LAND USE R Ltd —lb
Initial Application Date: ° 1 i Application # / P 5 " ro / 1
/ 111 p,KTc CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E. R Front Street, Lillinglon, NC 27546 Phone: (910) 893 -7525 Fax: (910) 893 -2793 www.harnett.org /permits
LANDOWER: feL�) ?h /JCc/cagct f Mailing Address: 2? 0 5 11a- mhelckc. b1zio
Cit V4/ 44_1 ttV\ fi� stale:j�Zip: # �/G 4 Email:
APPLIC NT': 6-01 i t y1 Mailing Add 5 "MSf.y 5/-
City: col 4.44,t) :1'1r7. state: ,4t - Zip)- 3JI Contact# 7(G I (7 -zcO2._ Email:
`Please till oilt applicant information if different than ��
landowner
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CONTACT NAME APPLYING IN OFFICE: /J to ` ',Ir ` /t sS✓ !/ t Phone # 6 21 / / " 2 3% Z '
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PROPERTY LOCATION: Subdivision: 4 -&, 0eilcS Lot #: , -g Lot Size;_ ��
State Road* State Road Name:: 719 .� L Map Book &Page:..»» r 1 f'�' 77 A i /—
Parcel: //yy0 l 0 4-4 PIN: 05 36- oz /
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Zoning:0 t Flood Zone: / r Watershed: /2/4, _ Deed Book&Page:Q25 % / 0. Power Company': t7f ' 5 r4//6 y
New structures with Progress Energy as service provider need to supply premise number ry� elf/ Progress Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: 72lik� ij&"f ,2-7009„ Q y 1-44/'1 Lff/ / 5k�6, t'am 1
by) j &#? t lc ' D n14.
PROPOSED USE:
eI .,r Monolithic
CI SR): (Size L0 xJ 7) # Bedrooms: # BathsZ asement(w/wo bath): Garage:' Deck: /Crawl Space: lab: Slab:
(Is the bonus room finished? ( ) yes Lino wi a closet? ( ) yes (_Jno (if yes add in with # bedrooms)
❑ Mod: (Size _ x ) # Bedrooms # Baths Basement (w/wo bath) Garage: Site Built Deck: On Frame Oft Frame
(Is the second floor finished? ( ) yes (Jno Any other site built additions? L_) 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 1 Use: Closets in addition? ( ) yes Lino
Water Supply: i/V Cgunty , 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) _ County Sewer
Does owner of this tract of land, own land that contains a manufactured home within five hundred feet (5001 of tract listed above? (__.) yes ( )no
Structures (existing or proposed): Single family dwellings: Manufactured Homes: Other (specify):
Required Residential Property Line Setba ''' Comments:
Front Minimum G. Actual 3 (. 1
Rear 2 r! -eta QV
Closest Side / .IA 70, 3
SidestreeUCOmer lot
Nearest Building
on same lot
If permits are granted I ag to conform o all / :5 and laws of the Stale of North Carolina regulating such work and the specifications of plans submitted.
I hereby state that forego tatement are ...rrrrrr, fi lRTTTT'' and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
O
7Ignature of Owner or Owner's Agent a
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 APP❑CATION
Residential Land Use Application Page 1 of 1 07/10
PRELIMINARY PLAT NOT FOR RECORDATION, SALES OR CONVEYANCES.
O NE • LENWILL 1. THIS PLAN IS FOR LOCATION PURPOSES CNLY.
ES - EMDINO IRON STAKE BUILDER SHOULD VERIFY FIXJNDA710N INFORMATION
Rax STAKE SET VI1TH PLANS BEFORE CONSTRUCTION BEGINS
Hart O aA
PO - 6 p1AAT p p 2. PROPERTY SUBJECT TO EASEMENT AND COVENANTS
^O PC PAGE 11111 OF RECORD NO 111 SEARCH PERFORMED.
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GRAPHIC SCALE
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CHRIS MANNING
GWEN OAKS SUBDIVISION
( IN FEET )
■ N J, C " 1, MAP #2007 -1005
1 inch = 50 ft. : o • cssi � !i :; IAxM Cadhe
2: , ; Ct.nn.nand caanty
ANDERSON CREEK TWP SEAL • _ L ,, a vilify that tM. wa. drawn anee my andska,
from an actual survey nods wader my sS
HARNETT COUNTY - L -3796 - dp t an h e por "" ry b o •
NORTH CAROLINA s os /1 _ F Gai � Ia not ana aepatw.. t a. mends
p lotted 4 R,ot the boundefss ml oak. r. on shorn w bakes Hoe •
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plotted
moored In ae0aroones with OS. a -30 as amerced.
JUNE 4, 2010 '•,YY • L, P 'Ablest my hand and oMdd seal this 4th day of June. AD.. 2010.
CATHY L. AUTRY, PLS 3796 " "' "'
3946 A SUNNYSIDE SCHOOL ROAD (T - R. {L
FAYETTEVILLE, NC 28312 Cathy L trn M.S. L
PHONE — (910) 483 -5536
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