LAND USE R � ' TI
Initial Application Date-.•
�� c Application hscf F` Ig3
5I 1 �] 'M 4r5eii ii. cux
1-3/ I / COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E. tont Street, Lillington,NC 27546 Phone.(910)893-7525 ext'2 Fax (910)893-2793 www.harnett.orglpermits
•A RECORDED SURVEY GV&'RVEY MAP.RECORDED DEED(OR OFFER TO PURCHASE)8 SUE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
LANDOWNER: BrT CO bUWuCAr Mailing Address SaNA-C 4.S belbK)
City:
it State' 1 Zip: H• Contact No: Email J oar\ n o r ri s 1451 0 Li 41100,
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APPLICANT*: Caton F(L LA-Nn) HDLGgM logrIddress- 1 . 0 • 30,..t '7 2rI
City': NAM LI State:NC zip 2B6GSConlact No 910 842 434SEmal' IH
'Please til out applicant information if different than landowner Lit;
CONTACT NAME APPLYING IN OFFICE: M I C N t L LL``l� r0I -3-D�N Phone# q L o . 89 L • g34S
PROPERTY LOCATION:Subdivision: \ Ry 1 11'--1 CO ` M-€& OOttA S (�� Lot# C Lot Sizeze.� x W
State Road{# 22 I S State Road Name: 4+* -N 6-c C_ET1lR-A°L-- RD Map Book 8 Page:`QW ((O1_4
Parcel:J )40 blit ooz4- D9 PIN- nig S2-g3-L1.43. 000
zoning: R4'.I)°Flood Zone: )c, Watershed: 141A Deed Book 8 Page: 22 lgj/Mos-Power Company: bitv_E�
'New structures with Progress Energy as service provider need to supply premise number �y 013 Dx#0 from Progress Energy.
POSED USE: 5 (Y�h\
I� 41 /(/ 2 �reec'--FF�5 // Monolithic
SFD:(Size 4I x )#Bedrooms#Baths:J BBaasement(wlwo bath): /Garage- 'Deck: Crawl Space v Slab. Slab-
(Is the bonus room finished?(S�yes ( )no Nl a closet?( )yes ( )no(if yes add in with*bedrooms)
❑ Mod:(Size x )4/Bedrooms _ _#Baths_ _Basement(wlwn hath)_Garage_Site Built Deck Or.,';ars or Flame
(Is the second floor finished?( )yes ( )no Any other site built additions?( )yes ( 1 no
❑ Manufactured Home:_SW_DW 1W(Size x )#Bedrooms: Garage (site built? )Deck (site built? )
❑ Duplex:(Size x )No. Buildings- No.Bedrooms Per Unit.
❑ Home Occupation:*Rooms: Use: Hours at Operation *Employees'
__
2 Addition/Accessory/Other:(Size x )Use: Closets in addition?( )yes ( I no
Wso
Wafer Supply: /County Existing Well New Well(#a(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 tract of land,own land that contains a manufactured home within five hundred feet(500')of tract listed above?( )yes ( s/)no
Does the property contain any easements whether underground or overhead( )yes (✓)no
Structures(existing or proposed Single family dwellings: I Manufactured
'�Homes
�:j�7- Other(specify):
Reg aired Residential Property Line SetbSetbacks: � t
ac
: Comments: ��V .S -t c
Front Minimum 3 Actual 40
Rear 25- Il i 2N
Closest Side 10 f �IS
IhNeaSidestreetcomer lot 20 Nin-
Nearest
rest Building NIA NI A
on same lot
Residential Land UsApnIcanon nans ' ;f d JS11
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: 17416-C ktJ T i t a 'j-9W K4r2-11Au�ti La—
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EB -1-,Alts j Ccc 0u-79 rnLp.A E-1- S 146 4- W4-v Loi 1 S t,. ..i
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If permits are granted I agree to conform to all ordinances and laws of the Slate of North Carolina regulating such work and the specifications of plans submitted.
I hereby state that foregoing statements are accurate d correct Ih best of my knowledge. Permit subj et to re ocation if false Information is provided.
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(gnature of owner or Owner's Agent Date n
`-"It 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"
nertia',Lao Use Appucion
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