DOCUMENTS Initial Application Date:t///794 Application# \n SC-XjT I N. L/ x"
CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Lillington,NC 27546 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.harnel.org/permits
"A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)8 SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
LANDOOWNER:rcZP,✓u'y % %',4Zitt 7) Mailing Address: /// j,�(/SI' /`'t)
City4t.//1s/ vtA I✓A State4L Zip0,7 yj/Gontact No. Email:
APPLICANT'! VF �lg/A' Mailing Address: /// /�/5-/�74'06?,L/ Grs3.t��
Cityf ///'4' 0/l/de",. 07 Stated.' Zip:Contact No: Email:
'Please fill ott applicanenfomiadoWif different than landowner / // /'
CONTACT NAME APPLYING IN OFFICE: 1 ylie //ifZ Phone 7/P-7xf —79-0 \
PROPERTY LOCATION:Subdivision: /U/�' ))�l Lot#: Lot SizeCQS ''Oc
State Road# L(.[ � ,��—��( CState eRoad/Name:� 'Lt / 4 G j /`fir ,,�' r rr r l Map Book n.1 LI
C5-T--,-S
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Parcel:��Qp-�6� l�LOS S L/�/D�T / PIN:,1)(1J�S — —1 C{ — " / y 3 -y V v
Zoning-:)✓Flood Zone: X Watershed':/ ` l Deed Book 8 Page'. / ower Company':
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
Monolithic
❑ SFr):(Size x )#Bedrooms: #Baths._Basement(w/wo bath): Garage: Deck:_Crawl Space: Slab: Slab:_
(Is the bonus room finished?(_)yes (_)no w/a closet?( )yes ( )no(if yes add in with It bedrooms)
❑ Mod.(Size x )#Bedrooms it Baths_Basement(wiwo 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 )1*Bedrooms:_Garage. (site built? )Deck: (site built?_)
❑ Duplex:(Size )No.Buildings No.Bedrooms Per Unit:
❑ Home Occupation:#Rooms. Use: Hours of Operation: #Employees:
y /Addition/Accessory/Other.(Size x )Use'. /r/"'�Q 4L" Closets in addition?(_)yes ( no
Water Supply: 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 tract 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(k1 yes (_)no
Structures(existing or proposed):Single family dwellings: 1.7.- Manufactured Homes. Other(specify).spsif
Required Residential Property Line Setbacks:
� Comments: \ N-l1l l 132 1 ,3 ( t 1`�
Front Minimum Actual \ r_ cam , �i I •_. _ Y.� As t tsar-
_
r�C\ � •
C C:Via \^*CI-A ' O r1_ I -'�i\X ->fc
Closest Side 5) .
7 T \ l6iJ \k� -k li -& gv1/4-9--
Sidestreetcorner lot
Nearest Building
on same lot
Residential Land Use Application Page 1 of 2 03/11
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON:
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 foregoin• atements are accurate and correct to the best of my knowledge. Permit s�uble to rev cation if false information is provided.
nature o Own�'Owner's Agent Da
"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 2 of 2 03/11
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3Sf1 1VD31 110A ION
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 17-50041368 Date
Intersection 5/12/17
Property Address 111 DEVROAH LN
PARCEL NUMBER 08-0655- -0003- -
Application type description CP MISCELLANEOUS INSPECTION APPLICATION
Subdivision Name
Property Zoning RES/AGRI DIST - RA-30
Owner Contractor
BRADLEY JERRY & JANE OWNER
RT 1 BOX 93 B
FUQUAY-VARINA NC 27526
(919) 552-9291
Applicant
BRADLEY JERRY & BRADLEY JANE
111 DEVROAH LN FUQUAY VARINA,
NC 27526-0000
FUQUAY-VARINA NC 27526
(919) 744-1963
--- Structure Information 000 000 8X40 SHIPPING CONTAINER AS STORAGE
Other struct info PROPOSED USE STORAGE
Permit LAND USE PERMIT
Additional desc .
Phone Access Code 1191188
Issue Date 5/12/17 Valuation 0
Expiration Date . . 11/08/17
Special Notes and Comments
T/S: 05/12/2017 01 : 48 PM JBROCK ----
111 DEVROAH LN OFF OF US 401 N