LAND USE RR I r N D
. Initial Application Date: / /} �( r G
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COUNTY OF HARNETT LAND USE APPLICATION
Central Permitting 108 E. Fro Street, Lillington, NC 27546 Phone: (910) 893 -7525 Fax (910) 893 -2793 www.harnett.org
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LANDOWNER: ck 1 L� 4,604 1 kw1 c /1 e— • /! Mailing Address: ') � t 7. !'><1 , C n 0
_____O _____O ( J t c' ll State: I V C- Zip: )k 6YHome #: t 1 9.4 k - 42434 Contact #.11 S _ Cr a- -,a 13-1 C
APPLICANT': S a k ■ .P 1`0... n)c- ) 1 . t) n) Mailing Address: f rue- c r r^ b0 u "-
City: State: Zip: Office #: Contact #:
'Please fill out applicant Information it different than landowner AA
CONTACT NAME APPLYING IN OFFICE: ZInR �
r 143 kw 'L, i C'7- ✓ Phone #: et. (S - 74 5 / 4.6, S
PROPERTY LOCATION: ( Sybdivision: J Lot #: Lot Size: '. a R C- .
State Road #: y � �W ra f State Road Name: Q Lt (hi )-y./ c Map Book &Page: ( () / 3 1 L-1 Parcel: 3;0 - 6 ' 7 0 / 6 S () 1 PIN: 9 SM S - a 3 -- ii I S.--0. O i1
Zoning: 12P00/ Flood Zone: X Watershed:] " \ . DDe ' ed Book&Page: (7 Ic{ I C i / 6 tf'.g I.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM ULLINGTON: rid
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PROPOSED USE:
❑ Multi- Family Dwelling No. Units No. Bedrooms/Unit
❑ Business Sq. Ft. Retail Space Type . \i")■ tS # Employ es: Hours of Operation:
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, Daycare # Preschoolers - Q - J' # Afterschoolers `�` -. % 3-4 Employees Hours of Operation k 00,114 — p rem
❑ Industry Sq. Ft. Type # Employees: pe .
❑ Church Seating Capacity # Bathrooms Kitchen Cat n , Q # Accessory/Addition /Other (Size IV x9) ) Use j , \ o C✓yc.. ay..), 17c (Y3 1
Water Supply: (� County (__) Well (No. dwellings ) MUST have operable water before final (in 1 .- 1 --
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Sewage Supply: (� New Septic Tank (Complete w Tank Checklist) L`7 Existing Septic Tank ( ) County Sewer
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If perm' eye 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 her= •y to that foregoing statements are accurate and correct to the best of my knowledge. Perk subject to revocation if false information is provided.
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- Ignature of Owner or Owner's Agent Date
"ibis application expires 6 months from the Initial date N no permits have been Issued••
A RECORDED SURVEY NAP, RECORDED DEED (OR OFFER TO PURCHASE) AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPUCATION
Please use Blue or Black Ink ONLY
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Z og -sW- 1939 9
n a rnett Application# 65 5 c 1 i3 8
Op *Mr C 0 U N T Y
In .K:, SSA Harnett County Central Permitting
Date: 10 /11 /10
Applicant: Solid Foundations, Inc
Technician: Richard Del Conte
Customer changed scope of the project. There will only be 3 modular classrooms total and no office.
E- Health's mod #3 will be changed from office to classroom.
New plans were submitted to Building, FM, Health & Sanitation and E- Health. Planning was given
updated site plan showing all other structures removed.
Richard Del Conte
Cc: Laserfiche, file # 08 -500- 19397, 19398, 19399
PO Box 65 Lillington, NC 27548 Phone: 910 -893 -7525 Fax 910 - 893 -2793 www.harnett .org