DOCUMENTS Initial Application Date: lel IVu I Application# i WJ 1 11313
CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Lillington,NC 27546 Phone:(910)893.7525 ext:2 Fax:(910)893-2793 www.harnettorg/permits
"A RECORDED SURVEY MAP,RECORDED DEE OR OFFER TOP LLHASE)&&SITE PLAN ARE REQUIRED WHE BMITTING A LAND USE .PPLICATI•N"
LANDtWNER'. . , I dab I . 1 Lixrg Address.. qq��t22 4¢�y �. L Al ='s
City: _ ./"� .• -f
�/n Stahel{:1 . Zip:ZiI7 intact No: gag-2b3 q (tlEmail: I as I • I' ll�'/l,(1y1,
APPLICANT•:q'C (I<' L I a t (A T' ntifSeiling Address: L ''�-''//
City: State:_Zip: Contact No: Email:
•Please fill out applicant information it different then landowner
CONTACT NAME APPLYING IN OFFICE: I Phone#
.. I s
PROPERTY LOCATION:Subdivision: I 1Y-1 l alt...*.S Lot#: L LottSize: • 1i9
State Road# \c State Road Name: Lc', \.tact- �. L,, I4I1.A � 11Map
'Book&Page: _l JI
Parcel: 0I bGig bill 3 ss/L PIN: ��b��,/�rY� - �/ — /S tog -rYYJ
Zoning food Zone: X Watershed'.ft la Deed Book&Page'- I&P /7 513 Power Company:
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
ljf /�
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SFD:(Size 42_6_x 80)#Betlrooms'.,#Baths: Basement(w/wo bath) Garage:& Deck: k Crawl Space: Slab:_SlaMonb: ithic
(Is the bonus room finished?(_)yes ( )no w/a do t?(_)yes (_)no(if yes add in with if bedrooms)
O Mod:(Size x )#Bedrooms_#Baths_Basement(wtwo 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 TWI(Size x )#Bedrooms:_Garage: (site built?_)Deck: (site built?_)
❑ Duplex:(Size x )No.Buildings: No.Bedrooms Per Unit:
O Home Occupation:#Rooms: Use: Hours of Operation: #Employees:
❑ Addition/Accessory/Other:(Size x )Use: Closets in addition?(_)yes ( 1 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) X 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 property contain any easements whether underground or overhead(_)yes („)6 no
Structures(existing or proposed).Single family dwellings:1�1enufactured Homes: Other(specify):_
Required Residential Property Line Setbacks:(� Comments:
Front Minimum 35 Actuai'tTh'-+ f
Rear 21 rJ\ ,7<7-t-'`�
Closest Side l`-' 4T
SidestreeUwrner lot
Nearest Building
on same lot
Residential Land Use Application Page 1 of 2 03/11
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIO TO THE PROPERTY FR 3M.,L(LQLINGT N: li-On -,7,6q ,214_ . fA-A '
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If permits are grant:. I aloe all ordinances and laws of the State of North Carolina regulating such work and the specifications of plans submitted.
I hereby state the oreg�it s.. -,`II - �1r�1YIIp1\ tend correct to the be f my knowledge. Permit subect1tl/p1revocqtion if false information is provided.
ig - re of Ow e/ ��DHte � I[/U1/
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'"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 Land Use Application Page 2 of 2 03/11
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SITE PLAN APPROVAL C
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