LAND USE R 14:44
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Initial Application Date; ( i ti15, t,tf:., pglipation# I ri SCJ 9 l —(0 G.,1 , COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Lillington,NC 27546 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.harnett.org/permits
"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 Contact No: 919 603-7965 Email: edward@wynnconstruct.com
APPLICANT*:Edward Averett Mailing Address:2550 Capitol Dr.Ste 105
City: Creedmoor State:NC Zip:27522 Contact No: 919 603-7965 Email: edward@wynnconstruct.com
*Please till out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE:J. Edward Averett Phone#919 603-7965
PROPERTY LOCATION.Subdivision: Avery Pond
Lot#:_6-Y
=Lot Size: /
State Road# 3 LP (0 State Road Name: ,fipOAi a. tr. Map Book&Page: 20/4 /2•40/
/
Parcel: OS O 6S3 1OZ? 6 3PIN: O(n$3-Zb qq3rtO
Zoning: Eft30 Flood Zone: Watershed:K...JP Deed Book&Page3*5 IsZb/70'( Power Company*: Duke Energy
*New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
/ /�� / �,/ (� �f t1 Monniithi
VI SFD:(Size 450 x t�0)#Bedrooms:!#Baths:z'./Basement('"!yw bath): Garage:✓Peek: Crawl Space._ _Slab:_.Slab
(Is the bonus room finished?( yes _, no w/a closet?( )yes ( )no(if yes add in with#bedrooms)
❑ 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
❑ Manufactured Home:_SW_DW TW(Size x )#Bedrooms:_Garage: (site built?_)Deck: (site built?_)
❑ Duplex:(Size x )No.Buildings: No.Bedrooms Per Unit:
❑ 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: ✓ 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 'r propose.):Single family dwellings: t Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks: . Comments:
`6 1 1 — t2-e�It 1 ce-• '
Front Minimum 35 Actual ‘.›0— r
Rear 25 /SD.Z I 115 a • _.t0 S
10 15:6 ./
Closest Side _
Sidestreet/corner lot 20
Nearest Building
on same lot
Residential Land Use Application Page 1 of 2 03/11
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 •• onfor to . ordinanc:. •nd laws of the St- e . orth Carolina regulating such work and the specifications of plans submitted.
I hereby state that foregoi : teme. accurate . . orre• to the be t�`, • knowledge. Permit subiect to r v cation if false Information is provided.
;� - , ,/ , ' .�
s .tura of Owner o I wner's Agent Date
j0e
***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**
Residential Land Use Application Page 2 of 2 03/11
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