LAND USE R Pular Application Date J 02157s/9 S ANNE/_plicatron Y AT u. 2�UfP
_
COUNTY
Central PermMmg 11191 Front StreetOFn NHARNETT RESIDENTIAL IAO ND USE APPLICATION UM
C 27849 Prices 1 )BA525 en2 far.010)893.2793 www hamenorg/pernsts
"A RECORDED SURVEYSUMAP RECORDED PEED OR OFFER 10 PURCHASE)A SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION'•
LANDOWNER wQ/' /2 a ve/9aecy h�L�/_ Mamng Metres 7/3
City /2.....17;g4-----1 State 1`rC Z.ip1.7$'{ Corday No 9A.777 YJ // // ----
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APPLICANT': yJ.// MOO/1AlF
ailing Address 'ifs (.✓'�/'g� COG*, L�e,�$�/CN�,y A In u.PC 6,-.8-
City /1
Zg drA., S1ale. /2 DE 3J1- -Contact No. oV 3'M71, s and 1'Y Ak}CI/2
'Pleaw fit applicant WArmawn it a,ne(en rant tl .et ETdrl
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CONTACT NAME APPLYING IN OFFICE: /✓I // F ck,. 1 Phone* V6 3 -673
673 _ Lr6/,k
PROPERTY LOCATION:Subdwsmn. VO/A 2 tea ", ,)g_ Lots JO lig _LululjSSiize-�Or t
State Road II SR/Sy y __Slate ROW Name RAL,re, S.A _/"._, --._ ,. ,Map Book g,Page Mile
Pamel E� [ j&9 1. ncr) I PIN _V -.1 , / p_
Zoning( lood lone.._ 1 ,Watershed 1 1• Derd Book 8 Page__._ _Power Company' 50-.4 IC r Cr
'New Amtldfes with Progress Fnergy as service provider need to supph premise rumner ,. _ from Progress Energy
PROPOSED USE:
J SFO (Sas_ __)N Bedrooms_pBaNs _Benemenl;wjwn Garagenatm_ Men. LI,I
(Is the bonus room bBaM1ee _Deck: Grassi Spacs._ Saab.___Slab_.
7� / i1 yes l )no w:a Mosel?1I yes
,.r7(_)no Of yes add in with Y bedroome7
4 Mom;Site vbayyq y)p Bedrooms p 9alhs2.Maserrrnnt(wrwo Gate �Bu
)_ Y-Sne Bum Deck On Frema_Oft FrarrrX
IIs the secvre1 floor thither(_1 yes I_I no Any other Si, d adaaionsc(J yes (_)no
r fA t-� F .- -E t Ppo�o\ axxtusk
❑ Ma nufactured Home __ SW __OW_TW(Size v rA Bedrooms. GarageNsfe built? IlkSPe bur ems �Y`
VJf4-GT
J D.prea IS,te_ ;No Bulldogs No ¢VxIyL�EP''' t8
_ _ Bedrooms Per Unit I O�I S '`FG'�'&+.hAv
❑ Home Occupation A Moores Use Hours of Operation. REmployees
O Addillon/Accessray/Other (Size e _)Use Closets in addriron' 1yes no
Al. t_ I.
Water Supply l County _Existing Well __ New Wort(IRil ny ellnrt,using wap I'Must have oparable water before Poral
Sewage Supply// X New Sepik lank roc-wink Checkirsn Existing Scphc Tank(Comparta Gredrnsg _County Sewer
Does owner of this tract of lend.own land hat contains a manufactured hone wdhrr fine INbdied feet (Alio
Xi ih00' of tract igletl aDOyfp(__lyes no
Does One progeny curtain any easements wnether wge'yrouno or Cnf*tread i._I yes I�SYfid
SNuctpres(easing of proposed;.Single finely dwellings. 4Manufactured Homes. ^/— Otherr/specify))
Required Residential Properly line Set hack, Comments-- +(<t A u/U -2/s 4 1[3 ' ,,-/<- LAm
pp
None Minimum ��II ''t Actual2__
��Rear 20 9 Id's_ .L. (tit G ¢_
Cbsect Side $ 2- _.,�}`( � \ ap 'c
Styes rettcamrr 101_ ' —J -- - --
on same Id —
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLIINGT(O'N�:� q{�, �j
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pqo c Roil r,��1 3 nn-tan P`� o \ L\Q-r/ , Lob?. epZ.�a., is ..6Q �v-
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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 statements are accurate and correct to the best of my knowledge. Permit ubjectto revocation if false information is provided
CI
_ 11
Signature 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**
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