TOWN INFO Application # aO r
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Harnett County Central Permitting
PO Box 85 Lillington, NC 27546
Telephone Number 910 -893 -7525 Fax 910 -893 -2793
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Application for ::„ , 'iv i ',,i , . , :. .. n Areas Zoned by Municipalities
Land Owner Information: Applicant Information:
Name: Fa i IntAr . - t Name: Trrl i11 R,,talons /t_C'
Address: 1 5 A bk-1- . a o<d Address: Lf // D) S ,,,„ 1„0.a-,, ,•.c„Pof
L` c,.-t, N( a/574 - uteri in) C Sp 3 y
Phone: 9 ID - Q9'1 -5593 Phone: qir) - 1•I u7,.3
Property Location:
E911 Address: S 4 H • •: 1 • __"7
PIN or Parcel Number: 'tams �]d"ams '- • Q p, o,
Subdivision: Lot Number:
Lot Size: , 6 46 Zoning: G64,
Specific Directions to Job from Lillington: Ake 47 i snr44, 1r, 14„ 77 7 e 37
4 NA+, — 1,i nn.�J 1PP4 ;NJ A' p Rrk rnV I I ;Awn , f.lipvn,e7 n.. )IpPf
I Sy I A- tWrxm2 04 .
Proposed Use:
( ) Single Family Dwelling (Size: x ) # of Bedrooms:
Basement: Basement w/ Plumbing: Deck: Stab or Crawl Space
( ) Multi Family Dwelling # of Units: # of Bedrooms/Units:
( ) Manufactured Home (Size: x ) # of Bedrooms:
Garage: Deck:
() Business Square Footage Retail Space: Type:
( ) Industry Square Footage: Type:
( ) Home Occupation # of Rooms: Use:
( ) Addition to Existing Building Size: Ilse:
O Other , -I-tc k .b 0 ;14- AA-11 .rmd lin Xis 7.3
Water Supply: k) County ( ) Well ( ) Other
Sewage: ( ) New Septic Tank (Complete new tank checklist) V) Existing Septic Tank ( ) Sewer
There is a $250.00 charge for new tanks, $100 for existing tanks. This approval is subject to
revocation if the intended use of the septic system changes or if false information is
provided on this application. Yo . i • naatture/fbelow certifies all information above is correct.
Applicant Signature: � // Date: a - 9-1/
/
4/07
TOWN OF COATS
(Extra- Territorial Jurisdiction or City)
APPLICATION FOR ZONING PERMIT
To: TOWN PLANNER/TOWN OF COATS Permit No. csZ i t1 3 11 -
P.O. Box 675
Coats, NC 27521 a +wFees: 4 2 0, o0
Phone: (910) 897 -5183
Fax: (910) 897 -2662
Date: /4277// Parcel ID *: ,r', (31 I , - - .c2:+o
Area Zoned As: A
Applicant:. Property Owner:
Name (Print) t !Tett G. Pohl Name frlt- A Poet
Address •0_ 130K 6025 Address /91/ f}b'A - 01i2 Kb.
City, State o41 ,N( 9 City, State Con -73, n1C
Zip Code o275 Zip Code 75a t
Phone# 610— l0 Phone# 897 -559 3
Location of Property: IN-TOWN ETJ ETJ (contiguous)
Present Use of Property: X gJ de?v 7»t FNMF
Proposed Use of Property:
[ ] Single Family Dwelling: # Rooms: # Bedrooms: Square Feet:
[ ] Multi Family Dwelling: # of Units: #Bedrooms (per unit): Square Feet (per unit)
[ 1 Mobile Home (single lot): single wide: Double Wide:
[ ] Mobile Home Park: Section 16, Zoning Ordinance must apply
[ ] Business: Total # of employees per day Type of business
[ ] Others (specify):
[ 1-Existing structure: Renovate: Addition: ) Demolish:
Water and Sewer Supply: Water Sewer t2d7t ,NZ FLYoF G /NL
Private Fog C [Mg
Public
Proposed ) 4 2.1._ 2
Existing
NOTE: Attach a site plan that includes property lines (front, side, and rear), location of proposed structures
(including driveways, decks, etc.), and existing structures. This plan should be drawn to scale. Also, in order to
receive a Privilege License from the Town of Coats to open a business, you must have a valid Zoning Permit,
along with all applicable inspections from Harnett County.
Applicant: I certify that all of the information presented in this application is true, complete, and accurate to
the best of my knowledge. False information is grounds for rejection of the application.
Signature: 15 / 1 64 6 a �r— Date: /1/2-71/4/
ZONING ADMINISTRATOR USE ONLY
Notes:
,11: „sk
r . w Z on in g Administrator: Date: 7 - t;
n/
I 51 Approved: // ( Denied:
I n
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