LAND USE R Initial Application Date: Appli tion# I 1. IN
D ISTcue
OUNTY n, 27546T RESIDENTIAL LAND 25E APPLICATION
Central Permitting 108 E.Front Street.Ullingfan,NC 2]548 Phone:(910)893-7525 ext2 Fax:(910)693-2793 www.hamelLorg/permits
"A RECORDED
�SU�RVEEY.MAP,REC
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`D,DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMIIl11G A LAND USE APPLICATION"
LANDOWNER: I r UT7 11\ 1 Yi VL O �— +^ 't Mailing Address:
City � ' 1 State:_Zlp: Contact No: 2 ` Email:
APPLICANT': IL )Id- LLL Mailing Address: #SJLb/a(2�/7CA/f��-.�1 Lt—s. t'a'i1ra AUL S4-4Z
City: CArnipe lean state: Neap:Z)4IO Contact No:Q 1i2 QGS.t.AC4 Emen'tA' i+ g i s AA r wJUj;
*Puma di out applicant information if different than landowner •�J
ler 1— nuom •COt4%
CONTACT NAME APPLYING IN OFFICE: { _26LICI t7 phone# �LQ-4QS-'Sc.' SC/
PROPERTY LOCATION:Subdivision: ��n•�J.CCI
sion:_ 010-\/4\I—51C30,-- k
Lot#: Lot Size'(338.
State Road#Rllnc(.1: State Road Name: l'C3‘ ��a_Dr. T Map Book&Page:fled /et/a
Parcel: rr���n�� 5A•ntOZ 'y� PIN: Lh SGs.•�SG'(0Zv 1 L�
Zoning:1 RO OFlood Zone: X. Watershed: Deed Book 8 Page: 14411 / IS Power Company':'A 1i31.5*QAU.LI9 vrc,
'New structures with Progress Energy as service provider need to supply premise number
from Progress Energy.
PROPOSED USE: � Monobthic
/'v SFD:(Size(-1l1 x`R��nn1)#Bedrooms4 #Batheg_�Basement(w/w0 bath)_Garage:\I Deck:U Crawl Space:_Slab:_ _Slab: X
(Is the bonus room finished?( )yes ( )no w/a closet?( )yes ( )no(dyes add in with#bedrooms)
❑ Mod:(Size_x 1#Bedrooms_#Baths_Basement(whoa bath)_Garage:_Sits Built Deck:_ On Frame_OR 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:_(s#e built?
❑ Duplex:(Size x )No.Buildings: No.Bedrooms Per Unit
❑ Home Occupation:#Rooms: Use: Hours of Operation: #Employees:
❑ AdditlarvAccessorylOher:(Size_x )Use: Closets in addition?( )yes (J no
Water Supply: V 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) x 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 (1)no
Does the property contain any easements whether underground or overhead(1)yes ( )no
Structures(existing oro :Single family dwellings: I Manufactured Homes:
�-, ^�Q
Other(specify):
Required Residential Property Line Setbacks: Comments: ZO—N-1�.3`'v-'� L�`QC
Front Minimum '7 Actual
Rear L� �1(o. L
Closest Side �-� i
Sidestreetcomer lot 2.0
Nearest Building •
on same lot
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON:'I /ZYZ All. 17W(..‘ 7105 ��.e.._.
LQ G1 C)n oh. mYVinS* tk,ran -Corm 2. ons 6. Col/4-6f.
If permlis 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 foregoing s ements are accorets and correct to the best of my knowledge. Permit subject to revocation If false Information is prodded.
Signature of Owner nets Agent Dab
"it Is the ownerlapplicents reeponalbility 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 Sass appl
"This application expires 6 months from the Initial date if permits have not been issued"
APPROVAL FOR STAKING:
THIS PLOT PLAN BY RESIDENAL LAN
S CORRECT AND AS IS HEREBY PREPAREDISFORA STAKING ONRTHEES,
(DATE SHOWN BELOW.
r S.LY5 WADE JURNEY HOMES REPRESENTATIVE DATE
xA,LE � NOTE
ALL DIMENSIONS, LOCATIONS AND FEAnJRES SHOWN ON
THIS PLOT PLAN ARE APPROXIMATE AND ARE ONLY AN
ARDSTS RENDITION, EXACT LOCATION OF ALL FEATURES
S ggHW AO ARE SUBJECT TO CHANCE AND MAY NOT BE INSTALLED
LL
EXACTLY AS SHOWN ON PLANS AND/CR IN MODELS,
PLACEMENT OF HOME. DRIVEWAY. SIDEWALKS AND
EXTERIOR FEATURES ARE SUBJECT TO MODIFICATION AS
DEEMED NECESSARY BY FIELD PERSONNEL.
CUSTOMER DATE
I
VICINITY MAP \ CUSTOMER DATE
Not To Scale G
�'
oN'T
SETBACK$ p01 p I\ WADE JURNEY REPRESENTADVE DATE
FRONT - 35! 8
REAR - e IMPERVIOUS SURFACE AREA
SIDE - 10'0.
CORNER SIDE - 20' DESCRIPTION AREA
HOUSE w/ PORCH 1,780 S.F.
I I` DECK/PATIO/HVAC 27 S.F.&
.111
Jr DRIVEWAY WALKS 657 S.F.
1TOTAL (PROPOSED)= 2,464 S.F.
LL r 4 ? LOT AREA = 25,359 S.F.
-I `I
% IMPERVIOUS AREA =9.7%
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