LAND USE RR~ zpl~
Application #
Harnett County Central Permitting
PO Box 65 Lillington, NC 27546
Telephone Number 910-893-4759
Application for Environmental Health Improvement Permit in Areas Zoned by Municipalities
Land Owner Information:
Name: Q d 2 5C2C~s~Y1
Address: ,vu
Phone:
Applicant Information:
Name: ( ra (-,e-, L. -awe e (an
Address: 5~ Te- t-t 9
4ca~-,, Marla ~5.
Phone:(q~R~~dio~~Cis $
3-Z c
Property Location:
E911 Address:
PIN or Parcel Number: 1Sy(s- toS -ICam, ~1-2) rC2 C~CO~"So(.0 Uyl U
Subdivision: fA Lot Number:„ ► a-
State Road Number: w Lot Size: 1,p .Q5 C c r e a
Specific Directions to Job from Lillin
rn~d J
Multi Family Dwelling # of Units:
Manufactured Home (Size:
Garage: Deck:
(Vf, Number of Persons per Household 3
Business
Industry
Square Footage Retail Space:
Square Footage:
Home Occupation # of Rooms:
( ) Addition to Existing Building Size:
Other:
Water Supply:
Sewer:
Applicant Signature:
/
-won 0
Type: K- t "C zx1 UV
Type.
Use: )Lk
0
Use:
( ) C unty (ell
( New Septic Tank
# of Bedrooms/Units:
x ) # of Bedrooms:
`ccr `c, c( V -C"
( ) Other
( ) Existing Septic Tank ( ) Revision ( ) Sewer
(a Date: f--~ 2 L
08/04
Proposed Use: X LIB
O .S~ngaQ Fam~!y Iling (Size: x# of Bedrooms: 3
Basement: Basement w/ Plumbing: Deck:
2
ZONE. R_p
fctfy of Erw,, q 91
R1C},1,4
RD OF,
s~VW_A
D~ JA
o: Noad. N.C 2933.
DUKE C KS
wSURVEY BY. HARNETT CO.,
JOYt.1ER P'EDMON7 N. C.
St 1RVF'v~tir
a =10na
OF MR
N vv; Kill PMU427 FEE-0.0
Aawnna-:Aad- J~
Tax Lot No. Paroe Iderdgter No.(~~~~~ 061O
Certified by Cue the _ day of 2W4
by X44
This Instrument was~rt)p~dby •a~ puessIrchpalla byr)
Brief Description for the kdeoi 4 J 51q&69 Willie Jackson Estate
GENERA! WARRANTY DEED
THIS DEED made
GRANTOR \F,/ z1 GRANTEE
RICHARD WADE JACKSON and wife,
MELODY N. JACKSON
and
THOMAS E. JACKSON. JR, unmarried
500 Lucas Road
Dunn. North Carolina 28934
Enter In appropriate block for each party: name. address,
corporation or partnership.
JACKSON
The designation Grantor and Grantee as used herein shall Include Ui6o
assigns, and shell Include singular, pkM masculine, feminine or no darA
WITNESSETH, that the Grantor, for a valuable consideration paid by
hereby acknowledged, has and "a" preserft does grant, bargain,
simple, all that certain lot or parcel of land sburated in or now the City of
County, North Carolina and more particularly described as Mom
See Exhibit A attached herelo and made a part
N.C. am As "M Fam Na 7.1977
Rin.W Or ^Owr,wt WO tM N.C. I& A-
C03
28334
a . character of entity, e.g.,
s. F hairs, successors. and
Qc6ntexL
1pt of which Is
Grantee In fee
cow, Harnett
~U