comm. land useJan.28. 2014 5:37PM Lillington Office
Initial Application Date: - 12W+4 ---
No-9703 P. 1
Application
COMMERCIAL DRB CU
Central Permitting 108 E. Front Street, Lillington, NC 276 OF HAPthone: (99100) 893_7�PLICA Fax: (910) 883 -2793 wwwhernott.org/parmits
LANDOWNER: HM's Kids, Inc. Mailing Address: 3035 NC Hwy 87
City: Cameron State: NC zip: 28326 Home*: N/A C 910- 606-4696
ontact #:
APPLICANT: Chandler Engineering, PA Mailing Address: 309 S. Fuquay Avenue
City: Fuquay -Vadna State: NC Zip: 27526 Office #. 919- 552 -4845 919- 390 -4227
Please fill out applicant information if different than landowner Contact #:
CONTACT NAME APPLYING IN OFFICE: Jim Chandler, PE Phone #: 919- 390 -4227
PROPERTY LOCATION: Subdivision: N/A Lot #: 1 Lot size: 10.75 acres
State Road #: Private State Road Name: HM Cagle Drive
Parcel: / � - L (�' PIN: / gs — r) Q --
zoning: COMM Flood Zone: N/A Watershed. NIA Deed Book&Page: 2799 /_362
Book &Page: 2 / 202
&.7
Power Company: Progress
`New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: From S. Main Street in Lillington, take NC Hwy 27 south towards
Barbecue. Approximately 3.5 miles after Barbecue Church Road take US Hwy 87 south towards Spring Lake. HM
Cagle Drive will be on the left approximately 1 mile past the intersection split of NC Hwy 87 and NC Hwy 24. The site
is located immediately behind the Cagle Furniture store.
PROPOSED USE:
0 Multi- Family Dwelling No, Units No. Bedrooms/Unit 6 am - 6 pm
X Business Sq. Ft. Retail Space 7,467 Dial sis Clinic 1 Doctor Mon -Sat
T
ype. Y # Employees: Hours of Operation:
❑ Daycare # Preschoolers # Afterschooters # Employees Hours of Operation
❑ Industry Sq. Ft. Type # Employees: Hours of
Operation:
❑ Church Sealing Capacity # Bathrooms Kitchen
0 Accessory/Addition /Other (Size x_J Use
Water Supply: 00 County U Well (No. dwellings „J MUST have operable water before final
Sewage Supply: U New Septic Tank (Complete Cheofft j (-J Existing Septic Tank (Complete Checldlso (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 h9jabrelilte that foregoing state.a urate and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
�..- 128 Ir�f
Slg Owner or Owner's Ag Date
*'This application expires 6 months from the initial date if no permits have been Issued`•
A RECORDED SURVEY MAP, RECORDED DEED (OR OFFER TO PURCHASE) AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPUCA71ON
Please use Blue or Black Ink ONLY
LAND USE $ /oS