LAND USE R Initial Application Dale: ' / +e. it r q4/11ri plication# I ISoO4 I �(
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I3 'COUNTY OF HARNETT RESIDENTIAL LAND USEAp (CATION
Central Permitting 108 .Front treat,Llllington,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. Marline Address:2550 Capitol Dr. Ste 105
city: Creedmoor Slate:NC Zip:27522 Contact No: 919603-7965 Email: edward@wynnconstruct.com
APPLICANT':Edward Averett Mailing Address:2550 Capitol Dr.Ste 105
City: Creedmoor Stale:NC Zip•27522 Contact No: 919603-7965 Email: edward@wynnconstruct.com
'Meese fill out appltcanl information'Waren'than landowner
CONTACT NAME APPLYING IN OFFICE:J. Edward Averett Phone#919 603-7965
PROPERTY LOC�ATIIO7N'�Suhdivision: Avery Pond ������ � Po 1 br Lot#: 37 -Lot Size: .i•37
State Road# 1. [ 1 State Road Name:_ fit)er1 ri 6,-!? .s/ Map Book B Pager/L/ LOf
Parcel: fT�090/o,s,3 002? .5,5•J ,PIN: OEas�J-.24L( (6 OD
Zoning: 2A3D Flood Zone: •Y Watershed\/A Deed Book&Pag3St / 7E/ `Power Company': Duke Energy
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE: S
&J '(A, / Moo ....
Q( SEE):(Size. 1. O)#Bedroomsl#Baths:�' Basemenln.dyyo bath):_Garage: ✓ Beek: Crawl Space:/Slab: Slat
(Is the bonus room finished?I res _,nc w/a closet?(✓I yges ( )no Of 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?U 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?L j yes (_)nc
Water Supply: ✓ County Existing Well _New Well(#ofdwellings 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 live hundred feel(500')of tract listed above?(_)yes (_)no
Does the properly contain any easements whether underground or overhead( )yes ( )no
Structures(existing orreposed Single family dwellings: ` Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks: Comments: "'11 (a) 1 1
/ �LLL��� ��p�� �� r�.r-.� nr r� ^I
Front Minimum 35 Actual_3 p_ / I `x.c"l — u
Rear 25 .j t l '
Closest Side 10 /2,_
Sldestreet/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 tulles
Left on Chalybeate Rd.for 1/8 mile,Avery Pond on the left
If permits are granted I agree • onfor to ordinan nd laws of the St e odh Carolina regulating such work and the specifications of plans submitted.
I herebystate that tore of lame a accurate orre to the be knowledge. Permit sublecl to r v cation If false Information is provided.
9
lure of Owner oar's Agent Dale
"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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