HomeMy WebLinkAboutLAND USE R Initial Application Date'.e--t44I —1 D r j�Jul I�/ Application# I „JO( —f�/`I-71
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COUN OF HARNETT RESIDENTIAL LAND USE APPUCATION
Central Permitting 108 E.Front Street,Lillington,NC 27546 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.hamettorg/permits
^A RECORDED SURVEY MAP,RECORDED DEED M(OR OFFERnTO PURCHASE)&SITE PLAN ARE REQUIRED gWHEN SUBMITTING1( _ ( A�1LAAsN,D�USE APPLICATION'
LANDOWNER:A���� PMY?A Q` Co kt\ll'obs Mailing Address:qAl\ \I.AV���Ard << ` )/ ){'�
City: t IA1\yQ\(L�A�k1'' IIStaatte:3 1�,Z�fi{pyC{�'Oc.arkContact{N�o: II 0- IItt- IC69 EE,m1ail`VVV SCANNED
APPLICANT': A 1V(PQ � \ l 1/113\\1,,sCs at'�aailyryin�ggyyAd�dress:P'ID\ ki q sryty�'r ll i SCANNED
City: ' ut OYan State3C- Zip:plOL DContact No: 1I0-CHID" O3 Email: YN �Y4
'Please fill ma applicant information if different man landowner
CONTACT NAME APPLYING IN OFFICE:/(�I ,�/� y'/ /7 I/'j CWIP�' /y ✓1 Phone#
PROPERTY LOCATION:Subdivision: Ar 4 [ ( l a 1 I I l CWI v/ 1 C Lot if: LI- Lot Size: -2
State Road# I S ne Road ame: I _ _. Itfit_ - / _ M Book 8 Page: . zap
Parcel: '�x J PIN: V a - ) _ 4� a
J f, ilk
11 /] {l OI I1
Zoning:/ a Zl I... Zone J Watershed: I'- k Deed Book&Page A_$I/hi Li-/ I Power Company': r
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
Monolithic
❑ SSD.(Size x )#Bedrooms'._#Baths:_Basement(w/wo bath):_Garage:_Deck:_Crawl Space:_Slab_Slab:_
(Is the bonus room finished?( )yes ( )no w/a closet?(_)yes (_)no(if yes add in with#bedrooms)
❑ Mod:(Size x )#Bedrooms_if Baths_Basement(wlwo bath) Garage: Site Built Deck: On Frame Off Frame_
(Is the second floor finished?(_J yes (_)no Any other site built additions?(_)yes ( 1 no
1d Manufactured Home: SW ✓OW TW(Sizep(9 x )#Bedrooms: 3 Garage: (site built?=)Deck'.=(site built?_)
❑ Duplex:(Size x )No.Buildings: No.Bedrooms Per Unit:
❑ Home Occupation:4 Rooms: Use: Hours of Operation: #Employees:
❑ Addition/Accessory/OMer:(Sizeze x }Use: Closets in addition?(_)yes ( )no
Water Supply: /County V 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 Sewerf' ,
Does owner of this tract of land,own land that contains a manufactured home within five hundred feet(500')of tract listed above?( ^)yes ( V)no
Does the property contain any easements whether underground or overhead(4 yes (_)no
Structures(existing or proposed):Single family dwellings: Manufactured Homes: P� `I �h/ rOrthheY (specify): —
r
-1 s c
Required Residential Property Line Setbacks:
/ Comm/e�nts�:
n
Front Minimum 35 Actual 17 ( JV -e i f`(��n,r �C'�
I
Rear �Jt QOLS�X-`r-.J? 4-L-� (J Yl 1.\ ' •--- {I L---
Closest Side I D I i ar,�r.'\u-y'�T��
Sidestreeucorner lot 20A / C) F-.0.....0-__.
Nearest Budding I0
on same lot
Residential Land Use Application Page I of 2 03/11
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGT• : -Tarn) aL'1 -al I UVn 14:-A
ay atnic) -4n \-\u5 '31 -b IlL Ls ih lla j " V ffiCl k v
on -} A1A-1112 I��k •s 'cQ rd • '1 c w ,iQ writ
If permits are granted I agree to conform to an ordinances and laws of the State of North Carolina regulating such work and the specifications of plans submitted.
I hereby state that foregoing s tements are %orate and comp the best of my knowledge. Permit subject to revocation if false information is provided.
rav,.(G iif / c&-lot - r
Signature of Owner or Owner's Agent Date
"'It Is the ownerlapplicants 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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