LAND USE R Initial Application Date'. 1. 1 � Application#1 15004y ` D—
1-0 ara3uNCYra HARNETT RESIDENTIAL LAND USEAPPLICATION p
Central Permitting 108 E Front Street,Plimpton,NC 27546 Phone-(910)893-]522ext2 xe2 Fax:(910)0932993 w"'vS0.tMkt/permits
"ARECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LA OAP?
LANDOWNER. StaLAMQ t EN �t u.1 Y LLC Mailing Address:Adp1�Q FA 13 A I I I !�+ T'
City: l 11�(�^, �p��� Stab Zlaa9Contact No:JR.gl S 516n Email:`.ltdfOy(k Ogre Q FI(fat/,(,(f}
APPLICANTt I(J.,Y V"" Mailing Address. J J
City State: Zip. Contact No. Email'.
'Please fill out applicant inlormation if different than landownera'nd '' ""''..,,.. ''MM (Q� QQ11 Q�s
CONTACT NAME APPLYING IN OFFICE3-0.- � 1�fa.xvtfyc7L__ Phone# °IIq-{UIOrt-t�cl6 /2
PROPERTY LOCATION:Subdivision:io1 1OT \I fI• ,ArS.LIILL�Y-I�/1I Vt Si,�'1 Lot#: 1 Lototsize:: 1./ 3^)1
State Road# L ®'5'td Name: 3ohn4an l D +td1���JJJ���11 ri Map Book&Page:g(0) / I /q�
Parcel. �Pit.
Q f PIN: `3- SIL ins 3 Dula
/�
Zoning'- Pi Flood Zone- 04 Watershed. SO Deed Book&Page.3+i3, 514.Power Company': 0u1.1 Pro'C.54
'New structures h Progress Energy as service provider need to supply premise number from Progress Energy.
PRO OSED USE:
/ �1 Monolithic
SFO.(Size 81 x 4)#Bedrooms#Baths:et�(,Basement(w/wo bath). p/ Garage: ( Deck: AglITha Slab: Slab.
(Is the bonus room finished?( )yes (_)no w(a closet?( )yes ( )no(if yes add in with#bedrooms)
J Mod:(Size x )4 Bedrooms #Baths_Basement(w/wo bath)_Garage' Site Built Deck:_ On Frame Ofl Frame_
(Is the second floor finished?( )yes ( )no Any other site built additions?(_)yes ( )no
J Manufactured Home: SW DW TW(Size )#Bedrooms: Garage. (site built? )Deck'. (site built? )
3 Duplex.(Size x )No.Buildings. No.Bedrooms Per Unit:
3 Home Occupation.#Rooms: Use Hours of Operation. #Employees.
❑ Addition/Accessory/Other-(Size x )Use' Closets In addition?()yes (_)no
Waler Supply. County Existing Well New Well(#of dwellings using well )'Must have operable water before final
Sewage Supply. j. 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 hundredu` feet(500')of tract listed above?( )yes 1 X no
()
Does the property contain any easements whether underground or overhead yes ( N, no
Structures(existing or proposed) Single family dwellings Manufactured Homes: Other(specify). _
Required Residential Property Line `LJ Setbacks: �-(� Comments:
Front Minimum, Actual!Tk `
Rear Q.5
Closes)Side f ‘.
Sidestreet/corner lot
Nearest Building
on same lot
LL V r - r APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: 210 kut -itS ca- 31:00+4
chy � tui n Q G Olt s I It4,6_l cSh e�-F- — 441j c
IOPraril PS )N4.sr\ Caen - Rnaj — -firkin,A awt- (cmr14 \
or
ESS Or / Wry,?igc 6lvtc40n COV 'SIG
If permits are granted I agree to conform to all ordinances and laws of the Slate of North Carolina regulating such work and thoplans submitten.
I hereby state that foregoing statements a ase accurate a at totthi est of my knowledge. Permit suble to r cation if false information is provided.
Signatueppi•1u11Owner ne
or >�4gen te
1114 f/l/
—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"
_
SITE PLAN A/P�P J,�VAL
grill
1 ' L'
DISTRICT�1-�'Q USE
- CUSTOM HOME DESIGNS
EBEDROOMS-----.3
- FF - Zoning s .i \ SOQ!!PT l9 W�.� 6�/
T14)+24:1-i1 -
Lot I
1" C01:NTY LINE ROAD
JOHNSTON COUNTY
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