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LAND USE R Initial Application Date: Application# i CC;LI51T.(/ / 1� 3 j so I CU# 1 CI OO 'COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION Central Permitting 1 8 E F nt Street,Lillington,NC 27546 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.hamett.org/permits 'A RECORDED SURVEYLMAP,RECORDED DEED(OR OFFER TO PURCHASE)8 SITE PLAN ARE REQUIRED WHEN / SUBMITTING N" A LAND USE APPLICATIO LANDOWNER: nemoft/ .J-TOATys Atop e,URMailing Address: PO Actr. occ City: L'j/;n3 tan /Statel:rya. Zip: 7S Contact No: n Email. Y APPLICANT': 4r tin -ICA[{ /Tomtilt Mailing Address: rel IAK 2res �y � SCANNED City: tier State:, zip:2-7501 Contact No: S(9-r".1—%Uy Email: 'Please fill 9lE pplicant information if different than landowner O ^�l/ (� CONTACT NAME APPLYING IN OFFICE: �/�/ LrIIK/I�'I'II ^ PP( Phone# 7//5.24 &)'/ PROPERTY LOCATION:Subdivision' J,V ' .Cc± 1�I({pPP/��( }U L//J Lot#: I Lot Size: `-1 ' - _ State Road# 10.Al: StateateRoad� Na e':p'� b + j^I c'Ar J �( / •� Map Book&Page- _ , / i SIP Parcel l��J,/_ • }}}� ( 1 • "V L"1 -r 1\ PIN: C1"/!1 (� n w[/ - (c2.i Zoning:t blood Zone: V Watershed. I b Deed Book 8 Page: CV Power Company: 'New structures with Progress Energy as service provider need to supply premise number / from Progress Energy. �OPOSED USE: � Monolithic SFD:(Size 771x 4i )#Betlrooms2#Baths Basement(wlwo bath):_Garage. )/ ueck: Crawl Space:_Slab: Slab'. oo(Is the bonus room finished?( yes ( )no w/a closet?(_)yes (y'1lo(if yes add in with#bedrooms) CIMod:(Siz tl#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? ) O Duplex:(Size x )No.Buildings: No.Bedrooms Per Unit: ❑ Home Occupation:#Rooms. Use: Hours of Operation: #Employees: ❑ Addition/AccessIry/Other:(Size x )Use: Closets in addition?( )yes (_)no Water Supply V )County Existing Well New Well(#of dwellings using well )'Must have operable water before final Sewage Supply: V 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 NA Does the property contain any easements whether underground or overhead(_)yes (V)no Structures(existing or proposed):Single family dwellings: I Manufactured Homes: Other(specify): pccrpt s Required Residential Property Line Setbacks: 1 Comments: Front Minimum �5 Actual / O I I S. Rear 2 (0 C ' 4 Closest Side �h/ --ii ,..,� i ��� clrl \A-( Sidestreet/corner lot / C 1 Nearest Building I v 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 state nts are ra a correct to the best of my knowledge. Permit subject to revocation if false information is provided. 2,'a6 —i0 azure 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 I and Use Application Page 2 of 2 03/11 . � q .mm- ,__ , \ q . • 2 ! \ • o _ ( \ i| t. \ Ls ,ain i . \ \ \ ' ; cnla \ cc ala ca 0 i \ $1: • is 5 , r. Y ; ( \ . EV ©v ! � � , \ / \/ \ \ / CIP / Sr ma.,Di 1 . m • iN _ | § \ | itg ` ) § , . 1 a__ = 1 ( q5 , 7CI ag , _ _ . . . j|/ , / r • . \ y ~ \\ \ \� ; % — : £ . | . § 2 0- : : ! N # . , HARNETT COUNTY CASH RECEIPTS www CUSTOMER RECEIPT *** Oper: TBROCK Type: CP Drawer: 1 Date: 3/08/18 52 Receipt no: 280129 Year Number Amount 2018 50043407 91748 TECH 1 LILLINOTON, NC 27546 B4 BP - ENV HEALTH FEES $25.00 REV REVISION Tender detail 425.80 CA CASH PAYMENT $25.00 Total tendered Total payment 425.00 Trans date: 3/08/18 Time: 12:41:50 ** THANK YOU FOR YOUR PAYMENT **