LAND USE R erao P
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Initial Application Date: f ---1 +a pplicabon#
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O I pL k I I 'COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION CUP
Central Permitting 108 E.Fr nt Street,Lillington.NC 27546 Phone:(910)893-7525 ext2 Fax:(910)893-2793 www.harnettorg/permits
"A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)8 SITE PLAN ARE REQUIRED WHEN�1I SUBMITTING A'L`AND USE APPLICATION" r
LANDOWNER. LA mice) Ho vi-G S Mailing Address: 14 2.N C1'h>p{) P'II lrt4 c1.,-/ ;2o3
city: W)-e-)1^ State:WLzip: 4'16 CnContact No: (I 14) 13511x'Email: %Akin co°AVID t.:10 a IOC".s Dg frit.I
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APPLICANT":
-50 Mailing Adtlress'.
City: State: Zip: Contact No: Email:
'Please fill out applicant information if different than landowner �-{'''
CONTACT NAME APPLYING IN OFFICE: h L. /� `�3 VC Phone d et Ic1q) `135- 9 is z
PROPERTY LOCATION:Subdivision. \ 1'12 C L'11C F'q /� L Lot#. Lot Size:/ �w� Int �/,?
State Road## / /y State Road(N:am ?fob \C o 1 et& / nCOLif �s rz Map Book 8Pag 7T(7 17 13
Paredoc_t/\01V7a b .0 7 ,c1 x/1 PINOgr7; '6o-3s or 1
Zoning:RAY) Flood Zone: X Watershed: A,.l9 Deed Book 8 Page': 3-')) AICj Power Company'': 1) .-l'CG Rp'e01
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPO ED USE:
m// Monolithic
SFD (Size`F/Tx ��#Bedrooms 3 #Baths:Z Basement(w/wo beta): Garage: Deck:✓ Crawl Spa Slab. lab:
(Is the bonus room finished?()yes ( )no w/a closet?( )yes ( )no(if yes add in with#bedrooms)
❑ Mod.(Size x )if Bedrooms_#Baths_Basement(wtwo 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. J County Existing Well New Well(#of dwellings using well )'Must have operable water before final
Sewage Supply: 1--"....1t;Septic Tank(Complete Checklist) Existing Septic Tank(Complete Checklist) County Sewer
Does owner of this tract of land,own land Uat contains a manufactured home within five hundred�feet(500')of tract listed above?(_)yes no
Does the property contain any easements whether underground orrooyrhead( )yes ( n`1"o
Structures(existing or proposed):Single family dwellings: (/ Manufactured Homes: , ` Other(specify)."
Required Residential Property Line Setbacks:
� I I /�Comments: R�A,—)N 1'I On /v O t cF ,
Front Minimum 3S Actual d'—T'7 q . ea,L3'-le -' �e ett (J Eli
i
Rear OS 1122 ' !y-1 a s CI TCN
Closest Side t1..7 �6 r e/
Sldestreet/cwner lot
Nearest Building
on same lot
Residential Land Use Application Page 1 of 2 03/11
APPLICATION CONTINUES ON BACK
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SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: < /-frN', l/O 6`�^ r/r
I'N 2/511 eget ss 46 7 trifler �uvn Ivcf„'-F ot-t
pid Rkrer Croak feat yo 3Malas Oray/amA.4, oG �.y111-
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.
lure of Owner or Owner's Agent Date
"'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"
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Residential Land Use Application Page 2of 2 03/Il
Lamco Custom Builders, LLC
Lot# 4, The Creek
SITE PIAN APPROVAL.
974A30_ uSEST?)
231.83'
tnC,
C,
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47,
o? 1c6
I�, 24'
2>
BrookV Ct.
GRAPHIC SCALE
1 " = 40'
40' 0 40' 80'