LAND USE R Initial Application Date"fG Imo! 11 6 SCANNED Application# ' SD J-1a'CQC J
1 V t u)fI I' 1 COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
f.
Central Permitting 108 E.Front Street,Lillington,NC 27546 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.harnett erg/permits
"A RECORDED SURVEY MAP.RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
LANDOWNER:H&H Constructors of Fayetteville, LLC. Mailing Address:2919 Breezewood Avenue, Ste.400
City: Fayetteville State NC Zip,28303 Contact No: 910-486-4864 Email: leannahair@hhhomes.com
APPLICANT":H&H Constructors of Fayetteville, LLC. Mailing Address:2919 Breezewood Avenue,Ste. 400
City: Fayetteville State:NC Zip:28303 Contact No'. 910-486-4864 Email: leannahair@hhhomes.com
"Please fill out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE:Leanne Hair Phone#910-486-44864 /,,^/���p(
Oakmont lay Lot Size: tC
PROPERTY LOCATION:Subdivision: Lot# Iy��I- I 1 I
State Road
#(1116 pp//�� State Road/� Name: Docs Road //���� I ' //__ Map Book&Page20/10/ q
Parcel:OE Fa oI 'oat 'ill PIN': t,J� l1i —q t4 -W4is&
Zoning:RA-20R Flood Zone: • Watershed: NO Deed Book&PageSower ower Company Central Elec.
*New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
iyNlla 4nolhhic
co SFD':(Size 9l 1 x 1#Bedrooms. #Baths.s. asement(wlwo bath):_Garage:Deck: Crawl Space:_Slab:_Slab:
(Is the bonus room finished?( )yes (_)no w/a closet?( )yes ( )no(if 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?(__)yes ( )no
❑ Manufactured Home. SW DW_TW(Size x )#Bedrooms: Garage: (site built? 1 Deck:_(site built? 1
❑ Duplex.(Size x 1 No. Buildings: No.Bedrooms Per Unit:
U Home Occupation:#Rooms: Use: Hours of Operation: #Employees:
❑ Addition/Accessory/Other. (Size x___)Use: Closets in addition?(__ )yes (_)no
Water Supply: ✓ 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(5001 of tract listed above?( )yes Of)no
Does the property contain any easements whether underground or overhead( )yes (I)no
Structures(existing o • epos:t :Single family dwellings:Proposed Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks: Comments:
Front Minimum 35 Actual10'
Rear 25 -15A'
5/10 Q01
Closest Side
Sidestreet/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: Take Hwy. 27 to Docs Road,turn left,go about 1.5,turn let into
subdivision.
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 forego statements are accurate and cor ct to the best of my knowledge. Permit subject to revocation if false information is provided
•
aka...I �
Signature of Owner or nor's Agent ate
***ft 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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LEGEND
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