HomeMy WebLinkAboutCommercial Land useInitial Application Date: I - ✓ v - /?) Application # I1-�3 - 5O 0� %� Z-1
DRB CU
COMMERCIAL
COUNTY OF HARNETT LAND USE APPLICATION
Central Permittingj� 108 E. Front Street, Lillington, /NC 27546 Phone: (910) 893 -7525 Fax: (910) 893 -2793 www.hamett.org /permits
LANDOWNER: t rLL1 riD t�IU�S s i nl� Mailing Address: 35o W. -<, mLn- n�-
City: FA-YE; V 1LL_,E_ State: LC Zip:_ 30 _Home #: Contact #:910 'r`33 08 68
APPLICANT': C -R�'Si ,ir i b �L'TIL NS- T' Mailing Address: 7-01 S. CoLL�,e Sf. of Tr - 1.300
City: C N A-IZ L-,0T -f— State: L Zip: Z.v 2-q Office # :ZDL% 5 L l 52-20 Contact M
*Please fill out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE: Phone #: ! p
PROPERTY LOCATION: Subdivision; LOT Lot #: 5 Lot Size:-./.
State Road #;, 11 (S1tateQRonad Name: _B V tE.FA (--fi0� t n K� __ ._ Map Bonk &Page: n1_° /
Parcel: op D3 46S ` %3) ooc b I PIN: �T13'D l�EGO.��i^j� t)F �_o-t" % 5 U`O ✓
Zoning:r1 -;Vt4 M Flood Zone. ?J /A .__Watershed: Pl e�, Deed Book &Page: ' /_. 3K Power Company *:
1 l¢ ^ L-
*New structures with Progress Energy as service provider need to supply premise number � ( 5- .,._ 0q- from Progress Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON:
1g- 5�r 9,1 4C 27
L-15- f--T- L-,Q t VrFAL0 [Ott T.sJ
n1 L r �w r -So, T,4 C _- -fop Li o ►�
PROPOSED USE:
❑ Multi- Family Dwelling No. Units No. Bedrooms/Unit
Business Sq. Ft. Retail Space _,j..2_�i�.._Type,? FyT \ t t, SA.L -6 S # Employees: 140 Hours of Operation:
❑ Daycare
❑ Industry
❑ Church
# Preschoolers # Afterschoolers # Employees Hours of Operation , . _
Sq. Ft. Type # Employees: _Hours of Operation ,_,_,,_.
Seating Capacity # Bathrooms_. Kitchen
❑ Accessory/Addition /Other (Size__,_xu) Use
Water Supply: X_) County (,_,) Well (No. dwellings 0 __)
Sewage Supply: (,_„) New Septic Tank (Complete Checklist)
Commen
MUST have operable water before final
LJ Existing Septic Tank (Complete Checklist) (.County Sewer
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.
2
Signature of Owner or Owner's Agent 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 APPLICATION
Please use Blue or Black Ink ONLY
LAND USE 5/08