LAND USE Initial Application Date::5 --/q -/3 Application# 1 3 50(_ oir Q
CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Pemdtng 108 E.Front Street LiNington,NC 27548 Phone:(910)893-7525 e4:2 Fax (910)893-2793 www.hamettorg/perm#e
"A RECORDEDEDSURVEY MAP,RECORDED DEED(011 OFFER TO
PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION-
LANDOWNER: S✓ tC )C\Z✓�Ql.— _E-a Mailing Address: 79 /i�i C
City: n r -.�'1�S11ailark ZIP:. T^-�' Fontan No:L.� Email:, il
APPLICANT*: �O talle1IL �OW€3 'Mailing Address: ft jli v 6T
CPwu nuoul�uecmme nemsrereV staatn eo Zip:a2E/Contact No:NVQ UUq 223(15 Emelt
CONTACT NAME APPLYING IN OFFICE:: ) Phone* '
PROPERTY LOCATION:Subdivision: " '� I Recel\e_- ^ n Lot IC a Lot Slrrev (1/7)c
State Road
{k#t.��,1'n 11el S'\\ State 11RoaddqNamS5er� 'JA��`�C \r�111 D /� , I('�M(ap Book 6 Page!90Q /-13(�1
Parcel'.�Q,,�b��L� G �1/4)-1 bC S ff11 V\ PIN: l *O(1''1" \�"1\-( -k D'1 'Oth
Zoning eked Zone': /U Watershed: 1‘l Deed Book&Page:C2 Irl 3q6 Power Company':
'New structures with Progress Energy as service provider need to supply premise number horn Progress Energy.
PROPOSED USE:
monolithic
❑ SFO:(Size x )#Bedrooms:_#Bats:_Basement(whvo bath):_Garage:_De&_Crawl Space:_Slab:_Slab:_
(Is the bonus room finished?(Dyes (_Ino w/a closet?LI yes ( )no(If yes add in with N bedrooms)
❑ Mod:(Size_x )#Bedrooms_#Baths Basement(wlwo bath)_Gauge:_Site Built Deck:_ On Frame_Off Frame_
(Is the second boor finished?(_)yes (_)no Any othersite built additions?U yes (_)no
NO Manufactured Home: SW DW TW(Size 1 "f x /0 ,#Bedrooms:a Garage: (site built? )Deck: (site built?_)
❑ Duplex:(Size x )No.Buildings: No.Bedrooms Per Unit:
❑ Home Occupation:#Rooms: Use: Hours of Operation: *Employees:_
❑ Addition/Accessory/Other:(Size_x )Use: Closets In addition?Li yes Li no
Water Supply: County _Existing Well Naw Wel (#of dwe#/n9s using Well )*Must Mw operable water Miors final
Sewage Supply: -Kew Septic Tank(Complete Checklist) _Existing Septic Tank(Complete Checklist) _County Sewer
Does owner of this tract of land,own Land that contains a manufactured home within five hundred feel(500)of tract listed above?(_)yes (_)no
Does the property contain any easements whether underground or overhead(_)Yes ( )no
Structures(existing or proposed):Single family dwellings: Manufactured Horses: 91er(specify):
Required RnldenHd Property Line Se cks: Comment:
Front Minimum ra(2�'Y)S Actual /�
Rear )4_ rx(c=1-
Closest Sloe ) (] 15 (1,
SidesireeVcomw bt�� \/1�\
Neeree18u1Mirp — '
\(
on same lot
Residential Land Use Application Page 1 oft 03/11
APPLICATION CONTINUES ON BACK