LAND USE RR 10-I I _go 1 2E' e - 5o0 - I' 3,a
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Initial Application Date: "> ]/[j / , � • �' 0 (�5o0 F ! 6 /�,2
1 1—('— �� Application #
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10 i-I ° COUNTY OF HARNETT LAND USE APPLICATION
Central Permitting ..Il 108 E. Fromt Street, Lillington, NC 27546 ., Phone: (910) 893 - 7525 Fax: (910) 893 -2793 www.hamett.org
LANDOWNER: SCk (3 a4Att- 1 I41U,. 1 ) <' P C- Mailing Address: 5 V O. 1 k` i 6 0 '1
City: (111va State: �C- Zip: )) T 363' Home # C I( 1( e l - 4 5 8( -.2114 Contact #.414 - L 14 � 1 3 ( 1
APPLICANT': 5 e t :) n1 Ae•r- co A) Mailing Address: c 470-4-• C f c 6e t
City: State: Zip: Office #: Contact #:
'Please fill oul applicant Information if different than landowner /� '' AA
CONTACT NAME APPLYING IN OFFICE: \ `& o 14, l?A - C7 Phone*: 1( c t - y4" 5 -- / 46 ,
PROPERTY LOCATION: C � 8 bdivision: ,-�-.}— 9 Lot #: t Lot Size: 3 r a G—
State Road #: Ow ya 1 State Road Name: 'N ' ' � (,.1 -�- Map Book &Page: !9 Q / 3 L(
Parcel: k ° , () 5 7 j y D l k' o 1 PIN: ci 5Th S - a .•t I Irv, 0t n
Zoning: RfraO n Flood Zone: /� Watershed: / q "1'T Deed Book &Page: () /ti 17 / n 1 -f-2 4.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM ULLINGTON: itee, Li t/,,, J?J.J a-xk a r3 77 '• fow i {•
et4K 10. /44 W (Co e ,) dz- r/ / 1 j 0 SI1 e / /J ,-/A 1
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PROPOSED USE:
' ❑ Multi- Family Dwelling No. Units _ No. Bedrooms/Unit
:'. ❑❑ Business Sq. Ft. Retail Space Type l XI k'S# Employees: Hours of Ope
.` `( Daycare # Preschoolers --i u Aherschoolers ` X aa Employees W ./- Hours of Operation ` QGV'Y\ - LT 1
p .r'
�❑L Industry Sq. Ft. Type # Empl Hours di
. ❑ Church Seating Capacity - 0 - P /�S
9 Pacib #B athrooms Kitchen ( �"�
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Accessory/Addltion/Other (Size �tO x�S) Use 'j.\ or Ft w_.. �v.1 \
Water Supply: L County Lj Well (No. dwelli s �n 1
/ ng ) MUST operable water before final (�
Sewage Supply: f� New Septic Tank (Complete New Tank Checkisfl L Existing Septic Tank ( ) County Sewer \ )C%X CO-IL1
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Comments: CAA_ v- iv, t (1 ne 1 0\--1
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11 permit: a granted I agree to conform to all ordinances and laws of the State of North Carolina regulating such work and the specifications of plans submitted.
I her:. ete that foregoing statements are accurate and correct to the beat of my knowledge. Permit subject to revocation if false information is provided.
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Ignature of Owner or Owner's Agent Date
"This application expires 6 months from the Initial dale N no permits have been Issued••
A RECORDED SURVEY MAP, RECORDED DEED (OR OFFER TO PURCHASE) AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPLICATION
Please use Blue or Black Ink ONLY
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Harnett Application # C8 5 i 3`i / €545
of i ca v iecouNTY
l WW1: (J-RDI :. Harnett County Central Permitting
Date: 10 /11 /10
Applicant: Solid Foundations, Inc
Technician: Richard Del Conte
Customer changed scope of the project. There will only be 3 modular classrooms total and no office.
E- Health's mod #3 will be changed from office to classroom.
New plans were submitted to Building, FM, Health & Sanitation and E- Health. Planning was given
updated site plan showing all other structures removed.
Richard Del Conte
Cc: Laserfiche, file # 08 -500- 19397, 19398, 19399
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PO Box 65 Lillington, NC 27546 Phone: 910 -893 -7525 Fax 910 - 893 -2793 www. hametl.org