LAND USE R 2
Initial Applica5on Date:S +� / 1� 'w4 Plication# 1 n s-�./ / •g—
to 1 a,'� j 1Z�INTY OF HARNETT RESIDENTIAL LAND USE APPLICATIONPP
Central Permitting 106 E.Front treat, ilington,NC 27546 Phone:(910)893-7525 ext:2 Fax:(91 D)893-2793 www.hametl.orglpermits
4-4 � ' Lt'-14)t cross Cc.c.
A RECORDED SU VE P,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION'
'Er:Wynn Construction, Inc. Mailing Address:2550 Capitol Dr. Ste 105
City: Creedmoor Stale:NC zIp:27522 Contact No: 919603-7965 Email: edward@wynnconstruct.com
APPLICANT':Edward Averelt Mailing Address:2550 Capital Dr.Ste 105
City: Creedmoor State:NC Zip:27522 Contact No: 919 603-7965 Email: edward@wynnconstruct.com
'Please fill out applicant inlormatlon if different than landowner
JCONTACT NAME APPLYING IN OFFICE: Edward Averett Phone#919 603.77965 p
PROPERTY LOCATION'Subdivision: Avery Pond 11 Lot#: (7 S -Lot Size: /&a
State Road# q 20 _State Road Name:_ e PO$C £• Map Book&Page:20/4 / Zoe
Parcel: �1OSO6s3 40029 S PIN': 0(05-3-24 567D-000
Zoning: Flood Zone: Watershed: Deed Book&Page: / Power Company': Duke Energy
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE: 3 a'
�O �[ ✓ ter. / mar
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co
{d SFD: Size )#Bedroom
x e #Baths. Basement^^ryvo bath): Garage: Beek:✓ Crawl Space. Slab:_Slab
(Is the bonus roam finished?(001-yes _, no w/a closet?( 1 yes I )no(if yes add in with#bedrooms)
U Mod:(Size x )#Bedrooms_#Baths_Basement(wlwo bath) Garage: Site Built Deck: On Frame_Off Frame_
(Is the second floor finished?( )yes I )no Any other site built additions?( 1 yes ( )no
U Manufactured Home:_SW_DW_TW(Size x )#Bedrooms: Garage: (site built?_)Deck: (site built?_)
U Duplex:(Size x )No. Buildings: No.Bedrooms Per Unit:
U Home Occupation:#Rooms: Use: Hours of Operation: #Employees:
U Addition/Accessory/Other:(Size x,J Use: Closets In addition?( )yes (_)no
Water Supply: ✓ County Existing Well New Well(#of dwellings using well )'Must have operable water before final
Sewage Supply: ✓ New Septic Tank(Complete Checklist) Existing Septic Tank(Complete Checklist) County Sewer
Does owner of this tract of land,own land that contains a manufactured home within five hundred feet(500)of tract listed above?( )yes ( )no
Does the property contain any easements whether underground or overhead( )yes ( )no
Structures(existingpropose i Single family dwellings: ( Manufactured Homes: Other(specify):
� 1s))a3�1'l
Required Residential Property Line Setbac/ks: Comments: `Zprr�y-3 ���\��Syy I LJV'\ ` CArari.14. . O�
Front Minimum 95 Actual �/ 7 _ 1?,c 11:s t 0 3 (alel,_1 k �$'k.r
Rear 25 fall
' a-,
Closest Side 10 /7 '
Sldestreet/cornerlot 20
Nearest Building ._
on same lot
Residential Land Use Application Page 1 of 2 03/11
APPLICATION CONTINUES ON BACK
•
From HCCP right onto 210 Hwy. 3 miles, Left on 401 Hwy.for 15 miles
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON:
Left on Chalybeate Rd.for 1/3 mile,Avery Pond on the left
If permits are granted I agree • onfor to . ordinanc:: rid laws of the St a orth Carolina regulating such work and the specifications of plans submitted.
I hereby state that forego) teme.�jiaccur t • erre to the be knowledge. Permit surto r cation if false information is provided.
L / •
4111( • ture of Owner wner'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"
Residential Land Use Application Page 2 of 2 93/11
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Harnett Planning POS
188E Front Street
Lillington HC 27546
Telephone: 910-893-7525
*** SALES SLIP ***
Oper: 7BROCK Type: CP Drawer: 1
Date: 10/23/17 52 Receipt no: 127695
Seq no. 5172830
Merch ID N: 1802
Cross refill 82344588
Card no: ************3742
Card type: VISA CARD
Auth code: 01679D
Date: 10/23/17 Time: 16:09:57
Payment total: $25.00
CARDHOLDER ACKNOWLEDGES RECEIPT OF GOODS
AND/OR SERVICES IN THE AMOUNT OF THE
TOTAL SHOWN HEREON AND AGREES TO PERFORM
THE OBLIGATIONS SET FORTH IH THE CARD-
HOLDER'S AGREEMENT WITH THE ISSUER.
Willimi -
Signature:
HARNETT COUNTY CASH RECEIPTS
*** CUSTOMER RECEIPT ***
Oper: 7BROCK Type: CP Drawer: 1
Date: 10/23/17 52 Receipt no: 127695
Year Number Amount
2017 50041498
420 AVERY POND DR
FUOUAY-VARIHA NC 27526
B4 BP - ENV HEALTH FEES
$25.80
REVISION
WYNN CONST
Tender detail
CP CREDIT CARD 425.00
Total tendered $25.00
Total payment 425.88
Trans date: 10/23/17 Time: 16:99:57
** THANK YOU FOR YOUR PAYMENT **