HomeMy WebLinkAboutcommercial land useInitial Application Date;
Application #
DRB CU
COMMERCIAL
COUNTY OF HARNETT LAND USE APPLICATION
Central Permitting 108 E. Front Street, Lillington, NO 27546 Phone: (9110) 893 -7525 Fax: (910) 893 - -2793 www.harnelt.org/peTmits
LANDOWNER: �Am F� ), yN�(6�:�'S'��i Mailing Address: T� gx��( 1-7
city; fa) � b CIA`61by- Slate:,NL, Zip:- ZJ 50 Home #: Contact #: � 10-A 13- IZ4 U
APPLICANT;: <, A . 1,o J3.1-J V CO- 11A2 60 Y Mailing Address: PQ 'C7r2A VU t� R 919
City: ( k c)S 0"4O State: t_ , Zlp: 2 5 Cifioe #: 91 q �y 3 �t - �conlact #:
'Please fill out applicant information if different than landowner q
CONTACT NAME APPLYING IN OFFICE: AJI)AN Phone #:
PROPERTY LOCATION: Subdivision; Lot #: Lot Slze; L✓ s fut,r 1 Ariz
State Road #: Stale Road Name: US 0,1111 M Map Book &Page:
Parcel: ��i,1 -�,,. `� `°.c f /I) `e' 613 PIN: Ij (v70 " � � i bnZ'� /5.00f2
Zoning; ��� Flood Zone: X Watershed: Deed Book &Page: 1 19(O 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:
Nj)' N 014 •5 bJq%� MAI.1-J 51, TAK-C i"-2y I+ --I n,l '(o O!s 47, 60011-1 Tc'✓n,rbs
(�0 0 m v6 ntl 3bjt; boo -riz s r/Y��t�AA Ly L, ;3 6� 6,1!
PROPOSED USE:
O Multi - Family Dwelling No. Units No. Bedrooms/Unit
❑ Business Sq. Fl, Retail Space Type # Employees: Hours of Operation: _
❑ Daycare
• industry
• Church
# Preschoolers # Afterschoofers # Employees Hours of Operation
Sq. Ft. Type # Employees: Hours of Operation:
Seating Capacity # Bathrooms Kitchen
❑ Accessory/Addition/Other(Size x )Use CAMIMMLt, fool AtAe WC65 -60X /+;IS+`�. �AAIIAkr ADr11-1 -cyJ
Water Supply: (-_) County (_) Well (No. dwellings _._ j MUST have operable water before final
Sewage Supply: U New Septic Tank (Complete Checkllst) (_J Existing Septic Tank (Complete Checklist] a_)County Sewer
Comments:
It 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 accur and correct to the best of my knowledge. Permit subject to revocation if false Information is provided.
gnat re 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