LAND USE R Initial Application Date: `tj ISR I . 1 SCANNED Application# b S
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LINTYn,NC4RESIDENTIAL 89ND25 ext:2APPLICxION
Central Permitting 1 E r nt treat Lillington, 27546 Phone:(910)893-]525 Fax.1910)593-2293 www.harnetLorglpennits
^A RECORDED SURVEY MAP,RECORDED DEED OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING LAND USE APPL
LICATION'
LANDOWNER: ArAA/ex itt Mailing Address: •3d$f Alb+4;•e- 4"
City: (*Ali State:ML Zip: Contact No:
Email:
APPLICANT*:_Rf GA'esti fJeediee Mailing Address. //Y, �G z� Lo cci-
city: 411Ar{ri✓ // Stete: Zip:27}"fbcontact No: 9/O ' PS9• 9/Email. edf/eyAt96u y/dr ,ace,- °..-
*Please fill out appcant information if different than landowner / // // v
CONTACT NAME APPLYING IN OFFICE: 3{•in/e? •4• CSA e9Gal 9 Phone# 17/6 - 98 X 6 932
PROPERTY LOCATION:Subdivision: 30$.S F A bs 4 e Lot#: I19. Lot
ySize:I0 •1 a
State Roadl# State RoadRoadName: CoSS /aI''- /L zd, C..a•E - Map Book B(Pages�•r`l 1 � 7
parcel:QIT? ` TSI 15345 ver I� PIN: 1�OI � -ad?.
U - "' VI _I ' VU6
Zoning\Y \tel Flood Zone: � Watershed: A. I Deed Book&Page:2440y/ 11/90 Power Company'.
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
Monolithic
❑ SFO.(Size x )#Bedrooms. #Baths:_Basement(w/wo bath): Garage: Deck: Crawl Space: Slab. Slab:
(Is the bonus room finished?( )yes ( )no col a closet?(—)yes ( )no(if yes add in with#bedrooms)
❑ Mod:(Size_x )#Bedrooms_#Baths Basement(wlwo bath) Garage: Site Built Deck:_ On Frame_Off 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� ':
❑/AddilionlAccessorylOthec(Size x �/ of Operation: #Employees:
3/ Use: /hl/45f6.L• 1�A•ia-#Z 7//4 Closets in addition?(VI Yes 1I no
Q
Water Supply: V County Existing Well New Well(#of 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 Pact of land,own land that contains a manufactured home within five hundred feet(500')of tract listed above????( )yes (—)no
Does the property contain any easements whether underground or overhead( )yes (bi no ✓ /v 1 S1 C ] ; T4 k� 1.
Structures(existing or proposed):Single family dwellings: ✓ Manufactured Homes:
`,x _ Other(specify): L , `!�
Required Residential Scroperty Line Setbacks: Comments:�/ nts \� 11-1.S- nY X-S 'S ,BC.A.S� /�
Front Minimum 'SActual ZS+^ i O.A.D •, t? Cs'. . C?c.r. O
Rear \CID• �4 ,• \ lP • c r• it eL AI rr
Closest Side _V %S ' 1 - t_ - V. 'a ..�-n
Sidestreet/corner lot � C rh k\1 p pl4M. 5 110 A .S �,..p
Nearest Building 1"J)+Q—fl � ""'-.1"' - e.L
on same lot ¢
Residential Land Use Application NTIN
APPLIC TION C , o(' B (� 1 ns �r' lIn
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SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON:
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If permits are granted I agree to conform to all ordinances and laws of the State of North Carolina regulating such work and the spedfications of plans submitted.
I hereby state that foregoing tements are accurate and correct to the best of my knowledge. Permit subject to revocation if false Information is provided.
y ,3./7
Si tore of Owner ri;Rent Date
"'It is the owner/applicants 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 2of 2 0311