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LAND USE r J p P Initial Application Date: 1 u e lication # / (2 ,1 77127 � � A 111 cu # COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION Central Permitting (� 108 E. Front Street, Lillington, NC 27546 Phone: (910) 893 -7525 Fax: (910) 893-2793 / www.harnett.orglpermits 8J LANDOWNER: Y.5�' 17 U'Y. (' C»»4 r lop 4 D 1Gailing Address: 517 4 7F 1 1 : v'�' Q ra j -4— Q. City: L- (•o ,4r,u State: 1J (- Zip: of D i SG, Home #: Contact #: 9- 16 - 3o if- `{ 5 3g APPLICANT': .$Gvn t Mailing Address: City: State: Zip: Home #: Contact #: 'Please fill out applicant information if different than landowner CONTACT NAME APPLYING IN OFFICE: Phone #: /Y PROPERTY LOCATION: Subdivision w /phase or section: ` c n, Uh.rc: 1 4-16-‹ ( Lot #: 1 is Lot Acreage: -• 3 1 I Slate Road #: State Road Name: /f (2)1/44‘,..! / p LCr L- / Q Map Book &Page: / ot 7.1 ! / / Parcel: 7y3 35 9 2 ✓ 5 PIN: /��i� ( /f �,� — 1 //Z „3 / / Zoning: ll � �Flood Zone: Watershed: 1 � Deed BookBPage: 2794 / 511 Power Company': New homes with Progress Energy as service provider need to supply premise number from Progress Energy. SPECIFIC DIRECTIONS TO THE PROPERTY FROM I LILLINGTON: f 0 P rA �: ICt woo. L) 1 • C reI. tiy i of of Tkvc [ - f 4 PROPOSED USE: Circle: "'D SFD (Size 4 5 x c(g) # Bedrooms /r # Baths Basemen) (w /wo bath) Garage x Deck Crawl Spac Sla (Is the bonus room finished? f/ w/ a closet if so add in with # bedrooms) ❑ Mod (Size x ) # Bedrooms_ # Baths_ Basement (w /wo bath) Garage Site Built Deck ON Frame/ OFF (Is the second floor finished? Any other site built additions? ❑ Manufactured Home: SW _DW TW (Size x ) # Bedrooms Garage (site built? ) Deck (site built? ) ❑ Duplex (Size x) No. Buildings No. Bedrooms /Unit ❑ Home Occupation it Rooms Use Hours of Operation: #Employees ❑ AdditiowAccessory /Other (Size x ) Use Closets in addition(_)yes (_)no Water Supply: (1() County (_) Well (No. dwellings ) MUST have operable water belore final Sewage Supply: (J New Septic Tank (Complete Checklist) (J Existing Septic Tank (Complete Checklist) )County Sewer Property owner of this tract of land own land that contains a manufactured home w /in five hundred feet (5001 of tract listed above? (DYES (__)NO Structures (existing 8 proposed): Stick Built/Modular Manufactured Homes Other (specify) Required Residential Property Line Setbacks: Comments: Front Minimum 3S Actual 35; 5 Rear a S Closest Side I D 02 I, 1 Sidestreevcorner lot Nearest Building on same lot If permits are 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 hereby state that foregoing statements are accurate and correct to the best of my knowledge. Permit subject to revocation if false information is provided. �-� _/ Jd /i4 //A Signature • Owner or Owner's A:6t Date **This application expires 6 months from the initial date If 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 LAND USE 5/08 ;2.1' :. 11111121111311111111 2010014882 HARNETT COUNTY TAX ID# FOR RKIMBERRLRVioN GROVE DEEDS HARNETT COUNTY NC 2010 OCT 15 09:5147 AM 03- 958'5- 0.2 - 00/7 BK :2196 PG:311 -314 FEE:$25.00 INS TR U MEN T 1 20 .10 - 15 .) a BY rod • This Deed Prepared by Reginald B. Kelly, Attorney at Law , P.O. Box 1118, Lillington, NC PID #:03958502 0018 REVENUE: $80.00 STATE OF NORTH CAROLINA WARRANTY COUNTY OF HARNETT DEED This WARRANTY DEED is made the ll day of , 2010, by and between Charles Broadus Foushee, Jr. and wife, Shirley P. Foushee, of 2810 Lakeview Drive, Lenoir, NC 28645; John Calvin Foushee and wife, Billie Kelly Foushee, of 221 Mallard Road, Sanford, NC 27332 and Lynn F. Foote, Trustee of the Lynn F. Foote Revocable Trust Agreement dated November 18, 1998 of 23569 435 Avenue, Aitkin, MN 56431 -4918 (hereinafter referred to in the neuter singular as "the Grantor ") and Best Built Construction & Design, Inc., of 5671 Elliott Bridge Road, Linden, NC 28356 (hereinafter referred to in the neuter singular as "the Grantee "); WITNESSETH: THAT said Grantor, for valuable consideration, receipt of which is hereby acknowledged, has given, granted, bargained, sold and conveyed, and by these presents does hereby give, grant, bargain, sell and convey unto said Grantee, its heirs, successors, administrators and assigns, all of that certain piece, parcel or tract of land situate, lying and being in Barbecue Township of said County and State, and more particularly described as follows: BEING ALL OF LOT NO. 18,BLOCK B, ACCORDING TO THE MAP OF CAROLINA LAKES RECORDED IN BOOK 23 ,PAGE 95, HARNETT COUNTY REGISTRY. THIS PROPERTY IS CONVEYED SUBJECT TO CENTRAL ELECTRIC MEMBERSHIP CORPORATION FOR INSTALLATION OF ELECTRIC LINES, RECORDED IN BOOK 694, PAGE 493, HARNETT COUNTY REGISTRY; AND EASEMENT TO HEINS TELEPHONE COMPANY, RECORDED IN BOOK 694, PAGE 538, HARNETT COUNTY REGISTRY; AND RESTRICTIVE COVENANTS RECORDED IN BOOK 693, PAGE 777, HARNETT COUNTY REGISTRY.