land useInitial Application Date: 5/14/14 Application #iy% " �}
DRB # CU # BA- CU -13 -14
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: Kenneth Sextion & Laura Denning
Address: PO Box 126
City: Lillington State: NC Zip: 27546 Contact # Email:
APPLICANT *: Winston 104 Group, LLC Mailing Address: 2323 Keith Hills Road
City: Lillington State: NC Zip: 27546 Contact # 910- 814 -4236
*Please fill out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE: Jason Price
PROPERTY LOCATION: Subdivision:
State Road # 1532 State Road Name: Main Street
Parcel: 110670 0054 03
PIN: 0670 -98 -2503
Email: jpriceconstruction @yahoo.com
Phone # 910 - 814 -4236
Lot #: Lot Size:
_ Map Book &Page: PC #C / 171 A
Zoning: RA-30 Flood Zone: X Watershed: WS -IV Deed Book &Page: 1142 / 155 Power Company *: Duke Progress
*New structures with Progress Energy as service provider need to supply premise number
from Progress Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: Take HWY 421 East and South out of Lillington. Turn left
on Leslie Campbell Ave. Turn left at traffic circle on to Main St, going north. Go approx. 1 mile. Property is open field immediately
Ennis Farm Lane on the left.
PROPOSED USE: Phgwl + 34I
❑ Multi - Family Dwelling No. Units: O uerall ' °Id) No. Bedrooms /Unit: r Enn� pr urw t'
❑ 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: ✓ 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: Property to be developed in multiple phases.
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 statement re accurate and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
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
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