LAND USE RR SCANNE Gil, ^
Initial Application Dale: DATE Application # O S JC) U Ot :),2_,58
47
CUSP
COU OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 1 Front Slre =t, Lillington, NC 2754 ne: (910) 893 -7525 Fax: (910) 893 -2793 www.harnett.org/permits
LANDOWNER: ' ■ssa..... �.,.... , r L�` Mailing Address:
City: aAM - Srr a) ,.II-- 11 /d State: p-� #: Contact #:
APPLICANT': *it/ (4 MFIP.YGI" d Mailing Address: 2 ;9.7$ /Or. Sw fir /O,
t.
City: hered/tnav State:C Zip: 27537- pwle #:9!9 r2 -1 Contact #: 9! `Z YLL {3Z
'Please Itil out applicant Information it different than landowner
CONTACT NAME APPLYING IN OFFICE: J a e. y 1.. rtc1 hold Phone #: 115 r c S, -Go
PROPERTY LOCATION: Subdivision w /phase or section. /t Lot #: y3 Lot Acreage: r 3 yY
State Road #: I - State Road Name: _'fir? 2-9 Map Book &Page( 067 / - 7 ( /
Parcel: () '339 tJ ' Si& coil 73 PIN: 1 99 3V `1'07Y. Uoo O
Zoning: eaLE,, Flood Zone: x Watershed: Q /�
Deed Book &Page: l J Tel Power Company': atop-elf
*New homes with Progress Energy as service provider need to supply premise number from Progress Energy.
SPECIFIC � DIRECTIOONS TO THE PROPERTY FROM LILLINGTON: I of& Muji )) tie rt S+ Ad ei", J / .F14 n. r 'Au
I1/211 l' 'fir r 7% Art/775 j) 5 A, I/
PROPOSED USE:
577 w \ 'R'�'t�
q v�
e / SR) (Size # Bedrooms 5 # Baths Z Basement (w /wo bath) /t /G./ Garage/46i% Deck 4/0 (y , ,t lab
(Is the bonus room finished ? w/ a closet it so add in with # bedrooms) 0n►
❑ Mod (Size x ) # Bedrooms # Baths Basement (w /wo bath) Garage Site Built Deck ON Frame / OFF
(Is the second floor finished? Any other site built additions? )
❑ Manufactured Home: _ SW _ DW TW (Size x ) # Bedrooms Garage (site built? ) Deck (site built? )
❑ Duplex (Size ) No. Buildings No. Bedrooms/Unil
❑ Home Occupation it Rooms Use Hours of Operation: #Employees
❑ Addition/Accessory/Other (Size x ) Use Closets in addilion(jyes ( )no
Water Supply: (_) County (_) Well (No. dwellings ) MUST have operable wafer before final
Sewage Supply: New Septic Tank (Complete Checklist) (i Existing Septic Tank (Complete Check/lap 1 )County er
Properly owner of this tract of land own land that contains a manufactured home w /In five hundred feet (500') of Tract listed above? ( IVES )NO
Structures (existing & proposed): Stick Built/Modular t./" Manufactured Homes Other (specity)
• Required Residential Property Line Setbacks: Comments:
Front Minimum 5.1 Actuall4 -a 3 p S -I 3-10 ' C Ll r� tick. (An O C,._
Rear 2 - s ?
- S ;T 7Y t-Q,i ,;s- (iTh -- C --t VX 4. IN Q l'JP c
1
Closest Side 0 --,o r ! L — i t / - ,® p4 4 F
Sidestreet/cornerlot 2 . / 0 \
Nearest Building V v
on same lot
11 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 statements are accurate and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
/ /�-� /+/�V/��- i 'ZL -of
Signature ture of Owner or Owner's Agent 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 APPLICATION
Please use Blue or Black Ink ONLY
LAND USE 5/08
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1
_ S12 °30'56 "E
100.00 ,
43 00
I in
FUTURE (xi N 50.00 O fU ED
DEVELOPMENT O � I O l0
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M IS
25.00 50.00 25.00
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11 S12 °30'56'E 100.00
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` ' J(JN❑ DRIVE
'e. SEAL r° = 50' PUBLIC R/W
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THIS MAP WAS PREPARED nos RESIST= DATA. AS ICED. AAD rROI PRELIMINARY
Wt P LNI. DRamCTI FOR PLMS4DIG OWNER. r MO 131 M WAY
RCPRCIE TS A SURVEY MADE DT TAB fPAMT. THUS MAP IS MDT
RIICOEO'FOR IECORtATD4 CONEYNICES, OR SALCS
Charlie T. Carpenter, P.L.S. PRELJMINARY SITE PLAN FOR
c I / Professional Land Surveyor WY \\ CCNSTRUCTI =IJ
1940 Juniper Church Road
2_
T 9597-34-9074
PIN �- Four Oaks, NC 27524 PARCELiD039576 43
C PB 43 G7II - - POINTE S/D
l (919 963 -2909 PB2007 PG711 -718 364 JUNO DRIVE
(919) 320 -5281 12/01 /10 BROADWAY, NC 27303
1' =40'
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