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LAND USE R Initial Application Date: .1 a-+n _ t Application# I � ...)l.L-J�'Y ' lJI R( r�/ Cuff--� I 0 )COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION pentral Permitting ,1 8 P Front Street,Lillington,NC 27546 Phone:(910)893-7525 ext:2 Fax (910)893-2793 www.harnett erg/permits "A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE P I N" LANDOWNER'Wynn Construction, Inc. Mailing Address:2550 Capitol Dr. Ste 105 I'I NED City: Creedmoor State:NC Zip 27522 Contact No: 919 603-7965 Email: edward@wynnconstruct.com APPLICANT':Edward AverettMailing Address:2550 Capitol Dr. Ste 105 City: Creedmoor Stale NC Zip:27522 Contact No'. 919 603-7965 Email: edward@wynnconstruct.com *Please till out applicant information if different than landowner JCONTACT NAME APPLYING IN OFFICE: Edward Averett Phone#919 603-79'655 5.8 p PROPERTY LOCATION: Subdivision: Avery Pond << T Lot#. 23 Lot Size: • `O y State Road# //S State Road Name: d !LI Ye- .S( Map Book&Page: G_ Parcel: 080 (.0313 0019 iS PIN: D&'SJ-- 44 — o03& CO.9,0 at)lei - 378 Zoning. Y'V 3Flood Zone: K. Watershed: Deed Book&Page: ( YTP Power Company'. Duke Energy *New structures with Progress Energy as service provider need to supply premise number from Progress Energy. PROPOSED USE: LD C6P SD Monolithic VI SFC:(Size SQ )#Bedrooms: 1l� #Baths7_5.Basement(w/wo bath): Garage: ✓ Seek: I Crawl Space:_Slab'._Slab: (Is the bonus room finished?(_)yes (__.)no w/a closet?(_)yes (_)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 J 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'. ❑ Add tion/Accessory/Other.(Size x )Use: Closets in addition?( )/Accessory/Other(Size x )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 O yes ( )no Structures(existing p rdpos :Single family dwellings_ ufactured Homes'. i )) ,� 1 Other((specffy . ��_ Required Residential Property Line Setbacks: Comments: 1a\,-;ZZ)\ 1 n — /N/ ti.. N , r'.ae.-L��^7 Front Minimum 35 Actual M SL' -IAA y`lk via hfQ?1 V t1LlS _ CM- C)._ Y._ Rear 25 age.9 di 3J r- os r% 'Sttta s Closest Side 10 -1 . 93 O Sidestreet/corner lot 20 Nearest Building on same lot Residential Land Use Application Page 1 oft 0311 APPLICATION CONTINUES ON BACK SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: From HCCP right onto 210 Hwy.3 miles, Left on 401 Hwy. for 15 miles Left on Chalybeate Rd.for 1/8 mile,Avery Pond on the left If permits are granted I agr o cont rm t II ordina nd I ws of the St of North Carolina regulating such work and the specifications of plans submitted. I hereby state that fore n state nts accurst- - • to the nowledge. Permit subject to revocation if false information is provided. ure of Owner 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 03111 1i 11 , a ' Le s- s i ; ;_ eI 3 ® I — M e Eef II A q \il"Fr: CI RI" 1ii i4 I - O 1 i 12 ", _�- T.FS € 1 d J tuW Y EE � a a z 0 LI- a $ T t N w �b e Ix i 1111 11111 e 1110 I 131I� O € O61 1 k W ae g I ® V • c 6 Cla $$ ktotti ' ms Iii € 9 mw E.... ° i m a `� O . t i - 5 g s 9 s IN @ RE6 . k, EI us - @ !! , - WCo 8 5 '1011 -tl"!! a i. a •f' ...0 Z'- . b 11!10 ,"o.. �g I- it.- 11 ! x 11111 jile . \-- ' ey6 ii !� ppj®® m s c E 1 'lilt m '0 r1 i�'�1{ .i_ i Ufli �R!si iiS a �" aQ ! SiNI Cii 1i 9� / 99�� W < ; t-iii€' d Ae its 1 Mss i� Me 4E IA ' I i;w111:iti.1 m" 1 ii1_ . I p ,Rs rej°111L"" \ �i ifiiili IbQ111 5¢gil61E : ____-- w�, aiE lin Pi .555 ,1 2 4:5 ! 10$1191 491 }}111 tt file 11 a ilfi � q y le I I ! —�__—� !e 0 g 0*, 111 ./ 11 IIII' I ii I ? ItPJ "VI hi i