DOCUMENTS C 1
Initial Application Date: 8/9/2017 Application# I n �.�JccI"f' a 8'
DRB# CU#
COMMERCIAL
COUNTY OF HARNETT LAND USE APPLICATION
Central Permitting (Physical)108 F.Front Street,Lillington,NC 27546
9 (Mailing)PO Box 65 Lillington NC 27546 Phone:(910)893-7525 opt#2 Fax:(910)893-2793 www.harnett.org/permits
LANDOWNER: George White Jr. Mailing Address: 25 Wilderness Way
City: Round Rock State: TN Zip: 78664 Contact# 512-248-8455 Email: whiterock@austin.rr.com
APPLICANT*: The Winston 104 Group,LLC Mailing Address: 2323 Keith Hills Road
City: Lillinpton State: NC Zip: 27546 Contact# 910-814-4236 Email: ipriceconstructionCci).vahoo.com
*Please fill out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE: Tyrus Clayton,Jr.,PE Phone# 919-827-0864
PROPERTY LOCATION:Subdivision: Lot#: Lot Size:
State Road# 1532 State Road Name: Main Street Map Book&Page: /
Parcel: 110670 0054 04 PIN: 0670-98-4821.000
Zoning: RA-30 Flood Zone: No Watershed: Yes Deed Book&Page: 0826 /0754 Power Company*: Duke
`New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: Take Main St.north out of Buies Creek. Travel approx. 1.3 miles. Property is
on the left immediately past the exisitna Campbell Pointe development.
PROPOSED USE:
M Multi-Family Dwelling No.Units: 126 No.Bedrooms/Unit: 169
❑ Business Sq. Ft. Retail Space: Type: #Employees: Hours of Operation:
❑ Daycare #Preschoolers: #Afterschoolers: #Employees: Hours of Operation:
❑ Industry Sq. Ft: Type: #Employees: Hours of Operation:
❑ Church Seating Capacity: #Bathrooms: Kitchen:
❑ Accessory/Addition/Other(Size x )Use:
Water Supply: X 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) X County Sewer
Comments:
If permits are granted I agree to conform to all ordinances and laws of the State of North Carolina regulating such work and the specifications of plans submitted.
I hereby state that foregoing statements are accurate and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
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/9/0
Signature of Owner or Owner's Agent Date
**This application expires 6 months from the initial date If permits have not been Issued**
A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPLICATION