Commercial Land useInitial Application Date: 12 -11 -13
Application #
DRB # CU #
COMMERCIAL
COUNTY OF HARNETT LAND USE APPLICATION
Central Permitting 108 E. Front Street, Liliington, NC 27546 Phone: (910) 893 -7525 Fax: (910) 893 -2793 www.homett.org /permits
LANDOWNER: Anderson Creek Partners, LP Mailing Address: 125 Whispering Pines Drive
City: Spring Lake State: NC Zip:28390 Contact # 910- 814 -2633 Email:
APPLICANT *: Same Mailing Address:
City: State: Zip: Contact #
*Please fill out applicant information if different than landowner
i�Ump
CONTACT NAME APPLYING IN OFFICE: Bret Mangum Phone #919- 422 -4714
PROPERTY LOCATION: Subdivision: Anderson Creek Club Lot #: Lot Size:
State Road # (2 i State Road Name: Ray Road p11 Book &Page: 177LI% J 9k'la8
Parcel: PIN: OS D5 - QL4 ^ Q 1'4"1 . O C
Zoning: RA -20R Flood Zone: Watershed: Deed Book &Page: / Power Company *: SREMC
*New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTOW Hwy 210 South turn right on Ray Road and go 5 miles property is on the I
PROPOSED USE:
❑
Multi- Family Dwelling No. Units:
No. Bedrooms /Unit:
If
Business Sq. Ft. Retail Space:
Type:
# Employees: Hours of Operation:
❑
Daycare # Preschoolers:
# Afterschoolers:
# Employees: Hours of Operation: _
•
Industry Sq. Ft:
Type:
# Employees: Hours of Operation: _
•
Church Seating Capacity:
# Bathrooms:
Kitchen:
•
Accessory/Addition /Other (Size _x_)
Use:
Water Supply: _
Sewage Supply:
Comments:
County Existing Well New Well (# of dwellings using well ) *MUST have operable water before final
New Septic Tank (Complete Checklist) Existing Septic Tank (Complete Checklist) ✓ County Sewer
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.
1 hereby state that foregoing state nts are ac u to and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
/Z -t / -! j
Signature of Owner oy 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
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