LAND USE R ' 'li ' D
, Initial Application Date: �� nuI
/ Application# I 1 1
1Ce I I 'COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION CU#
Central Permitting 18 E. Front Street,Lillington,NC 27546 Phone:(910)893-7525 ex.2 Fax:(910)893-2793 www.hameu ors/permits
•'A RECORDED SURVEY MAP RECORDED DEED(OB OFFER TO PURCHASE,&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
LANDOWNER: ....Zs/...1 2
Al 2a Mailing Address:
City: if _ State: n
Zip- r ContactNo: df _Email: '
APP❑CANNTD _.. ./ i, ,i6 ,Mailing Address �'
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City: , 7n 'Stater Zip Contact No:Jam'/O -?zy3llail:
"Please fill out applicant information Atlifferent thante- er . /In• ry'S
CONTACT NAME APPLYING IN OFFICE:L //_df dry— J04// Phone It /ljV —s9a- [ags-
'
PROPERTY LOCATION:Subtlivsio zags-
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fee ' ii S. 13?L Lot e '�z Ac-
State Road# _ // _ .Lot#: qq,,,,,,,M/�
ya
State Road Name'. Map Book&Page',O/lL�� Z�
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• 2t — 39 - SCA-o • 0 . ? U Co s_ o c s I se —
Zoning'x i', H'lood Zone: X Watershed._Deed Booktt&Pag /73 p power Company*: •�ti��� '�/ CJ
'New structures NAth Progress Energy
as service provider need to supply premise number
---,--�_from Progress Energy.
PROPOSED USE: 3I I
SFD:(Size r 5° )#Bedrooms #Baths }3 Basement(w,wo bath): Garage Deck: Crawl Space: Slab Monolithic(Is the bonus room finished'( )yesdose!? s)Slab:
U no wl a ( )yes ( )no(if yes add in with It bedrooms)
❑ Mod:(Size x_)it Bedrooms #Baths Basement(w,rwc bath) Gar Deck: On Frame Off Frame_
(Is theL___)second floor finished?( )yes ( no Anyyother sae built additions"
(nsP )yes ( )no
❑ Manufactured Home: SW DW J (Size
x____)#Bedrooms: Garage: (site Ouilt9
❑ Duplex: (Size x_)No. Buildings: Na Bedrooms Per Unit.
❑ Home Occupation:#Rooms:
Use: Hours of Operation
#Employees:
❑ Addition/Accessory/Other(Size x
Use. Closets in addition?( )yes
no
Wafer Supply. C unty Existing Well New Well f#of dwellings using well
Sewa e —_l BMus[have operable water before final
9 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 (
Does the property contain any easements whether undergroundJ)no
or overhead( )yes ( )no
Structures(existing1► gamy dwellings r� Inle fil9 I Manufactured Homes: Other(spedfy):
Required Residential Properly Line Setbacks: Comments
Front Minimum,.5
l
/� Actual_
Rear �S .S1 to
Closest Side /0 2'.Z-'9 "
Sidestreeticomer lot 'R: 0q
Nearest Building //Y
on same lot --
Residential Land Use Application
Page 1 of 2
APPLICATION CONTINUES ON BACK 03111
SpfC!✓;iSDIREOTIONS TO TH PRO,—"TY FR• LLINGTON: 4irCiA 4
11 permits are granted I agree to conform to all ordinances and I, of the State of North Carolina regulating such work and the specifications of plans submitted.
I hereby state that for-!4 g state .its are accurate andy orree the best of my knowledge. Permit subled revoc ion if false information is provided.
w ��� �
gnature of Owner or•wars Age / Date/
"It is the owner/applicants nesponsibit ty to provide the county with any applicable information about the subject property,inctuding 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
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SITE PLAN APPROVAL C‘"-S.21.1
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DISTRICT 2 r\ JU USES 5 43" 58' 31.0000" E 105'-0"
#BEDROOMS iGr -3
_as4111bS WENDOLYN WAY
Date • ig . Valor
CUMBERLAND HOMMIES, O VCO
THE OCE SM DLO MU WITH SCREEN V PORCH
LOT * 133 tALLARD WOODS
SCALE: 0"=.4O9
Harnett County
102 EAST FRONT ST
P O BOX 65
LILLINGTON NC 27546
DATE: 2/16/18 RECEIPT #: 0000011269
TIME: 13 :41:25 CASHIER: JBROCK
APPLICATION NBA: 17-50042714
LOCATION ADDR: 302 GWENDOLYN WAY
REFERENCE: REVISION
ITEM DESCRIPTION PAID
ENVIRON HLTH REVISION FEE 25 . 00
TOTAL AMOUNT PAID: 25 . 00
PAYMENT TYPE: ESCROW