LAND USE R Initial Application Dale I I1 rel 7F1 ^ I ' /\ Q'
{ ' n �/QYatiak Application I I�O�LvI�(J'p/—I
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LINTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 106 E.Fm t Street,Ellington,NC 27546 Phone.(91 U)693-7525 exL2 Fax:(g10)593-2753 www M1arnettorg/permits
"A RECORDED SURVEYUMAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
LANDOWNER: GAAA'I&;l'+-CrW0 Pi iwI#(S (TNC/Mailing Address SaM'G Ca be lb'3 C -
City •
V State: rr Zip: r' Contact No: r Email. J OM n o r rl S 1157 0 g4heD.
UAW) rE.,f�.r�� p CO.W
APPLICANT': t. AW)B Eft L-A'nJD ""u'glfilaing Address- P. 0 . BoX Tag
Ciry: nLLU{J State:NC Zip 2833S—contact No 9 ID 812 '13 t(SEmailJD4A norriS I957AcyA(aoc.LOp
'Please ll out applicant information if different than landowner it
h 1 .'
CONTACT NAME APPLYING IN OFFICE: }M I CI4b __L 0R— —3D_IC%J Phone# 9l0 ^. 9t . 14314S—
PROPERTY
43L(r
PROPERTY LOCATION:Subdivision: 13 41-1444/
1Z-C 4-I}( .4E7ta- 1S Lott 3 Lot Size: ' s8
State Road# 22-I S Stale Road Name: La R1t-E.rQZ'( CE?.1Tt 410.- Ti-I> Map Book E.Page*2OD(0 / )0 24
Parcel. 04 8q010(0 2 002141A (
4 07 PIN: 0 .52 —9 3e-f4D Ztit . 00
Zoning. R.4' OFIoo0 Zone. Watershed: ,A Deed Book&Page. 3J g1 044R'owwerrCompany` Du Kr
structures with Progress Energy as service provider need to supply premise number (6:33?4 3' /4 from Progress Energy.
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PR OSED USETa 5
�G97 MonolithicSED:(Size q^ .) 21ment(w/wo bath). Garage- /DeckCrawl Space: Slab /Slab
(Is the bonus room finished?( V)yes ( )no w/a closet?( )yes ( )no(if yes add in with#bedrooms)
❑ Mod:(Size .x___ I#Bedrooms_*Baths Basement(wlwo bath)_Garage Site Built Deck. On Frame Ott 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? )
❑ Duplex (Size x )No.Buildings No. Bedrooms Per Unit.
❑ Home Occupation#Rooms: Use' Hours of Operation *Employees:
❑ Addition/Accessory/Other.(Size )Use Closets In addition?( )yes ( )no
Water Supply: V� ounty Existing Well New Well(#of dwellings using well )'Must have operable water before final
/C
Sewage Supply: /New Septic Tank(Complete Checklist) Existing Septic Tank(Complete Checklist) _County Sewer
Does owner of this tract of land,own and that contains a manufactured home within five hundreddrfeet(500)of tract listed above? 1(1( )yes ( no
Does the property contain any easements whether underground or overhead( )yes (✓1 no
Structures(existing c proposed ngle family dwellings- I Manufactured Homes.
Other(specify).
Required Residential Property Line Setbacks: Comments:
�
^ U
S
Front Minimum 3S Actual '
Rear 2T�L�f_�^# r�y
I- 1 \/\'0 • a
Closest Side I 0 x
Sidestreeucorner lot 2 0 WI A
Nearest Building N IA Ila A
on same lot
ResitlenSsi Land Use Apobcalmn Panc 1 01
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIO. TO THE PROPERTY FRe LILLINGTON: 11 W 1 '24 D 11 4A'R.y, m
o N rD FA1Z pA-rh c{tc& wile"( t-bTs oI.CFr.
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 d correct th best of my knowledge. Permit subj C to re oca^tion if false information is provided.
te I
ignature of Owner or Owner's Agent Date
^`his 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 issuer'
Residenmai Land Use Application Aa9,2.,,_ 0111
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IVs FARRAH SHEA WAY
CUMBERLAND HOMES, INC.
THE TIFFANY WITH SCREEN PORCH
LOT * 3 BRIAN KEITH MEADOW
SCALE: 1"a4® '
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FARRAH SHEA WAY
CUMBERLAND HOMES, INC.
THE TIFFANY WITH SCREEN PORCH
LOT * 3 BRIAN KEITH MEADOW
SCALE: 1"MO'
SOUTHEASTERN SOIL&ENVIRONMENTAL ASSOC., INC.
PROPOSED SUBSURFACE WASTE DISPOSAL SYSTEM DETAIL SHEET
SUBDIVISION: alit A/4 lt£tnl MFA4.,-> LOT 3
INITIAL SYSTEM:APPROVED 25%RECUCfION REPAIR APPgauda 2S y. ±...ons+
DISTRIBUTION: SE4,a` DISTRIBUTION lfn.,a+-
BENCHMARK: 100.0 LOCATION Fc 1./3
NO. BEDROOMS: LTAR o,4 ate Mt
LINE FLAG COLOR ELEVATION LENGTH
I o 18, 74- 6S `
f4LL i w 48, 11 Inn
..1-A4 S 4.- $q A t,.8V 10i
Y o 47 08 lir
r w 14,s-. 8o ,
4 8 94.a1-- -75 '
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BY H- / 04,0- DATE of/m/.r-
TYPICAL PROFILE THERE SHALL BE NO GRADING,
0- 1Y qGf I I/f./ .w/ 1 CUTTING, LOGGING OR OTHER SOIL
/Y- Oi(0,- Sci- 75/ F; lbw) DISTURBANCE IN SEPTIC AREA
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