LAND USE R Z — d SCANNED
Initial Application Date: "' DATE Application # 1.0 - 500 2-S) `4 `J
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COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E. Front Street, Lillington, NC 27546 �1 Phone: (910) 893- 75255 Fax: (910) 893-2793 www.harnett.org/permits
LANDOWNER: TAME S tk l et,4S Ct S L el FA-O 6 Mailing Address: /d2 jddreess: ,S s &
City: lunar - State: Zip:27.f0 f fp &/n
Contact # l ! 79 4 Email: NrJ e &y7MM ea.vdStrd:
APPLICANT: Wynn Construction, Inc. Mailing Address: 2550 Capitol Dr.
City: Creedmoor State: NC zi 27522 Contact # 919 603 - 7965 Email: edward@wynnconstruct.com
* Please fill out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE: J. Edward Averett Phone # 919 603 - 7965
PROPERTY LOCATION: Subdivision: Camerdn Pinees ?_�, � Lot #: (n Lot Size: •• qz
Stale Road # State Road Name: L.7�MerDet P cses Cif • Map BookBPage: 24% / X Z
Parcel: 0v9cgG7 0o2-`( (41-4 PIN: fl 5 C{ 3 //3b• 000
Zoning: FA E.2D Flood Zone: 7- Watershed: f' /A- Deed Book&Page: 2/39 / /03 Power Company: Ceti C
New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: Take NC 27W to Buffaloe Lakes Rd.
Take Left onto Buffaloe Lakes Rd. Left onto Cameron Pines Dr. p N >t.v JIII
PROPOSED USE: •
, 1 p Z S / Mon,.i;th e
i ' SFD: (Siz Y' x')# Bedrooms: 3 # Baths: Basement(w /wo bath): Garage: Deck: ✓ Crawl Space: /Slab: Slat
(Is the bonus room finished? ( ) yes (X )no w/ a closet? (_) yes (1n° (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? ( ) yes ( )no Any other site built additions? ( ) yes ( )no
❑ Manufactured Home: _SW _DW _TW (Size x ) # Bedrooms: _ Garage: (site built? ) Deck: (site built? 1
❑ Duplex: (Size x ) No. Buildings: No. Bedrooms Per Unit:
❑ Home Occupation: it Rooms: Use: Hours of Operation: #Employees:
❑ Addition /Accessory/Other: (Size _x ) Use: Closets in addition? ( ) yes (Jno
Water Supply: ✓ 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) 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: x AA Manufactured Homes: !� Other (specify) /: '/
Required Residential Property Line Setbacks: Comments: T - 2 D — /O OA �f� 1� H� G((,: JYf�... N�IY ibe
Front Minimum 35 Actual 47
Rear 25 54 4 5
Closest Side 10
Sidestreet/corner lot Q ��
Nearest Building (P
on same lot
If permits are granted I agree to conform to all ordina s and laws of the State of North Carolina regulating such work and the specifications of plans submitted.
I hereby state that forego slate nls re accura nd c rrect to the b ow ledge. Permit subject to revocation if false information is provided.
Signature of Owner 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 1 and Use .Applicalion Page 1 of 1 07/10
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CAMERON PINES DRIVE
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Charlie T. Carpenter, P.L.S. PRELIMINARY SITE PLAN FOR,
C Professional Land Surveyor WYNN CONSTRUCTION
Ti 1940 J uniper Chureh Road PIN 9587 -53- 9130.000
' Four Oaks, NC 27524
C (919) 983 -2909
PARCEL ID 039506 0024 44
LOT 6 CAMERON PINES S/D
Pffi007 PG1002 173 CAMERON PINES DRI�E
(919) 320 -5281 9/26/10 SAN y, NC 87330
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