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LAND USE R Initial Application Date U. I 90 I I Application# I1 Lh)4 1453 F CU# COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION Obntral Permitting 108 E. Front Street.Lillington,NC 27546 Phone: (910)893-7525 ext2 Far(910)893-2793 i'HairrvW Amettorg/permits ^A RECORDED SURVEY MAP.RECORDED DEED(OR OFFER TO PURCHASE)B SITE PLAN ARE REQUIRED WHEN SUBMITTING A,LAND.YSEAfPLICATION" LANDOWNERSOIL4AR Y n bLAAAt LLC_ Mailing Address:Pp e1 P ArIC I I i __r City. htorn\ Stat Zi 9Contact No. I 19•8108-el Email:`tr11&flLSy Q.YN.IJG/ifl4JAI /,ct(� APPLICANT':Sawa- Mailing Address: City. State: Zip: Contact No: Email. 'Please fill out applicant information if different than)U-\alandownernd `` (� CONTACT NAME APPLYING IN OFFICE: es K Y)ASQi Phone qlq—Biqa—acig /�j PROPERTY LOCATION:Subdivision. I10T \In �S� to /n1(�—Vt�5 t_£P' Lot ft Lot�YSizeq/. JAYp State Road# i5"-I State Road Name. l)06.sDVY\W WvU i �00.t� Map Book&Page.POI 11 fq0 Parcel �Do111,03 0030 0 3 _ PIN: Iti0013-'3O-914i 7� y Zoninggipa n Flood Zone Watershed. [J 0 Deed Book 8 Page:3+ 13/ 574 Power Company': DIA H Pro e_s` 'New t tut-r ith Progress En g as service provider need to supply premise number from Progress Energy. PROPOSED USE: #�Q �J abartme SFD.((Sizen I x p 8etlrooms„]-, Baths'.�Basement(w/wo bath): 02 Garage ' Deck Crawl s ao-O Slab: Sl _Slatr._ (Is the bonus room finished?( )yes ( )no w/a closet?( )yes (_)no(if yes add in with#bedrooms) J Mod: (Size x )If Bedrooms #Baths Basement(w/wo bath)_Garage:_Site Built Deck: On Frame Off Frame (Is the second floor finished?()yes ( )no Any other site built additions?( )yes ( )no 3 Manufactured Home: SW DW TW(Size x )#Bedrooms: Garage. (site built?_ )Deck: (site built? ) J Duplex (Size x )No.Buildings No.Bedrooms Per Unit: IJ Home Occupation:It Rooms' Use Flours of Operation. #Employees: Addition/Accessory/Other:(Size )Use: 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 (�G no Does the property contain any easements whether underground or overhead( )yes (1.)no Structures(existing or proposed) Single family dwellings: 1 Manufactured Homes: Other(specify)'. Required Residential)Property Line Setbacks:back, ^ Comments: Front Minimum:1/4e.... Actual d3 WLP Roar aS a Closest Side 16 SidestreeVcorner lot Nearest Building on same lot APPLICATION CONTINUES ON BACK SPECIFIC DIRECTIONSIL � TO THE PROPERTY FROM LILLINGTON: 2-I 0 -6 YSytwu_\ l fV at 3l9IM1�vv-1 _ 41A 41 % � n © A* VAC I NPS cSiY'(LJeA— —Y i c UUU bP �P S Tn itin. Casco R(IAA - iyixvP A (NJ- Co trifle } prbetf4t VI. oil Civoxe - I&f V'K✓ 7V r /Of .Z V 3/ 59 Jah,l.Sibn tail)f - If permits are granted I agree to conform to all ordinances and laws of the State of North Carolina regulating such work and the sped6ca tills of plans submitted. I hereby state that foregoing statements aurate a of to tb est of my knowledge. Permit subfe to accation if false information is provided. Signature Owner or ear' &gen tool "9t 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" I ILA1\ SITE " NAPPROVAL CUSTOM IIUMC DESIGNS DISTRICT\'517-"L(� USE `�`�LL 4BEDR00MS_-_ __- wf)Aesn ©w-+ LLL all-16 .- lot 2 ig Al w. ramr COUNTY LING ROAD JOHNS I'ON CO N'TY e40a' _1oi