DOCUMENTS Harnett
COUNTY * ® � .kt EmergingServices Mn
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Application for Plan Review
1 Application# 111 -SOO 14aDS
Date Received: . ) ) � � �� "Recceiivved/Byy: 1� /� )'(
Name of Project: 4-SC r p 1 1 ei _A_vI ' 1 �(n v rnQ�,I `,Qs,/ ,p I
Physical Address of Project: I I ( Q ill C k_(ay V
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Plans Submitted By:
Project Phone: ( )- -
Contact Person/Address:
Contact Email:
Contact Phone:
Contractor's Name/Info:
Contractor's Phone:
• Plans that are submitted will be reviewed as quickly as possible with an average time of review
between 7-10 working days.
• Status checks may be conducted on plan reviews by visiting the website
httD:llhteweb.hamett.orgfClick2GovBPllndex.isp or by calling the Harnett County Central Permitting
Office(910-893-7525, Option#2),or the Harnett County Fire Marshal's Office (910-893-7580).
• Approved plans must be picked up from the Central Permitting Office and all fees paid before any
required inspections can be conducted.
u44fro^ TOWN OF LILLINGTON
o ZONING PERMIT APPLICATION
i sr Pimwng a Impediam Depanmem
36* 106 West Front Street,PO Box296 LIIIIngton NC 27546
CASA •phone 9104193.0311 Jar 910-893-3693
1IIBngmnne.org
APPLICANT INFORMATION:
Applicant: ACC f1/4-L-4 C-Ah.4.4/4 Ch(`tS W'n't WTh
Address: ?b
City: rCt-11\ ercw-}t. ym State: AOL Zip: 2-154 Le
Phone: 9\() ISCI3- 1 C 3B Email: f ab\hr14Shea@ hnrrt44. urco
Property Owner(if different from applicant): AC-4.0 f\t-\4 Cli)un-E.r 0
Address: P nlX 154
city: � l\\r(Nryt-o r--, State: Ic)C Zip: ,�7
Phone: Email:
PROJECT TYPE:
Zoning Permit Requested: 7'Land Usage(new business,etc.) ✓ Construction
Proposed Use Requested: Residential Structure /Non-Residential Structure Accessory Structure
Business Swimming Pool Manufactured Home Home Occupation _Deck/Porch
Renovation/Repair y/ Other; {Y\b 6.•
GENERAL PROJECT INFORMATION:
Project Address/Location: \\C71Th M LICH
Subdivision(phase/lot number): l Zoning District: IACD,J1 1-rp fecal
Size of Property(in acres): CDU. S Harnett Co.Tax PIN T: n SSFi -957-19/1-11'000
Special Flood Hazard Area: ✓)Yes No of Yes,a Floodplain Development Permit may be required)
Watershed Information: .,Not located in one Cape Fear-Critical Cape Fear-Protected
Project Square Footage: 13 1 bU .Y .r-i. Project Impervious Surface Area(sf):
Town Jurisdiction: In-Town Limits .ETJ
DESCRIPTION OF WORK:
Descrrinptionn of work to be completed for this project:
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For Land Usage requests,please describe the proposed use in detail(sample:provide a detailed description ofproposed business)
SIGNATURE:
I/we do hereby certify that all information given above is true,complete and accurate to the best of my/our knowledge.
I also authorize the Town of Lillington or a contractor on behalf of the Town to conduct a site inspection to insure
compliance to this application. I also understand that this Zoning Permits will expire six(6)months from the date of
issuance,if the work is not started. A final inspection is required for all development permits issued by the Town of
Lillington. To schedule an inspection,please call 910-893-2654.
S jilt cc )Acs n I I 14 e1
Applicant Print Name pplicant. nature Date
FOR
�TOWN
_OF LII.LINTON USE ONLY
_to PPsa•al _Denialerms[N bar: /� / -
Administrator's Signature' "9 Date: Q ! -17
Rasion for Denial: