LAND USE Initial Application Date: L — 2 [ - 1/ Application # /® 5'' 2 S 7.1
CUP
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E. Front Street, Lillington, NC 27548 Phone: (910) 893 -7525 Fax: (910) 893 -2793 www.hamett.org/pennifs
LANDOWNER: - ( 7 y� hn C�2n r e+a 6
Mailing Address: a 7 _n 1- a-k -e
C u,S1orm. (-/ ors eS En e,
City .S" pr . h9 t* ke State: np: aCanted a S .2-R83-74
APPUCANr:% M Cke- Th eta. ky CL“ to tie Hon. C$ Mailing Address: (P. c i rGot'[/ in k to •
City: Spc ihq Lake State: 4 Contact # a-s3-U3 - 7 1 a Email: Co in l eh-t-r.. -co V'a.K
'Please fill our applIEant Information if different than landowner f 4. k pit eb t
CONTACT NAME APPLYING IN OFFICE: 1:20 wt it N CO 6 J 6++ Is- Phone it as - // R s 3 - 7,S Y o
PROPERTY LOCATION: SubdMsion: n it -N frrf C tt. ice e C S ta.71° #: S Lot (-2 to Lot Size: O 5 Al 33 O
State Road Si State Road Name: Sly .{ L' 7 Maap Book&Page/ /JCl ��S — F /
Parcel: 0f / �7 //O5 cq � / /J�� // /I PIN. JS is". Z‘ — ✓ ✓ !, ,9i1
�J
Zoning: / / / ! `fAFtlood Zone: , e ( W a t e r s h e d ; / ( / / k Deed Book&Page: ?U' l / 7 ✓ Z Power Company': Sb L.4 Lt R 1 V C"f
New structures with Progress Energy as service provider need to supply premise number 1 p from Progress Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: a I 0 ,C 'I'm 0 V e ryt ; 11 c Pat R t. to _74r, es 7 w N
1e.Ft to Stro S ;g Si} art,f: Cof
•
PROPOSED USE:
/ :3 # Monolithic
CI 11 1 1 ,3; SFD: (Size 5i' ) # Bedrooms Balhs:a Basement(w/wo bath):_ Garage:_ Deck: Space:_ Slab:jL Slab:_
(Is the bonus room finished? (_) yes (__)no wl a closet? (_) yes (_)rw (if yes add in with # bedrooms)
❑ Mod: (Size x 1 it Bedrooms_ IS Baths_ Basement (w/wo bath) Garage:_ Site Built Deck: On Frame_ OR Frame_
Ds the second floor finished? (_) yes (_)no Any other site built additions? (_) yes (_)no
❑ Manufactured Horne: SW _DW _T W (Size x ) It Bedrooms: _ Garage: (site built? ) Dedc:_(site built?_)
❑ Duplex: (Size — x ) No. Buildings: No. Bedrooms Per Unit:
❑ Home Occupation: If Rooms: Use: Hours of Operation: #Employees:
❑ Addition/Accessory /Other. (Size — x — ) Use: Closets in addition? (J yes (_ho
Water Supple /t County Existing Well — New Well (# of dwelilngs using well ) 'MUST have operable water before final
Sewage Supply: Septic Tank (Complete Checklist) — Existing Septic Tank (Complete Checklist) X County Sewer
Does owner of this tract of land, own land that contains a manufactured home within five hundred feet (500') of tract listed above? (___) yes (X Ao
Structures (existing or proposed): Single fancily dwellings: Manufactured Homes: Other (specify):
Required Residential Property Line Setbacks: Comments;
Front Minimum 35 Actual •
Rear _,S__
Closest Side s✓0
StdesbeeUcomer lot 20
Nearest &Aiding
on same lot
If pemnits are granted 1 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 faegoing�fatemente are aocurete,gnd d to the best of my knowledge. Permit subject to revoceion if false information Is provided.
Signature of Owner or erd Date
"This annotation 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 APPUCATION
SFD, Addition, Modular Application 3 of 8 08/10
rfie fi aF Ca"
HARNETT COUNTY TAX ID#
FOR
Y i
illfr sum P11 32436 ' i
tt REV OW .a' I 3 1
rt. s
This Deed - ' A. ad B. Kenn, Attorney at Law , P.O. Box 1118, Llllington, NC
PID#:010514 ' '-,: 7;0'28; 0729; 0732; 0733; 0734 ;0700;0735;0736;0737,07
0742;01050501 00 6; -, '.79 80;8
REVENUE: $ S9 :.''
STATBOFNORTH 1' WARRANTY
COUNTY OF DEED
This WARRANTY ' Eris • e • . day of November, 2010, by and between
William S. Wellons, Jr. , « C i : n ' '. . 11, Co- Executors of the Estate of
Florence C. Wellons and Co- •u • , +, a Florence C. Wellons Declaration of Trust
dated November 8, 1999 and as i , ; • July 10, H , of PO Box 766, Spring Lake, NC
28390 (hereinafter referred tom the , : • r singul : :: the c :,, or'') and Cbarootalq Custom
Homes LLC, of PO Box 41305, Raleigh, N 76 - , : • .. referred to in the neuter
singular as "the Grantee ");
WIT SSE tt
THAT said Grantor, for valuable co • - de;atS . -- pt of which is hereby
acknowl edged, has given, granted, bargained, sold ., . ve ,, . and by these pru senls does
hereby give, grunt, bargain, sell and convoy .,,,,. , cm ., its heirs, successors,
administrators and assigns, all of that certain piece. ' : , . land situate, lying and
being in Anderson Creek Township of said County and ; ., and •,: •'cularly described
as follows:
TRACT
BEING ALL OF LOTS 5, 6, 29, 30, 31, 34, 35 G' •'e = r •Y
SQUIRE ESTATES, SECTION ONE, ACCORDING TO • ) BY
LARRY KING AND ASSOC., DATED MAY 7,1985 AND ' ► r :.: D ' LAT
CABINET C, SLIDE 76a HARNETT COUNTY REGISTR
LOTS 29, 30, 31, 34, 35 AND 36 ARE SUBJECT TO A 20' , . 'r
EASEMENT AS SHOWN ON THE ABOVE REFERENCED
OF,
TRACT n
BEING ALL ON LOTS 1, 37, 38, 39, 42, 43 AND 44 OF COUNTRY
SQUIRE ESTATES, SECTION ONE, ACCORDING TO MAP PREPARED BY
•
LARRY KING AND ASSOC., DATED NOVEMBER 20, 1989 AND RECORDED
IN PLAT CABINET D, SLIDE 185.0, HARNETT COUNTY REGISTRY.
SUBJECT TO A 20' UTILITY EASEMENT AS SHOWN ON THE
ABOVE REFERENCED MAP.
• TRACT
•
BEING ALL OF LOTS 13 AND 14 OF COUNTRY SQUIRE ESTATES,
SECTION THREE, PART TWO, ACCORDING TO MAP PREPARED BY
AVERBITE ENGINEERING CO, P.A., DATED SEPTEMBER 22,1995 AND
RECORDED IN PLAT CABINET F, SLIDE 509 -A, HARNETT COUNTY
REGISTRY.
LOT 1 13 AND 14 ARE SUBJECT TO A 20' DRAINAGE & marry
EASEMENT AS SHOWN ON THE ABOVE REFERENCED MAP.
TRACT IV
BEING ALL OF LOTS 23, 25, 26, 27, 28, 29, 30, 31, 32 AND 88 OF
COUNTRY SQUIRE ESTATES, SECTION THREE, PART THREE,
ACCORDING TO MAP PREPARED BY AVERLrITE ENGINEERING CO.,
P.A., DATED FEBRUARY 5,1996 AND RECORDED IN PLAT CABINET 1,
SIDE 548-0, HARNETT COUNTY REGISTRY.
LOT427, 28 30, 31, 32 AND 88 ARE SUBJECT TO DRAINAGE A
ITIl LflY EASEMENTS AS SHOWN ON THE ABOVE REFERENCED MAP.
TRACT V
BEING ALL OF THAT CERTAIN LOT LABELED "WELL LOT" AS
SHOWN ON MAP OF COUNTRY SQUIRE ESTATES, SECTION THREE,
PART THREE, ACCORDING TO MAP PREPARED BY AVERRTTE
ENGINEERING CO., P.A., DATED FEBRUARY 5,1996 AND RECORDED IN
PLAT CABINET F, SLIDE 548-C, HARNETT COUNTY REGISTRY. SAID
LOT 1S JOINED BY LOT 025 OF THE SAME MAP.
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