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LAND USE initial Application Date: 11 — /7- V Application # /ot 5 /. / L i77 CU# COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION Central Permitting / 108 E. Front Street, Lillington, NC 27546 Phone: (910) 893 -7525 Fax: (910) 893 -2793 www.harnett.org /penults LANDOWNER: ( ' efiTh �/ ,nl nj'- p r i Mailing Address: <7 I1 en'iuria ' L1\ City: ca r-Ifel /n� L State: NC Zip: a 73'i&ntact # 9/0 - 7 / 2n c? Email: / APPLICAAwr: S.�t l.r�xt+enr � ILq Cot' - . Mailing Address: /514 C /ifr frier FIUrf. cit , 1n4CfDc State: /17C zip:a7r/ Contact# Q/?- 775^/4 Email: Cr ncla Ct.n S. CO V 'Please fill out applicant information it different than landowner CONTACT NAME APPLYING IN OFFICE: jJ,A Grnf <c-. Phone# 9/9 -770- y '3 J3 g l PROPERTY LOCATION: Subdivision: p 1 p k# /PGbr( 1Sa ul Sw�o��V.S�1v Lot #: 3 Lot Size: /6,r) . State Road # 11 178 State � R Road Name: V t cK Kt; * Re./. Map .3119 Map Book &Page: 2 FM/ 579 parcel:03 n34G, ,7g PIN: [S% t'n3 . &OO / 1 Zoning: 0R Flood Zone: HO Watershed: NQ Deed Book &Page:o?7 - (74- 7/, Power Company': AW r IT0J G �ea1f ;C New structures with Progress Energy as service provider need to supply premise number from Progress Energy. SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: W 1( .27 GIPS+ to 131.�-flz to LQ Rrl - Trn Lef +— �,� j V�cK Keitk FA Ttcv� Left - 4t 3 0A Ir f't v�S - 1 - n 1 1' M. tc . PROPOSED USE: , X '1c w� V SFD: (Siz 3J 7 x y / # Be drooms: 3 # Ba ths:Q Basement (w /wo bath): Nib Garage: /r0 Deck: At Crawl Space:! Slab: nt (Is the bonus room finished? (_) yes ( )no w/ a closet? (i yes ( )no (if yes add in with # bedrooms) ❑ Mod: (Size x ) # Bedrooms_ # Baths_ Basement (w/wo bath)_ Garage:_ Site Built Deck:_ On Frame_ Of Frame_ (Is the second floor finished? ( ) yes ( )no Any other site built additions? ( ) yes ( )no ❑ Manufactured Home: _SW _DW _TW (Size x ) # Bedrooms: 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? ( ) yes ( )no /. Water Supply: County 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 Sewer Does owner of this tract of land, own land that contains a manufactured home within five hundred feet (500') of tract listed above? (J yes ( ✓)no Structures (existing or proposed): Single family dwellings: Manufactured Homes: Other (specify): Required Residential Property Line Setbacks: Comments: Pr ac Front Minimum .1.J Actual 0 o Rear d� �1 �P Closest Side �n a0 Sidestreeticorner lot Nearest Building on same lot If 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 statem nts are accurate and correct to the best of my knowledge. Permit subject to revocation if false information is provided. 01 Signature of Owner or Owner's Agent Date "This application expires 6 months from the initial date if permits have not been issued** A RECORDED SURVEY MAP, RECORDED DEED (OR OFFER TO PURCHASE) AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPLICATION Residential Land Use Application 1 of 1 03/10 Act P sill') D° 3p 5 e.. 1 . 2 - Z 'kips p 1{3 3 aC . teik • Se *s g y �,s� 5 e .P`Z I VP i i 1 i Ib I O N r-oi I . i 35 - 1 = :�F a9 'q+ M a r '+ 1 ! , I t, -Lp • i $ p d j v o d `g3 1 a IV fa ■ a g 1 w 1 q .9108933801 03 p. m. 06 -15 -2010 2/4__ 2830004870 HARNE / W TAX i V� Q � R� O l A r l� ✓ Q [J /. o 6 p 1 FOR REGISTRATION ER ageis 2 E OF DEED$ 1 VK 0110 APR 1 PM BK:2733 PG:74 -78 fEE:$22.00 RC REV Sicr:02.80 L eiCl' 1O BY si"O NSUCT131;d1 NORTH CAROLINA GENERAL WARRANTY DEED Excise Tax: S 52.00 WITHOUT TITLE EXAMINATION Parcel Identifier No Verified by County on the _ day of , 20_ By: Maii/Box to: THE LAW OFFICE OF JEFFREY E. RADFORD, P.A., 1300 BRAGG BLVD SUITE 1316, This instrument was prepared by THE LAW OFFICE OF JEFFREY E. RADFORD, P.A., 1300 BRAGG BLVD SUITE Brief description for the Index: THIS DEED made this 1 LS+'. day of Ap ra l , 20JU by and between GRANTOR GRANTEE Ronald D. Robertson, 11 and wife, Cathy M. Williams Sandra S. Robertson 58 Bermuda Trail 1246 Vic Keith Road Sanford, NC 27332 Sanford, NC 27332 Eater in appropriate block for each Grantor and Grantee: name, mailing address, and, if appropriate, character of entity, e.g. coryoratian or