LAND USE R InitialApplication Date: oc' I .a) ) 1 6 ;$e pp I r ) t -j-Orr-69
( / 6 g EEa448"' Application#
DRB# CU#
COMMERCIAL
cenaal Permmio COUNTY OF HARNETT LAND USE APPLICATION
B (Physical)1 DOE.Front Street Langton NC 27546 Waling)PO Box 65 Lglinglon NC 27546 Phone(910)8917525 ow M 2 Fax.(910)893@793 avow hornet org/permits
LANDOWNER: Harnett County School Mailing Address- 1500 South Main St.
City: Lillinaton State: Zip: 27546 Contact# 910-893-4808 Email: roregory1(�harnett.K12.nc.us
APPLICANT': Harnett County School Mailing Address: 1500 South Main St.
City: Lillinaton State: Zip: 27546 Contact# 910-893-4808 Email:rareaorvleharnett.K12.nc.us
*Please fill out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE: Rodney Gregory Phone# 910-985-1003
PROPERTY LOCATION:Subdivision:215 Maynard lake Rd. Lot#: Lot Sizzeet
State Road# n a4 State Road Name: Maynard Lake Rd. : L./ 7,
2-�� n r I\ n,,� y� r1 /�� CMap BookBPage.
Parcel'. 0-Q \ 1 gLJL-JL_z PIN: )6i — fl — t s59 •!)a)
Zoning: Flood Zone: X Watershed Deed Book&Page:(G. /013+ Power Company:
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: Take NC 426 East out of Lillinaton go about 15 miles turn Left on to Maynard Road
School on Right main entrance
PROPOSED USE:
❑ Multi-Family Dwelling No. Units: No.Bedrooms/Unit:
❑ Business Sq.Ft.Retail Space' Type: #Employees: Hours of Operation:
❑ Daycare #Preschoolers: #ARerschoolers: #Employees: Hours of Operation:
❑ Industry Sq.A: Type: #Employees' Hours of Operation:
❑ Church Seating Capacity: #Bathrooms: Kitchen:
❑ Accessory/Addition/Other(Size 24 x 36 )Use: Mobile Classroom
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
Comments:
S4r\OSA\ Qc �pq--r - 1-kA-€ t.,;1� n1.av, '
ln5 un
l o- Lo • Irl - 1 -k w co-n> A,_,a-C.c( --eQ 1.1 C I-{ S Curt(-(
If permits are granted 1 agree to cdnform 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.
��,�/L� (-- 2 - I - -
nature ol.Ownor r Owner's Agent Date
/"This application expires S months from the initial date if permits have not been issued**
A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPLICATION