DOCUMENTS Initial Application Date: 21 /7 J I Application# ' p SOCJ-1 3 C
Ct/#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Lillington,NC 27548 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.hamettorg/pennits
"A RECORDED SURVEY MAP,RECORDED
\DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLI.CAI1TION,"1 RA
LANDOWNERU A \\ 5V"1\� 1'\ Mailing Address: 3 C7 V M de.-4211k/ C/�(A Ct fy
City: 3tt.>111AC�1 G\ State:PlCdip'.l 1ontact No:Th Q -29_��934Emaa: CrnSk cc e l.lcA i5�'@ 96tO '((
APPLICANT': Su- C. a rs h 4.4—_Mailing Address )
City: State: Zip: Contact No: Email:
`Haase fill out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE: Phone# r�
PROPERTY LOCATION:Subdivision: Lot#: 144 Lot Size:: fl I 1
State Road# �yOhSO
` State Road�adwName:". ff� M^T p..L6Jyy1 .r.. e 1 1�-Ls�lyl Map Book 8 Page; I I
Parcel: \.Z V S4Loo DeiA U 1 // PIN: rb Say�7 SCA S3"1�`(x�
Zonin A�rSCood Zone: I' Watershed:,_' , Deed Book&Page: .16A I 9-4 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: on:
(Is the bonus room finished?(_)yes ( )no w/a closet?(_)yes ( )no(if yes add in with#bedrooms)
❑ Mod:(Size x )#Bedrooms It Baths_Basement(wlwo 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 )if Bedrooms: Gars site built? Deck: ?_)
Garage: _) (site built
❑ Duplex:(Size x )No.Buildings: ��y�.+,�N�o.-Beeed�rooms Per Unit:
❑ Home Occupation'#Rooms: ' Use: C YF4- ( ( S—Hours of Operation: Cr'•S a Tri #Employees: I
❑ Addition/AccessorylOther:(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 properly contain any easements whether underground or overhead(_)yes ( )no
A.
Structures(existing or proposed):Single family dwellings: Manufactured Homes: Other(Sperify): 'r1•,p
Required Residential Property Line Seth Comments: ` ` /�(y� -zl'��a•+�—
Front Minimum Actual l \rvLe ) J
Rear
Closest Side
Sidestreeucorner 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 ree to rm to all ordinances and laws of the State of North Carolina regulating such work and the specifications of plans submitted.
I hereby state that f in stateme re accurate and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
tore of Owner or Owner's Agent Dat
•
"'It is the ownerlapplicants responsibility to provide the county with any applicable information about the subject property,including but not limited
to:boundary information,house location,underground or bverhead easements,etc.The county or its employees are not respbnsible 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
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call: (910) 893-7525 Fax: (910) 893-2793
Application Number 18-50043500 Date 3/08/18
Intersection
Property Address 3892 MCLEAN CHAPEL CHURCH RD
PARCEL NUMBER 12-0546- - -0060- -17-
Application type description CP HOME OCCUPATION
Subdivision Name
Property Zoning PENDING
Owner Contractor
SMITH DAVID A & ANGELA S OWNER
13281 LABARON DR
WILLOW SPRINGS NC 27592
Applicant
SMITH DAVID ALLEN & SMITH
ANGELA S
P 0 BOX 253 BUNNLEVEL, NC
BUNNLEVEL NC 28323
(919) 291-8936
--- Structure Information 000 000 HOME OFFICE 1 EMP HOURS 8-5PM
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE HOME OFFICE
Permit LAND USE PERMIT
Additional desc .
Phone Access Code 1232883
Issue Date . . . 3/08/18 Valuation . . . . 0
Expiration Date . 9/04/18
Special Notes and Comments
T/S: 03/08/2018 11 : 56 AM JBROCK ----
3892 MCLEAN CHAPEL CHURCH
HARNETT COUNTY CASH RECEIPTS
*** CUSTOMER RECEIPT n*
Date:Oper: T
3/08/18 52 Receiptpno:Drawer:88862
Year Number Amount
3892
2018 51343500
EANCECHURCH RD
BUNNLEVEL, NC 28323
131 BP - PEkMIT FEES
HOME OCCUP 125.80
DAVID SMITH
Tender detail
CA CASH PAYMENT 148.88
Total tendered 148.88
Total payment 125.88
Change $15.88
Trans date: 3/88/18 Time: 12:01:46
m+ THANK YOU FOR YOUR PAYMENT **