LAND USE R 511-111 4 � '� eplication In5OC -t a4Q '
Initial Application Dale: �,/ CU#
A0 I I 4 �j* .'
COUNTY OF 46T RESIDENTIAL 893-75 25 LIGATION
Central Permitting 08 .Front Street.llllinglon,NC 27546 Phone:(910)893 7525 ext: Fax:(910)893-2793 wwwbarnalt.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. Melling Address:2550 Capitol Dr.Ste 105
Creedmoor NC 27522 919603-7865 Email: edward@wynnconstrucl.com
City: Slela:_Zip: Confect No:
APPLICANT':
Edward AverettMalting Address:2550 Capitol Dr. Ste 105
CreedmoorNC 27522 919603-7965 Email: edward@wynnconslruct.com
Clle:
Stale: Zip: Contact No:
'Please fill out applicant information If different than landowner
CONTACT NAME APPLYING IN OFFICE: /
J. Edward Averelt Phone#919 603-7965
•
Avery Pond Lot#: 3 I Lot Size
PROPERTY LOCATION:Subdivision: �'( - ZO/(/p
State Road# f7s W� State Road zNaame: ken/ /3LtI ✓/r ' — Map Book 8 Page: //9/42
Parcel 00 OkoS3 DTa'e% t ` PIN: 0VDS3 - 34 — cQQLH .6C
P,k3Dl31' 35/ 7b4F Duke Energy
Zoning:
Flood Zone: Watershed: Dead Book&Page: Q Power Company*:
*New structures with Progress Energy as service provider need to supply premise number
from Progress Energy.
PROPOSED USE:/ / Monolithic
11__ ,,�xxss �( ✓ Seaki2 )rawl Space: Slab:_Slab:
511 SFO:(Size Yxl p zM�)#Bedroom ' #Balns:✓ Basemenl(w/coo bath):_Garage:_ - -
(Is the bonus room finished?(_)yes ( )no w/a closet?( )yes ( )no(If yes add In with#bedrooms)
U Mod:(Size_x_)#Bedrooms_#Baths_Basement(w/wo bath)_Garage:_Site Built Deck:_ On Frame_OH 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? )
U 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: 1 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 (L(—no
Does the property contain an easements whether underground or overhead( )yes ( no
Structures(existingSln9te family dwellings: l Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks: Comments:
Front MInimum 35 Actual 3$ p �Ai I� l —r�1 RtP-
25 7 , l7 f1'
Rear
Closest Side 10 /I T
SldeslreeUcornerlot20
Nearest Building
on same lot Page 1 of 2 03111
Residential Land Use Application 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 to conform to all ordinan and laws of the$ to orth Carolina regulating such work and the specifications of plans submitted.
I hereby state that foregoin atoms a ccurate cor to the best knowledge. Permit sublet to revocation If false information is provided.
9 -
Signature of Owner or wner'a Agent Date
mit le 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 S months from the initial date If permits have not been issued"
Residential Land Use Application Page 2 of 2 03111
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