Commercial Land Use SchoolInitial Application Date: 12 -11 -13 Application #
DRB # CU #
COMMERCIAL
COUNTY OF HARNETT LAND USE APPLICATION
Central Permitting 108 E. Front Street, Lillington, NC 27546 Phone: (910) 893 -7525 Fax: (910) 893 -2793 www.harnett.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 # Email:
*Please fill out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE: Bret Mangum Phone #919 -422 -4714
PROPERTY LOCATION: Subdivision: Anderson Creek Club Lot #: Lot Size: 12.15 ac
State Road # 1121 State Road Name: Ray Road Map Book &Page: /
Parcel: PIN:
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 LILLINGTON: Hwy 210 South turn right on Ray Road go 5 miles site is on right
PROPOSED USE:
❑ Multi - Family Dwelling No. Units: No. Bedrooms /Unit:
❑ Business Sq. Ft. Retail Space: Type:
❑ Daycare # Preschoolers: # Afterschoolers:
❑ Industry Sq. Ft: Type:
❑ Church Seating Capacity: # Bathrooms:
tf Accessory/Addition /Other (Size x ) Use: charter school
# Employees:
_ # Employees: _
_ # Employees:
Kitchen:
_ Hours of Operation:
Hours of Operation:
Hours of Operation: _
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
Comments:
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 staters, nts are 9ccurat and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
/ - °/e7'
Signature of Owner or ner'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