partnership. The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns. and shall Include singular, plural, masculine, feminine or neuter as required by context. WITNESSBTH, that the Granter, fora valuable consideration paid by the Grantee, the receipt of which is hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto die Grantee in fee simple, all that certain lot or parcel of land situated in the City of Sanford Barbecue Township, Harnett County, North Carolina and more particularly described as follows: Being all of Lot 3, containing .060 arm, as shown on a survey for "Ronald D. Robertson 11 and Sandra Robertson" dated January I8, 2010, by Melvin A. Graham, PLS and recorded in Book 2010, Page 56. Harnett County Registry, North Carolina. The property hercinabove described was acquired by Grantor by instrument recorded in Book page All or a portion of the property herein conveyed _ includes to does not include the printery residence of a Grantor. A map showing the above described property is recorded in Plat Book page NC BaAnoaistiw Pon No.3 O 1 774 Revised 0l /7200 Printed by Agamem with tbe NC Bar Asnelstlan 9108933801 03.14 - . 44 p. m. 06 -15 -2010 3 /4 TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all peivikges and appurtenances thereto belonging to the Grantee in fee simple. And the Grantor covenaats with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey the saint in fee simple. that tide is marketable and bee and dear of all encumbrances, and that Grantor will warrant and defend the title against the lawful calms of all persons whomsoever, other than the following exceptions: Subject to all Easements, Restrictive Covenants and Rights of Way of Record. IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as o ° trbe day and year first above written. &i Q• Ielg465 (SEAL) (Entity Name) Prim/ Type Name: Rona Robertson, 11 By: C5allikt (SEAT PrimRYpe Nerve * T Ie: Print/type Name: Sandra S. Robertson Ey: (SEAL) Print/Type Name & Title: Print/Type Name: By: (SEAL) Print/Type Name & Title: Print type Name: State of North Carol'. • ,v, - County or City of 44t. ( fl, P l4 1, the i .Ile of the County or City of and State efcrcsaid, certify that Ronald D.Reherts,• eauduii :: andit ahekson personally appealed berme tm this day and w -t th*dde . • 't ,-, n ofxh` seal W • going instrument for the purposes therein expressed. Witness my hand and Notarial stamp or Y _ 2015.. � My Comnilssi. Expiie t . o is "d.r% 1. J'-' 1Q?y Public (Affix Sea) Oyyids Notary's Printed or Typed Name State Of - County or City of 1, the undersigned Notary Public of the County or City of and State aforesaid, cud fy that personally came before me this day and acimowtedged that he is the of , a North Carolina or corporation/limited liability company /general partnership/limited partnership (strike through die inapplicable), and that by amhottty duly given and as the act of such entity, _he signed the foregoing instrument in its name on its behalf as its act and deed. Witness my hand and Notarial stamp or seal, this _ day of , 20 . My Commission Expires: Notary Public (Max Seal) Notary's Printed or Typed Name State of - County or City of I, the undersigned Notary Public of theCounty or City of and State aforesaid, certify that Witness my hand and Notarial stamp or seal, this day of My Commission Expires: Notary Public (Affix Seal) Notary's Printed or Typed Name NC Res Association Form Na 3 O 1976, Revised C, 1 /1/2010 Printed by Agreement with the NC Bar Aarodaion 9108933801 03.15:01 p. m. 06 -15 -2010 4 /4 = innt CB00 • ` l e ery 7 +1s N • �a ti 1`J f, 1f� 1 1 7 g 5 . or eras chow ,, KIMBERLY S. HARGROVE REGISTER OF DEEDS, HARNETT 305 W CORNELIUS HARNETT BLVD SUITE 200 LILLINGTON, NC 27546 . NM.M.MNNN.b.N M�N.HNMN.H 1 .tl.tl�N. NCH. H N. H. N�lIH I.HH.�..NHHYH�H *.I* *. NHH•MI fa MN Filed For Registration: 04/18/2010 0814:22 AM Book: RE 2733 Page; 74-76 Document No.: 2010004870 DEED 3 POS $22.00 NC REAL ESTATE EXCISE TAX: $62.00 Recorder: MARY ANNE WOOD State of North Carolina, County of Harnett KIMBERLY S. HARGROVE , REGISTER OF DEEDS • DO NOT DISCARD 1 111111011111111111111111 1111111111111111111 1110111 2010004870