DOCUMENTS Initial Application Date: 41 (._O/ 117 Application# SOL,t-t- 11110
Cu#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Cental Permitting 108 E.Front Street,Lillington,NC 27546 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.harnett.org/permits
"A RECORDED SURVEY MAP.RECORDED" DEED(OR OFFER1TO PURCHASE)B SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
LANDOWNER. BK'/211A � V `1 �.l'ql') r L k 111 fti L2(' Mailing Address: fit I; Cui'/t/)l aidt4- )
CIIY'. 6 NNTyt\I-1/�� JJ,�JBlate.NO 2ip.a1��2Contacl No: -1�0-SzJC-// (iC`-yLmall'. IYYY/�('t<�0� 1u tCel\.
APPLICANT': be K11li Pr 0 f1 twf♦ � Mailing Address //1)(, Crl?fv✓11/7Y.1,4✓\ (/Jl�1''1///��'',,,,� l/ ^n^
CiN'. St'-1 aP1 State': /VC Zip'. x'7Contact No. '//L - V�T0'L°C4£mai2 /1PAYcC�L Gd 11 lJ"
'Please fill out appliantinformalon it different than landowner
CONTACT NAME APPLYING IN OFFICE: be Ji2t der; Phone# rj/0 J✓/1 -L'00C-fi
PROPERTY LOCATION:Subdivision: l ti/�P.iA/Yw'- �LK.x'.7_ Lot#�s1.J�t xLoJt Size: {( Lf�
State Roa/d-# \ L0 t Y State Road Name. ^lMA .I G GL r ,., Map Book 8 Pagel eStr U 9S el
Parcel.
(U3 -1 s�5 � U�'Z�.a/^�/s{ PIN: •y5OQS - W - �SQa' VCXR
Zoning��eldTJood Zone. Watershed:I� Deed Book 8 Paga'� )70 / 7G Power Company':
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
MmmliWic
LI SFD:(Size x )#Bedrooms: #Baths: Basement(wlwo bath): Garage. Deck: Crawl Space:_Slab. Slab.
(Is the bonus room finished?(_)yes ( )no w/a closet?( )yes ( )no(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
U Manufactured Home: SW DW TW(Size x )#Bedrooms Garage: (site built? )Deck:_(site built? )
LI Duplex'(Size x )No. Buildings: No. S BedroomsUnit:
Per
Ps Home Occupation':#Rooms: .. Use: TiC 6.41Th Hours of Operation: /NO4; #Employees: 9'
U Addition/Accessory/Other:(Size x )Use'. Closets in addition?( )yes ( )no
Water Supply: I County Existing Well New Well(#0!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 tact of land,own land that contains a manufactured home within five hundred feet(500')of tact listed above?( )yes (✓)no
Does the property contain any easements whether underground or overhead Oyes (—)no
Structures(existing or proposed).Single family dwellings. ``'' Manufactured Homes: Other(specify):
�t�
Required Residential Property Line 'thacks: Comments:
Front Minimum Actual
Rear
Closest Side
Sidestreet/corner lot
Nearest Building
on same lot
Residential Lend se Application Pape 1 of 2 03/11
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: CXil IjAA- (Alelj Sz)hOItvisr 4/,-1
II c G (`caclhy,'A) GUp.1 Gaal NC 21-7332
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.
Owner or O—� (c�M.�-- C/7
Signet of Owner or Owner's Agent ate
***ft Is the ownerlapplicants responsibility to provide the county with any applicable Information about the subject property,Including but not limited
to:boundary information,house location,underground or overhead easements,etc.The county or Its employees are not responsible for any
Incorrect or missing information that is contained within these applications."'
"This application expires 6 months from the initial date if permits have not been issued"
Residential Land Use Application Page 2 of 2 03/11
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Bldg Insp scheduled before 2pm available next business day.
Application Number 17-50041116 Date 4/06/17
Property Address 91749 TECH 2
PARCEL NUMBER - - -- - - - -
Application type description CP HOME OCCUPATION
Subdivision Name
Property Zoning UNZONED
Owner Contractor
CHILDERS BARRY DEAN OWNER
CHILDERS DEBRA J
1106 COACHMAN WAY
SANFORD NC 27332
(910) 850-6006
Applicant
CHILDERS DEBRA
1106 COACHMAN WAY
SANFORD NC 27332
(910) 850-6006
--- Structure Information 000 000 HOME OFFICE - 8 HOURS - 2 EMPS
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE HOME OFFICE
Permit LAND USE PERMIT
Additional desc
Phone Access Code 1186097
Issue Date . . . 4/06/17 Valuation . . . . 0
Expiration Date . 10/03/17
Special Notes and Comments
T/S : 04/06/2017 02 : 08 PM JBROCK ----
CAROLINA LAKES S/D 1106 COACHAMN WAY