Land Use Ry
Y
Initial ApL 'ication Date-_ ,I_ C2 _ Application # tq
UNTY OF HARNETT LAND USE APPLICATION
Central Permitting 102 E. Front Street, Lillington, NC 27546 Phone: (910) 8934759 Fax: (910) 893 -2793
LANDOWNER: T Mailing Address:
/ �J
City: ( btu cr State: Zip: �L Phone #:
APPLICANT: —& nest --V. Mailing Address: ^
City: State: Zip: C Phone #: -
PROPERTY
Parcel:
Zoning:
Flood Plain:
Y
P(tOPOSED USE:
Sg. Family Dwelling (Sizex # of Bedrooms y �_ # Baths Basement (w /v
❑ / Multi- Family Dwelling No. Units�i Na Bedrooms/Unit
Zi a rage` - Heck - --
Comments:
rrber e�pessaaspec- kwusehold'- • Business Sq. Ft. Retail Space
• Industry Sq. Ft.
Type
Type
❑ Home Occupation (Size x___) # Rooms Use
❑ Accessory Building (Size x_) Use
❑ Addition to Existing Building (Size x_) Use
❑ Other
t bath) I Garage- Deck
-- - -
Water Supply: (,'Founty dwellings ) (_)Other
Sewage Supply: New Septic Tank Existing Septic Tank County Sewer Other
Erosion & Sedimentation Control Plan Required? YES (NO
Structures on this tract of land: Single family dwellings Manufactured home _ Other LVecify)
Property owner of this tract of land own land that contains a manufactured home w /in file nunareP left (50b ) ut uact listed above? YES / NO
Required Property Line Setbacks: Minimum ` Ar'' -' Minimum / Actual
Front / Rear
y ` t
Side C -.e Corner
Nearest Building
If permits are granted l agree to conform to all ordinances and the laws of the State of North Carolina regulating such work and the specifications or plans submitted.
hereby swear that the foregoing statements are accurate and correct to the best of my knowledge.
Signature of Applicant Date
kr'���U-tAhis Ni, tion expires 6 months from the date issued if no permits have been issued **
A RECORDED SURVEY PLAT AND RECORDED DEED ARE REQUIRED WHEN APPLYING FOR A LAND USE PERIVIIT
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Edwin fI. Moore
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„�'�Qted1 °ed
t EPK Wesley G. Moore
y Plat Cabinet "C'; Slide 91 —C�
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Revisions:
Survey For:.
I - V�C) 1
Tiff-any Michelle Aloore
1011:3 Matt.ho- --; Mill Pond Rd Ariffier. NC 275n1 91.4 - 639= -4529
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Deed Boc
Map Do
Note
Prope
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Lot 1
by
98