LAND USE Ibltlal APPMcstbn Derr Ia� Application* I 15m'4 I t 6 I
DRB# CUs
COMMERCIAL
COUNTY OF HARNETT LAND USE APPLICATION
Ge.i.Mme PMSal Ie E FnN Stan Le.eC 2154 IWF91 PO Pax 66 Lown NC 27546 Raw.N1el mats tpl 2 Fa1910)e46a7911 wa.nmetcre.IN.
WIDOWNEP:V P 6p0uk tz;v35 LL( Meiling Address:
City: Stale: Zip: Contact* Email:
APPucANr: rear 7i'tlwakc Mang Address: PoOroi.17
City:Hope wi U4 Swe:dLL_ZIpSCoolect 011 an as r 3 Emco: kT' J /ie}
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CONTACT NAME APPLYING IN OFFICErre OO VOf dl t Phone I al3S 17) asc 3 C d�
PROPERTY LOCATION:Subdivision: \J VALA+ Lot I: ay, Jot Size: I • / IG
Stale Road IIs State Road Name:B1.Sfrnlo La kr) Rn:L Map Boak&Page&ly0 / 1074
Parcel: h 3 csgi b3 6,&� p7o� lc PIN: CI c c 7— jS' y- 3CL'oec
Zoning(art" Flood Zoe: WaterahedM T Deed BoMEpaget2 /$ /810 7 Power company:
•New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LIWNOTON:
PROPOSED USE:
O NuN-Family DweE g No.Units: No.Bedroors/Unt
O Business S4 FL Retail Space: Type: I Employees: Hours of Operation:
O Daycare I Preschoolers: E Merachoolws: I Employees: Hours of Operation:
O IiMwuy
Sq.Ft: Type: *Employees: Hours of Operation
O Church Sealing Capacity: I Bathrooms: Kitchen:
Accessory/AddtorVO hes(Size_a )Use: Five /.,nw kS 1tM
Water Supply:—County _Edstirg Well New WNI(*ddwellings wing wed J *MUST have operable water before final
Sewage Supply: New Septic Tank(Complete Cheddy° _Existing Septi Tank(Compote C/reW48 —County Sewer
CommenternVern 1 -66 At Salt t* AY'. aria nit,galla -PaCtJo#K5
If pent are granted I epee to conform to all ordinances and laws of the Stale of Nona Carolina regulating such work and the specifications of plans submitted.
I hereby Kite that foregoing statements we accurate and correct to the best of my knowledge. Pennb subject to revocation II false Inomiaton is provided
are of Owner or Owners Agent Dat.
"This application expires 6 months from the EMS date If permits have not bean Issued"
A}ECDRDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)AND PIAT ME REQUIRED MIEN APPLYING FOR LAND USE APPLICATION