LAND USE R I el
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Initial Application Date: V)OU.D' I� Application# Snag/4 /
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COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Lillington,NC 27546 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.harnelt.org/permits
O.A. er• 16 -tI.2 Lr"USS c••LL.
"A RECORDED SURVEY mAff RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
aWeeR•Wynn Construction, Inc. 2550 Capitol Dr. Ste 105
Mailing Address:
City: Creedmoor Slate:NC Zip:27522 Contact No: 919603-7905 Email: edward@wynnconsiruct.com
APPLICANT':Edward Averett Mailing Address:2550 Capitol Dr. Ste 105
City: Creedmoor State:NC Zip,.27522 Contact No: 919 603-7965 Email: edward@wynnconstruct.com
'Please till out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE: . Edward Averell Phone#919603-79.65
PROPERTY LOCATIION'Subdivision: 'Avery Pond D 1 f� Lot#: • . I -Lot Size:•7/
State Road# 1✓q State Road Name:_ Q 1 OLI C Vr• Map Book&Page:20✓6 1 zoI
Parcel: 1���0.7SO& 3 002? S. PIN: 0(5/533, ZG 490-DOO
Zoning: VIVO Flood Zone: X Watershed:/-^ ! Deed Book&Page: L >N 1 Power Company': Duke Energy
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE: ^fir
� //�� / �J Z Car / / MolNhid..
0 SFC:(Size ldl x 1220)#Bedrooms: ! #Baths:_Basementf fjo bath):_Garage: ✓ Desk: •• Crawl Space:✓_Slab:_Slab
(Is the bonus room finished?Lyes _, no w/a closet?( )yes ( 1 no(if yes add in with#bedrooms)
U 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?_)Deck: (site built? )
U Duplex: (Size_x )No.Buildings: No.Bedrooms Per Unit:
❑ Home Occupation:#Rooms: Use: Hours of Operation: #Employees:
Li 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 lend,own land that contains a manufactured home within five hundred feet(5003 of tract listed above?( )yes ( )no
Does the properly contain any easements whether underground or verhead( )yes ( 1 no
Structures(existing or •le family dwellings:_Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks: Comments:
Front Minimum 35 Actual] -/� .—
Rear 25 tl I
�p�l . /
Closest Side 10 !a z
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: From HCCP right onto 210 Hwy.3 miles, Lefton 401 Hwy.for 15 miles
Left on Chalybeate Rd.for 1/8 mile,Avery Pond on the left
It permits are granted I agreeDolor to ordinanc nd laws of the St a orth Carolina regulating such work and the specifications of plans submitted.
I hereby slate that toregoi . .tame a accurate rre to the be knowledge. Permit subject to r cation if false information is provided.
411( lure 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*'
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Residential Land Use Application Page 2 of 2 03/11