LAND USE R Initial Application Date: l t'�'� ' c: i / `�•,. Application It
DRe CU
COMMERCIAL.
COUNTY- OF HARNETT LAND USE APPUCATION
Central Permitting c• 108 E. Front Sheet, Uliington, NC 27546 Phone: (910) 893.7525. Fax: (910) 893- 2793 vnny.hame0:orglpermtts
LANDOWNER SCatilt `taut - \-1 or, k Moiling Address: ;. ?n , IZ,n`•f. (.,
City:J1( h. Slate; 1JC.Zip: 1/54 t, Home d• 9 ft? -457 11C(.. Contact et:
APPLICANT`: filter.
\ /A .t WoolC.. Mailing Adtlresa: :lje,Y _ �.S:
Coy: 1 3111.: °'�T'I, v. Stale: hI C_. Zlp: 3:7 Sq in Office 4; Contact A:
'Pleaeo fat out apotatonl information i1 different than 1 8 11 �� ( •Terr •• vii CONTACT NAME APPLYING. IN OFFICE:'. . ( it i ! ( Y. /- 14? /J(.ax' ) Phone S: l
PROPERTY LOCATION: Subdivision: th / 67/2-.// Lott' LotSize:13. 2 »
State Road 0: �-Y 2 i ////// 40 � SlateRo / t Road Name: -fit/ k(a / / - Map B k6Page: , 6'�F4L)
Parcel: / �: ' C&'• 0/0 piN: _ ,(/. l!-( J
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Zoning JL Flood Zone: J ... Watershed / ie Deed Book&Page: / / ��( II e / -I Power ' L 1
Company _ ..
'New structures with Progress Energy as service.provider need: to supply premise number _ .. from Progress Energy.
SPECIFIC DI • ECT1ONS TO E PROPERTY FROM ULUNGTON;
/11(1 cT fir, /i / fit / ' ., 7/(71.7 1
PROPOSED USE:
O /Mtdt1•Family Dwelling No Units No Bed / n �/
OY Business Sq. Ft. Retail Specs - Type A 7 .. / / / 0Employees :. (1 Hours al Operation -
U Daycare 4 Pr it Afterschooler 0 Employees Hours of Operation _
O Industry Sq. FL Type 0Employees:. Hours of Operation:..
❑- Church Sealing Capacity - - - 0 Bathrooms - -- - Kitchen
O Accessory /Add fort/Other (Size _ ) Ike.
Water Supply: ` , h I / County (_,) Well (No. dwellings I MU have operable water before final
Sewage Supply: U New. Septic Tank (Complete Checklist) ( Existing Septic Tank (Complete Checklist) ( County Sewer
comments. - _ . 1. l"de /2I' ((U f%' /J2'2 (...(..t /'f/t''. Ltd -0
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I1 permits are granted I . �.. • co to a I o / Ina ' en ews o the Stale. of Nonh Carolina regulating such work and the specifications of plans submitted.
t hereby state that foregoing statements am accurate and correct to the best of my knowledge. Permit subject to revocation II false Mformallon is pmvlded:,
6d � ' ( C 'f dirifr__ciacceir
ature of Owner or Owner's Agent Dale
"This application expires 6 months from the Initial date It no permits have been Issued"
A RECORDED SURVEY MAP, RECORDED DEED (on OFFER TO PURCHASE) AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPUCATIDN
Please use Blue or Black Ink ONLY
LANOUSE _ ..._. .5/08
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