LAND USE / {/` / llr�9e G/170/1 /3u,1,� J //n
Initial Application Date: 1 1 —. /7 p
Application # / ° 5-679 z 05-2
DRB CU
COMMERCIAL
COUNTY OF HARNETT LAND USE APPLICATION
Central Permitting / 108 E. Front Street, Lillington, N C 27546 Phone: (910) 893 -7525 Fax: (910) 893 -2793 www.hamett.org /pemlits
LANDOWNER: ,46 Aid ��LS t fa Mailing Address:
City: /Lied State: Zip: Home #: Contact #: /
APPLICANT*: � 4 // A oV. C Co mp anc Mailing Address: goo /a/ % .,,,._ foac
, City: c2thW.v a State: A(I' Zip: 20770 Office #: WI- nit 8 Contact #: 0 13185
'Please fill out applicant Inf ormation if different than landowner .
CONTACT NAME APPLYING IN OFFICE: <) ”< <5;41
mil Phone C: QM - ¶ a • 8 � r ✓ 16-
8s �j ,y/
PROPERTY LOCATION: Subdivision: / Lot #: Lot Size: ✓7 �j
State Road #: State Road Name: ' 44 jL // "�� 4 47t tt. /17-1 G .�/ Map Book&Page: 210 / I / - 7/2
Parcel: nO //1 O Z OI I 0 J ? / q / / PIN: / 9 � A — 7,I2 , 900
Zoning: AA 24 Flood Zone: /t Watershed: 1(/ Deed Book &Page: 2 �? 4 1 / / / Power Company':
New structures with Progress Energy as service provider need to supply premise number / from Progress Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: HL Z�J to fl�r R r+�e Road • %a Ke
i t -6 1 . guot rod 7 4, c4inj ant 7wrn ataimei r /o cc /nth a..
kit 3,37g AO /46t hr/ &.s5 Mp3t -a([, . C/r.
PROPOSED USE:
❑ Multi- Family Dwelling No. Units No. Bedrooms/Unit
❑ Business Sq. Ft. Retail Space Type # Employees: Hours of Operation:
❑ Daycare # Preschoolers # ARerschoolers # Employees Hours of Operation
❑ Industry Sq. Ft. Type # Employees: Hours of Operation:
❑ Church Seating Capacity it Bathrooms J Kitchen
ry
❑ Accessory/AdditiorVOther (Size 70 x 70 Use pro TCAI (afar Tor P./,(a /nn 7.
Water Supply: County (_) Well (No. dwellings ) MUST have operable water before final
Sewage Supply: ( ) New Septic Tank (Complete Checklist) ( l Existing Septic Tank (Complete Checklist) _)County Sewer
Comments:
If permits are granted I agree to co 1. to all ordinances and laws of the State of North Carolina regulating such work and the specifications of plans submitted.
I J: -: a e l at dreg' , . -te en - are accurate and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
I at \ // L / /v
SI • ure of Own Owner's Aged Date
**This application expires 6 months from the initial date 11 no permits have been Issued"
A RE SU RVEY 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