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DOCUMENTS Initial Application Date: ,a I i C ) 'ny Application# /' 19 VOCT'"'? Lot.) CU# COUNTY OF ARNET RESIDE IAL LAND USE APPLICATION Central Permitting 108 E.Front Street,Lillington,NC 27546 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.hamett.org/permits "A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION** LANDOWNER: C4f Lo(/(dI jzx '(Mailing Address: qy/ Q9' ,- c4,4--ch v` c - City: ' // `ll V State. Zip:2 10f Contact No: Q1 Say-33-5'Email: APPLICANT': Mailing Address: City: State: Zip: Contact No: Email: 'Please fill out applicant Information if different than landowner /� r CONTACT NAME APPLYING IN OFFICE:_ /t/ brisM' Phone# `/1 9/`7-J l' 5JSy PROPERTY LOCATION:Subdivision: Cj y f P)4xs_v`/(, LALkch go. Lot#: Lot Size:3 /3'.Ic_ `3�! c State Road# \S 3 0 . State Road Name:, 0 4k_ 6-ft v-e- ���►in er eMapp Book&'PaaggrO�D)3 / 3 w Parcel: J 2I�o Loch I Obi + PIN: 0 ,..a l ^ zv7 - O 2 1`0m Zoning¢•\W) Flood Zone: i< Watershed: 1 Deed Book&Page:It 13 I 1 Co 3 a Power Company': 'New structures with Progress Energy as service provider need to supply premise number from Progress Energy. PROPOSED USE: Monolithic ❑ SFD:(Size x )#Bedrooms:_#Baths:_Basement(w/wo 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?`)Deck: (site built?_) ❑ Duplex:(Size x )No.Buildings: No.Bedrooms Per Unit: ❑ Home Occupation:#Rooms: Use: Hours of Operation: #Employees: Adition/Accessory/Other:(Size x1/4-1a)Use ts-r -*, 11l __ ^^ __L0 Closets in addition?(_)yes (_)no Water Supply: County Existing Well • : , • : • - • .sing well )'Must have operable water before final Sewage Suppl,• _ N:. -.lc ank(Complete Checklist) Existing Septic Tank(Complete - ' 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(existing or proposed):Single family dwellings: Manufactured Homes: Other(specify): I1' ( „r-n Required Residential Property Line Setbacks: Comments: P re IQ 42134421 Front Minimum Actual' ` ` Rear Q" Closest Side l.t,-4 Sidestreeticorner lot 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: 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 foregoing stategients are accu ate and correct to the best of my knowledge. Permit subject to revocation if false information is provided. - gnat • •-• ,• er or Owner'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 03/11 0 g ac e 4 m T., • O ir. . C) (17 V.. • 4p... 0) ,''t* G> t O 'O^ n�� W --to s a 33 3 co I a o 0 m .0 ►s C N P m J b _ o / b A a 1 -. ,:l. K m W a 11 d a ® O V ,1h O, 2-1 00 w El W N N N 8 4. .31.k.,,,, 4-rtipii '-' [ . ,• . .. 4,100 , ,,, a ii I . 4.! i „ 'it-. W .p. .P .0El 4 LANDOWNER: 46/4/1 4i MAILINp ADDRESS: 9111 oa3�l�c' Ctno- CITY: /9/1 tot/ STATE: /V-C S ZIP: 2-7S-b/ PHONE: APPLICATION DATE: APPLICATION# APPLICANT: MAILING ADDRESS: CITY: STATE: ZIP: PHONE: PROPERTY LOCATION: SR# SR NAME: PARCEL# I L OLor) PIN# MA081 - a - g o3gi'dcj ACREAGE: 3$ • 5 3 !'F FARM NUMBER: 1 l n 1 ci VE ICA N OF L USE PROGRAM BY TAX OFFICE: ^!�a' l G 1 SIGNATURE /CENTRAL PERMITTING TECHNICIAN DATE I(we)have read and understand the requirements to qualify for a farm exemption. I(we) hereby claim such exemption because I(we)operate a bona fide farm which has a valid farm serial number and is currently enrolled in Harnett County's Land Use Program. Within the Land Use Program I(we)participate in: Agriculture( ); Horticulture( ); Forestry( ) NOTE: Check each category that applies. AFFIRMATION:I(we)the undersigned declare under penalties of law that the information contained in this application has been examined by me(us)and to the best of my(our) knowledge and belief is (are)true and correct.Additionally,I(we)fully understand that falsification of information supplied by me (us)herein shall cause any permit issued relying on such information,to be automatically revoked and all work shall immediately cease. Signature(s)of Owner(s): �� � Date: DJ,—/7 Date: FOR OFFICE USE ONLY APPROVED BY: DATE: PERMIT# DENIED BY: DATE: REASON FOR DENIAL: 2 VERIFICATION OF FARM EXEMPTION COUNTY OF HARNETT LAND USE APPLICATION Central Permitting, 102 E. Front Street, Langton,NC 27546 Phone (910) 893-4759Fax(910) 893-2793 INTRODUCTION It is the spirit and intent of these regulations that only bona fide farms benefit from any exemptions granted hereby. Three requirements must be met in order to qualify. First, the land must meet the definition of a bona-fide farm if the site is within an area under the jurisdiction of the Harnett County Zoning Ordinance. Second, the Harnett County Farm Services Office, United States Department of Agriculture, must issue a valid farm serial number. Third, the land in question must be enrolled in the "Land Use Program"offered by the Harnett County Tax Department which allows fvr reduced taxes based on meeting the requirements of N.C.G.S. 105.277.3(a) (1)or(2);N.C.G.S. 105.277.2 (b) and N.C.G.S. 105.282.1 (a). Three categories,agriculture,horticulture and forestry,are allowed. Those categories are descried below. To qualify, the land in question must meet one of those categories. AGRICULTURE Agriculture land consisting of one or more tracts, one of which consist of at least ten(10) acres that are in actual production and that for the three years preceding January 1 of the year for which benefit is claimed, have produced an average gross income of at least $1,000. HORTICULTURE Horticulture land consisting of one (1) or more tracts, one (1) of which consists of at least five(5) acres that are in actual production and that for the three(3)years preceding January 1 of the year for which benefit is claimed have produced an average gross income of at least$1,000. FORESTRY Forestry land consists of one or more tracts, one of which consists of at least twenty(20) acres that is in actual production and is under a sound management program. For purposes of this category, a sound management program means a program of production designed to obtain the greatest net return from the land consistent with its conservation and long-term improvement. ADDITIONAL QUALIFICATION CRITERIA Rent received shall not be considered as income for purposes of this exemption. Gross income must be from the sale of agricultural products produced from the land and any payments received from a governmental soil conservation or land retirement program. 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