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LAND USE RR Application# I ��a'gu) l Initial Application Date: M�. \\ 3 I I� APP C #• OUNTY On, 54RESIDENTIAL( 0)893-7 U25 a :2APPLICATION Central Permitting 108 E.Front Street,Lillingtan,NC 27546 Phone:(910)89&7525 ext:2 Fax:(910)893-2793 www.hemett.arg/permits 'A RECORDED SURVEY MAP,RECORDED DEED(OR OFFERTTO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMRTWM' G A LAND USE APPLICATIO OR � LANDOWNER: I ' HST )1m I �,0 f/id Mailing Address: City: State:_ap: Contact No: Email: APPLICANT*: Lti tILLC ta—� Mailing Address:.5305 Ebak-1 Lteircl AUL 54-C. City: Cerr1J$S 10/11'b State:Ayup:Z4 Contact No:QIQ QGSaeG Bnail:Thkal2_m/J AR .Ir1 R, `Please fill out appacant information if diferent than landowner (no 11Ks.CvovF CONTACT NAME APPLYING IN OFFICE: ° { l�vreA..Y/GI�_ I,,YZ Phone# 414-G45-SLR Se--IIp PROPERTY LOCATION:Subdivision:_ O,f& \L Skill Lot#: 4 1 Lot Size:O 5 �l State Road#ZZl�l State Road Name: l'nIA\L, Q_o' Map Book&Page:L e.I /eda Parcel: �C'1O�F1'6lee 'LAS- PIN: CS SG'8G '1gZ61 Zoning:l VTlf I Flood Zone: x Watershed:—Deed Book&Page: I41-1(A i CC{S Power Company':arc 'New structures wlm Progress Energy as service provider need to supply premise number - _ _from Progress Energy. PROPOSED USE: Monolithic SFD:(Size 14t\ x"M )#Bedrooms4 #Bama� Baaement(w/wo bath):_Garage:lI Dedc:A) Crawl Space:_Slab:_ _Slab: X (Is the bonus room finished?( )yes ( )no w/a closet?( )yes ( )no Oct yes add in with#bedrooms) ❑ Mod:(Size x )#Bedrooms_#Baths_Basement(wiwo bath) Garage: Site Built Deck: On Frame Off Frame_ (Is the second floor finished?U yes ( )no Any other site built additions?( )yes ( I no ❑ Manufactured Home:_SW_DW TW(Size x )#Bedrooms: Garage: (site built? I Deck: (site built? ) ❑ Duplex:(Size x )No.Buildings: No.Bedrooms Per Unit: ❑ Home Occupation:#Rooms: Use: Hours of Operation: #Employees:_ • Addition/Acce ssory/Other(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 and,own land that contains a manufactured home within five hundred feet(500')of tract listed above?( )yes (J no Does the property contain any easements whether underground or overhead( )yes ( )no Structures(existing oropose .Single family dwellings: I Manufactured Homes: Q Other(specify): Required Residential Property Line Setbacks: Comments: . -QJ-A•311`51 - CkQ\J kC Ot Front Minimum 5'3 Actual � t�,. Rear L.'7 G]lD'`I I l 4a/i f U n D. - i'CA_+-) Sd`&q, Closest Side ) -� s I J•L� Sidestreeucomer lot ZO / Nearest Building on same lot APPLICATION CONTINUES ON BACK SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTONrVr&vi_ Be. htuJcj 7 10 5 -l2iL . L? G ( t-�Q5 mkrJv,tel- `I've Tvrte a 00-1-n E.If permits are granted I agree to canton,'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 m�e"nts�aJre accurateuand correct to the best of my knowledge. Permit subject to revocation it false information is provided. t:{AL;1..- - Yy�IatI�� SlpaWro of Owner oar's Agent Data 'It is the ownerlappllcanta 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 applkations.'' "this application expires 6 months from the Initial date if permits have not been issued" APPROVAL FOR STAKING: This PLOT PLAN AS PREPARED BY RESIDENTIAL LAND SERNCES. IS CORRECT AND IS HEREBY APPROVED FOR STAKING ON THE DATE SHOWN BELOW Si 11 :- WADE JURNEY HOMES REPRESENTATIVE DATE I NOTE ALL DIMENSIONS. LOCATCNS AND FEATURES SHOWN ON THIS PLOT PLAN ARE APPROXIMATE AND ARE ONLY AN ARTISTS RENDITION, EXACT LOCATOR Of ALL FEATURES ARE SUBJECT TO CHANGE AND MAY NOT BE INSTALLED N4RR([W, EXACTLY AS SHOWN ON PLANS AND/ON IN MODELS, PLACEMENT OF HOME, DRIVEWAY, S6EWALKS AND EXTERIOR FEATURES ARE SUBJECT TO MODIFICATION AS DEEMED NECESSARY BY FIELD PERSONNEL. IEI�I CUSTOMER DATE VICINITY MAP \ CUSTOMER DATE Not To Scale ,s0.3 SETBACKS' Oe1 PG WADE JURNEY REPRESENTATIVE DATE FRONT - 35' PO ?' \ REAR - 2s SDE - 10' IMPERVIOUS SURFACE AREA CORNER SDE - 20' DESCRIPTION AREA HOUSE w/ PORCH 1,780 S.F. DECK/PATIO/HVAC 27 S.F. DRIVEWAY & WALKS 657 S.F. 'Ienv- TOTAL (PROPOSED)— 2,464 S.F. VI LOT AREA = 25,359 S.F. IMPERVIOUS AREA =9.7% iliS34. 5..,_„N r o Cr Id r SE TgACk TYP.) -_ < <Q. 7C CL c~) $ I 9..4 F ¢ V•Cl41 z o ' y y 40 I u W I N :T I 25,359 S.F. 13.1 'A 0.58 AC -J W :5 °O...0 . 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