LAND USE R
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Initial Application Date: I~~1 I Application* OK~ I Q PQ5)
J~ r v9 OUNTY OF HARNETT LAND USE APPLICATION
LANDOWNER: WoodstltltlHire JI Partners, LLC IC 27546 Phone: (910) 893-7525 Fax: (910) 893-2793 www.harnett.org
1540 Purdue Drive
Fayetteville, NC 28303 Mailing Address:
910-484-9091
-Zip: Home Contact
APPLICANT': '~~r l~~Jl~l~ ~~r ~yS~r~ Mailing Address~:.2{~~"~l/~N X61,211lL)CC.YI~Y)1Le,~;/s~//e
City:/(~ ~F_~ 7) L State:f V V ZiL~~CJ"lJ(D~~~fOT Contact
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'Please fill out *plicant information If different than landowner J ~,,I
PROPERTY LOCATION: State Road 1af S''taltIe//R__oad Name: t_e/r~i/~~C'. l9aeL ht` r Q
Parcel 1 PIN: 7
~S 1 CA
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Zoning: '.-r Subdivision: y~ Lot#: f~ / Lot Size:
Flood Plain: X Panel: p I Watershed: Deed Book/Page: „lat Bo0WPage: 1
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGT0
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PROP ED USE. r3 S -A 1 ~ T PCk+t 0 Circle:
SFD (Size s ) # Bedroom' # Baths Basement (w/wo bath)
-8 Garage l rl Decravel Spa i~--
❑ Modular: _On frame -Off frame (Size_x_) # Bedrooms _ # Baths _ Garage -(site built?~ Deck- sI a built?
❑ Multi-Family Dwelling No. Units No. Bedrooms/Unit
❑ Manufactured Home: _SW _DW _TW (SizexJ # Bedrooms _ Garage -(site built?~ Deck-(site built?~
❑ Business Sq. Ft. Retail Space Type # Employees: Hours of Operation:
❑ Industry Sq. Ft. Type # Employees: Hours of Operation:
❑ Church Seating Capacity # Bathrooms Kitchen
❑ Home Occupation (Size_x_) # Rooms Use Hours of Operation:
❑ Accessory/Other (Size_x____) Use
❑ Addition to Existing Building (Size_x__) Use Closets in addition(_)yes (no
Water Supply: 4 Cou ty Well (No. dwellings Other
Sewage Supply: (w Septic Tank (Must fill out New Tank Checklist) U Existing Septic Tank C-)County Sewer U Other
Property owner of this tract of land own land that contain11s ,,a..~~m~-an~u~f~~a__cttu_ur.rrl?21~d home wfn five hundred feet (500') of tract listed above? (-JYES (~'NO
Structures on this tract of land: Single family dwellings ~f Y3,K'NTanufactured Homes Other (specify)
Required Residential Property Line Setbacks: !Comments:
Front Minimum 35 Actual t
Rear 25
Side 10 Li R~d ~7-)r f)
Sidestreet/corner lot 20
Nearest Building 10 C~ C ~L) 1 ~Jt f 1.~ 0 r on same lot
If permits are granted I agree to conform to all ordinances and the laws of the State of North Carolina regulating such work and the specifications of plans
submitted. I hereby state that the fore ing statements are accurate and correct to the best of my knowledge. This permit is subject to revocation if false
information is vided on this rm
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Signature of Own r or Owne ant Date
his 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
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