DOCUMENTS 9Initial Apldieaticn Date: II�./ nApplintlm# 18Sa0 4-13Q
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COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Edington,NC 27548 Phone:(910)893-7525 ext:2 Fax(910)893-2793 www.henetorg/pemtits
^A RECORDED BURY/EYMAP,,REECCOIRDEEDDDEED(OR OFFER TO PURCHASE)&SITE RAN ARE REQUIRED WHEN SUBSIDING A 0 USE APPl1CATIOW'
LAND• t': \Iee�■■i, li V , 1 NOO _ ,MMaanilingAddress100 \rooksV
ciy: ,1 Itst' State: vp: ` MA No: N L�r���y/y� EmsS:
APPLICANT': fall U 1111! �Q MIaN Area (IVA 1 ` r lit n Si
city k& „ ( / Stete:_Zp: L I ctNo: ILOKL ?t7 Em I ILTf
'Prose a I. ,.p.. -..n different than l�ajnndcwner 0 .`''1� 1�/y�(
CONTACT NAME APPLYING IN OFFICE: IU�4V1 0(� Phone>�O 1 !/L/(J 0 �r�/�
PROPERTY LOCATION:11``//� Subdivision: ,W)�,/��'Ayy(^ry1Vi( l 1 Lot&90s Lot Siize."'3.( /
State Road#IVl.y State Road NameJ:llvG CAS I�e� Map Book&Page: 1 1 / 4/a.
Parcel:410 1n D53(o D4e2 1 y3�/ PIN: I -pa 3• erg f� -act
n• EMC,Zoning 1`Flood Zone: 'C Watershec Deed Book&Peg a'J 3 f 3 / —1 Pwrer Company:50 A/0n gal U £J'AC
'New structures wflh Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
Monolithic
❑ SFO:(Size x )#Bedrooms: #Baths:_Basement(w/vo bath):_Garage:_Deck: Crawl Spare:_Slab:_Slab:_
(Is the bonus room finished?U yes Li no w/a closet?( /Yea U no(if yes add in with#bedrooms)
❑ Mod:(Size x )ft Bedrooms_#Baths Basement(w/ o bath) Garage:_Site Built Deck_ On Frame_Off Frame_
(Is the second floor finished?U yes ( )no My other site bull additions?( )yes ( )r
❑ Manufactured Home: SW_DW_TW(Size x )i*Bedrooms: Garage: (site buil? 1 Deck (site buM?, )
❑ Duplex:(Size x )No.Buildings: No.Bedrooms Per Unit:
O/////����Home Occupation:#Rooms: Use: ��nn�--TT�� Hours of Operation:/n � *Employees:
\dditon/Accessory/Other.(Size x 1 Use:%��Scs,l/L T� Closets in addition?U yes U 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 at in five hundred feet(50G)of tract listed above?( )yes ( )no
Does the property contain any easements whether underground or overhead U yes ( )no
Structures(existing or proposed):Single family dwellings: Manufactured Homes: Other(seedy):
Required Residential Property Line Setbacks: Comments:
Front Minimum Actual
Rear
Closest Side
Sidesbeeticaner lot
Nearest BWdng
on same lot
Re&dential Land Use Application Pagel of 2 03/11
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: \ ` sO Y `n `A3C-" Cin ""'
If permits are granted I spree to emm to ellen end laws of the State of North m the best of my lomwledge.lna Permit regulating
m revocation if false information s provided.ans .
Ihereby tle granI arestatements corare a' ret
k.s2_.G.19
Signature of Owner or Owners Agent Date
"It Is the ownedepplicants 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 am not responsible for any
Incorrect or missing Information that la contained within these applications."'
"This application expires II months from the Initial date If pemits have not been Issued"
Residential Land Use Application Page 2 of 2 03/11
Application#
Harnett County Central Permitting
PO Box 65 Lillington,NC 27546 - Ph:910-895-7525 - Fr 910-893-2793 - www.hamett.org/permits
Certification of Work Performed By Owner/Contractor
/� (Individual Trade� Application) r� ,F��yo� /� R
Owner(s)of Structure: I 6\Qa el
r�/ I.� /} i I 1 . PhoneT 0t Z`"h 0\2S
Owner(s)Mailing Address:
c n I�) a •'Y i r LA I t i t
Land Owner Name(s): I�Q.e 1JW' \ii con Phone: '/1�J� y1 `�
Construction or Site Address: no Wa{esisujo ,;11'_t�- tti r e.q 11�y"V
PIN# Ot11- -3- 2iQ1. 000 Parcel#�7Q�O6 VV I0 Vo ,�,�,1�/(�
Job Cost(tl\ 11-1(12 Description of Work to be donesl f Ajk CiC{JWJ/
Ocid-MCI ( n . (qICE W
Mechanical: New Unit With Ductwork_ New Unit Without Ductwork Gas Piping_Other_
Electricar: 200 Amp_<200 Amp_Service Change_ Service Reconnect_ Other
'For Progress Energy customers we need the premise number
Plumbing: Water/Sewer Tap Number of Baths Water Heater
Specific Directions to Job from Llllinaton: „n U V\k1rVlot„CA
Subdivision: Lot#
I Nan lA I 1 La W will provide the -clef 1 Il 6(0 labor on this structure.
¶Contractors Name) r!�1 t n(T e 1 1
I am the building owner or my NC state license number is_ q�uei u ,which entitles me to
perform such work on the above structure legally. All work shall comply with the State Building Code and all
other applicable State and local laws,ordinances and regulations.
Dov\tr t[o . 5011.y -io- in one
ConitaCtors CorOpeny Ngr oiy p_ Telephone 1 V1C ���p an AcjOrll^�`/-'7a q1n1_U 'P�1/ 1l r Il ,U\ Email J elle 1Y •�VI11
Licen`seY# y� 112
4M .Y ' !/1S'V�_ IV
Structure Owner/Contractor Signature: Date:
By signing this application you affirm that you have obtained permission from the above listed license holder to
purchase permits on their behalf. If doing the work as owner you understand that you cannot rent, lease or sell
the listed property for 12 months after completion of the listed work.
*Company name, address,& phone must match information on license
814201 100E Front St,ullirgtm,NC 27548 b 100 Waters way tilling ton,NC 27548-Google Maps
Google Maps 108 E Front St, Lillington,NC 27546 to 100 Waters Drive 10.6 miles, 14 min
Way,Lillington,NC 27546
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Map data 02018 Casale 1ml'
108 E Front St
Lillington,NC 27546
t 1. Head west on Front St toward Slst St
0.1 mi
h 2. Turn left onto Main St
0.4 ml
r 3. Turn right onto W Old Rd
0.6 mi
41 4. Turn left onto NC-27 W
8.4 mi
5. Turn left onto Nursery Rd
1.0 mi
6. Turn left onto Waters Way
6 Destination will be on the right
0.1 mi
100 Waters Way
Lillington,NC 27546
These directions are for planning purposes only You may find that construction projects,
traffic,weather;or other events may cause condfions to differ from the map results,and
MlpefMwxgacglamMmpaMr/108+E+Frat+84+IJIIIrg1on,+NC+2754&100+Waters+Wry+WIirgln,+NC+275/8' .1591299,-7ag2 7,ib/afldala... 12