DOCUMENTS Initial Application Date: 6 ' I- Application it ¶seDL-1" T.3D
DRB CU
COMMERCIAL
COUNTY OF HARNETT LAND USE APPLICATION
Central Permitting 108 E. Front Street,Lillington,NC 27546 Phone:(910)893-7525 Fax:(910)893-2793 www.harnett.org/permits
LANDOWNER: k/nS VIOS IAlt Mailing Address: 3D3-s- i'dtAL-1-
City: 6A AA err.", State: IVC Zip:2231, Home#: Contact#:
APPLICANT: NAA./IA D SAvYA.L.\ls Mailing Address: 31-t.1 Fr.754-441/6 ZD
City: -rA1ctTt.11L.LL State:31C_ Zip:'83P Office#: 9/D -53R-LY/ / Contact#:
'Please fill out applicant information if different than landowner !✓ /]
CONTACT NAME APPLYING IN OFFICE:-Rt et.... 1-1-Dill, Phone#: 71-7B-bc�J6
PROPERTY LOCATION: Subdivision: YAte i err.x . Lot it: Lot Size: (1. ek5�
Stale Road#: 3)3S State Road Name: N(C BR— Map Book&Pag O l t 4 Q>
Parcel: AAm.c03 $ COS 4 D �I PIN: Q58� ;-ODZ /O
Zoning:lnr..l Flood Zone: t WaterAlrIp t Deed Book&Page: iD61,] / Lib; Power Company':
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON:
, U, CI L- L.n‘4-4.5 C-I-c.) -fro n � eA-ertj
I m i i e., JrL) 1k ie.- 'L,,LteC u- L44--.
PROPOSED USE:
❑ Multi-Family Dwelling No.Units No.Bedrooms/Unit
Ar Business Sq.Ft.Retail Space 37 DOJ Type Iiea I(L.. L'Bl t.,t% #Employees:.SD Hours of Operation:S st9/1.pP
❑ Daycare #Preschoolers #Afterschoolers #Employees Hours of Operation
❑ Industry Sq.Ft. _ Type #Employees: Hours of Operation:
❑ Church Seating Capacity #Bathrooms Kitchen
❑ Accessory/Addition/Other(Size x ) Use
Water Supply: (County (__) Well (No.dwellings ) MUST have operable water before final
Sewage Supply: ( )New Septic Tank(Complete Checklist) ( )Existing Septic Tank(CompleteleChecklist)
( /4-County Sewer
Comments: tUi- 1SU.I Corti !JI(.L L.to du i4r✓ /144,7 eh/ La-v Ya1•_
T1I L "/ /etc- GI "_ // „/
Cifmr/fie_/ A ...11 -S 3o "os :..s Loi s h Nu,r s 4-4
1uri Cf2j4 6r
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 statements are accurate and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
/z.1, /7 6 2-c,&-
Signature of Owner or Owner's Age Date
"This application expires 6 months from the initial date If no permits have been Issued"
A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPLICATOR
Please use Blue or Black Ink ONLY
LAND USE 5/08
HARNETT CGLMT` ?ASO RRECEi T:I
*** CUSTOMER RECEIPT ***
Goer: IBRBCMM Type: CP Drawer; 1
Date: 6/19/18 52 Receipt no: 397137
Year Number Amount
2818 58644301
107 CARLETTA CAGLE Da
CAMERON, NC 28326
B1 - PE iOIT IEEE
$250.08
SITE CLAN REJIEW
CHARLES NOUP
Tender detail
CK CHECK PAYMEN 3822 x250.00
Total tendered 5E56.A0
Total payment 8250.00
Tran date: Gi19i18 Time: 9:57:19
** THANK YOU FOR tOuR PAYMENT **