklist) Existing Septic Tank (Complete Checklist) di 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? (V) yes ( )no
Structures (existing or proposed): Single family dwellings: Manufactured Homes: ""�� th / r'( cify):
Required Residential Property Line Setbacks: Comments: y
Front Minimum Actual 3 (' Z 7 II
Rear 26' -2,40p, /i_
Closest Side ` � O / `a 4 � �'
Sidestreet/corner lot 6+ ✓ ,
Nearest Building
on same lot
If permits are granted I agree to onform to all ordinances and laws of the State of North Carolina regulating such work and the specifications of plans submitted.
1 hereby state that foregoin ments are accurate A corr ct to the bast of my knowledge. Permit subject to revocatio if false information is provided.
Signature of ner or Owner's Agent Date
**This application expires 6 months from the initial date if permits have not been issued**
A RECORDED SURVEY MAP, RECORDED DEED (OR OFFER TO PURCHASE) AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPLICATION
Residential Land Use Application Page 1 of 1 07/10
THIS SITE PLAN IS FOR INFORMATIONAL F'URPOSES ONLY. N.
J NOT INTENDED AS A SURVEY OR FOR RECORDATION \
/' \ PLAN IS SUBJECT TO REVIEW AND APPROVAL OF THE \
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/ / SETBACKS
/ 1 Front 35 Feet
/ Sidestreet /corner lot 20 Feet
/ / 1 Rear 25 Feet
DEED BOOK/PAGE: "2012/58 -360 / I I Side 10 Feet
OWNER : PATSY KONEN / DWG. TITLE: SITE PLAN
SITE ADORES: RANEY DR ANDERSON CREEK CUSTOMER NAME: BLOUIN/KONEN
DATE: 8/13/10 (COUNTY: HARNETT
30 Y i° DRAWN BY: BRB FILE NAME: ? P.M R s+a.
a MI
01111 Ill I � NOAMEB SY N.4NDEBBU1t 1
4 15 3300 JEFFERSON DAVIS HWY.
$CAIF 1 "= 30' - " O SANFORD, NC 27332
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