LAND USE R - _ / 2 ' /G ; Initial Initial Application DatC _ 1 -- z_ =' — Application. /0 ✓ 00 Zs Z /ifr7
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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 /permits
LANDOWNER: Mickey McQuain Mailing Add ress: 392 Norl hriew Drive
city: Sanford sate: NC n 27332 contact a 9105689695 Email:
APPLICANT': Stephen T. Milton Meifog Address: 1011 Summerville Mamers Rd.
City: Lillington sate: NC : 27546 c 910.303.1967 Email:
'Please fill out applicant information if different than and:wrer
CONTACT NAME APPLYING IN OFFICE: Stephen T. Milton ph * 910.303.1967
PROPERTY LOCATION: Subdivision: Ross McRae Brae Lot*: 1 Lot Sae: 1.36
State Road 0 State Road Name: Old US 421 Map Book&Page: 2007 / 72
Parcel: 130630 0014 // nI / PIN: 063043 7766.000
Zoning: RA Food Zone: /� Watershed: Ik� T Book&Page: 07 r Power Comparry`: Progress Energy
Now structures with Progress Energy as service provider reed to supply premise number 1 from Progress Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM ULLINGTON: Take Old US 421 North from Lillington. Subdivision is on left (Ross
McRae Brae). 1st lot on left.
PROPOSED USE:
Monolithic
I� SFO: (Size 7 ° x ) * Bedrooms: 3 *Baths: 3 " �B w o bath): Garage:! Deck: ✓ Crawl Space: ✓ Slab: Slab:
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(Is the bonus room finished? r yes (__)no wl a closet? (__) yes (_✓,no (d yes add in with s bedrooms)
❑ Mod: (Size x ) 0 Bedrooms * Baths Basement (Wwo bath) Garage: Site Built Oath: On Frame Off Frame
(Is the second floor finished? (.__) yes (ono Any other site built additions? (.__) yes (_)no
❑ Manufactured Horne: SW DW TVII(Size x ) it Bedrooms: Garage: (site built? ) Deck: (site built? )
❑ Duplex: (Size _ x ) No. Buildings: No. Bedrooms Per Unit:
❑ Home Occupation: 0 Rooms: Use: Hours of Operation: *Employees:
❑ Addition/Aocessory/Other (Size x ) Use: Closets in addition? L yes ( )no
Water Supply: 1 County _ Existing Well _ New Well (* ofdwegugs using well ) 'MUST have operable water before final
Sewage Supply: j New Septic Tank (Complete ChocMrs4 Existing Septic Tank (Compote Checklist) County Sewer
Does owner of this tract of and, own and that contains a manufactured home within five hundred feet (5013) of tract listed above? (i yes (✓ )no
Structures (existing or proposed): Singe family dvs96gs: SFD Manufactured Homes: Other (specify):
Required Residential Property Line Setbacks: : 751:3
Comments: I O - 12 - /P / lie / l4 ea
Front Minimun� ( y7 Actual Cr ° A
Rear c Jt 2s�.7
Closest Side X 10 2" r 3o.3
Sidestreet/comer lot/u l
Nearest Building 10
on same lot
If permits are granted I agree to confo I ordinances and laws of the State of North Carolina regulating such work and the specifications of plans submitted.
I hereby sate that foregoing s accura co *be y'IDr6lVltldge -ParmR subject to revocation if false information is provided.
•_ // 9 - 24 - 10
Signature of Owner or Owner's Agent Date
'This application expires 6 months from the initial date H permits have not been issuer
A RECORDED SURVEY MAP, RECORDED DEED (OR OFFER TO PURCHASE) AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPLICATION
Residential Land Use Applicacnan Paco 1 01 i 07Th
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