LAND USE R Initial Application Date: 3/01-3/1 iti Application# I r)JL V Y/O • t
II 1 U / COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108E Front Street,Lillington, NC 27546 Phone: (910)893-7525 ext:2 Fax:(910)893-2793 www.harnett.orglpermits
"A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
LANDOWNER:Wynn Construction, Inc. Mailing Address.2550 Capitol Dr. Ste 105
City: Creedmoor State:NC Zip:27522 Contac)No 919 603-7965 Email: edward@wynnconstruct.com
Edward Averett 2550 Capitol Dr. Ste 105
APPLICANT': Mailing Address.
City: Creedmoor State:NC Zip,27522 Contact No: 919 603-7965 Email. wiom
*Please fill out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE:J. Edward Averett Phone#919 60//3-79965 /
PROPERTY LOCATION: Subdivision: Avery Pond {wy //�� Lot#:{O 7 Lot Size: •60
State Road# 2-92- State Road Name: //LlC_V J PON Lr- Map Book&Page.Z�6 I/I///9L
Parcel. O�BbS3 00if
7 Cil PIN:
/ PIN: 0L(03'3 - 37- 309S• ooO
Zoning 1'K'�.'ilFlood Zone: k. Watershed:^ A Deed Book&Page. Lit? Power Company: Duke Energy
*New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:I f --- t
�/Cq Manthjti
ati
//.��.
d SFD: (Size 4 V xjjV )#Bedrooms #Baths Z• Basement(wlwo bath):_Garage' ✓ DNR_Crawl Space:_Slab:_Slab-
(Is the bonus room finished?(_)yes ( )no w/a closet?( 1 yes (_)no(if yes add in with#bedrooms)
U Mod:(Size x )#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
O Manufactured Home: SW_DW TW(Size x )#Bedrooms: Garage: (site built?_) Deck' (site built?_)
U Duplex:(Size x )No. Buildings No.Bedrooms Per Unit.
U Home Occupation:#Rooms: Use: Hours of Operation: #Employees'.
❑ Addition/Accessory/Other:(Size x )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: I 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(_)yes ( )no
Structures(existing or pr• a family dwellings: fadured Homes Other(specify):
Required Residential Property Line Setbacks:,
I,11. Comments:
Front Minimum 35 Actual ✓�-�_ 1 ' L
Rear 25 ryvp, v L‘103.5
Closest Side 10 /�r•j f
Sidestreeticorner lot 20
Nearest Building
on same lot
Residential Land Use Application Page t of 2 03111
APPLICATION CONTINUES ON BACK
•
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: From HCCP right onto 210 Hwy.3 miles, Left on 401 Hwy.for 15 miles
Left on Chalybeate Rd.for 1/8 mile, Avery Pond on the left
If permits are granted I agree to conform to all ordinance d laws of the State f North Carolina regulating such work and the specifications of plans submitted.
I hereby state that foregoin tem s a ccurate a rr to the best o knowledge. Permit subject to revocation if false information is provitled.
3 - /�
S gnature of Own or Owner's Agent Date
"'It Is the ownerlapplicants 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 2of2 013/11
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