LAND USE Initial Application Date: (_ /7- 1/ Application # 1/ a 2‘ 0 77
CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E. Front Street, Lillington, NC 27546 Phone: (910) 893 -7525 Fax: (910) 893 -2793 www.hamett.org /permits
LANDOWNER Jason and Amy Ragan Mailing Address: 29 Wood Duck Tr.
City: Sanford State: NC Zi 27332 Contact it 919-499'5487 Email: jaguar03oef @msn.com
APPLICANT': Marshall Johnson Construction, Inc. Mailing Address: 283 Banner Elk Rd.
City: Benson State: NC Zip 27504 contact # 919427.7111 Email: mljconstruction @msn.com
'Please fill out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE: Marshall Johnson Phone # 919427
PROPERTY LOCATION: Subdivision: C aro l ina La Lot #: 54 -I Lot Size: acres
State Road # 1115 State Road Name: Buffalo lake Map Book &Page:
parcel: 03958509 0054 A ' PIN 9586 - 10 - 2320.000
Zoning: RA - 20R Flood Zone: XX Watershed: Al " Deed Book &Page: 02390 / 0097 Power Company: Central Electric
New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: Hwy. 27 W., T/L on Buffalo Lake Rd., T/L into Carolina Lakes, T/L on
Carolina Way, T/R on Quail Hollow Ext., T/R on Quail Hollow, T/L on Wood Duck Tr., 29 is at end of street.
PROPOSED USE:
Monolithic
❑ SFD: (Size ^ x ) # Bedrooms: # Baths: Basement(w /wo bath): Garage: Deck: Crawl Space: Slab: Slab:
(Is the bonus room finished? ( ) yes Lino w/ a closet? ( ) yes (_)no (if yes add in with # bedrooms)
❑ Mod: (Size _x 1# Bedrooms # Baths Basement (w /wo bath) Garage: Site Built Deck: On Frame Off Frame
(Is the second floor finished? ( ) yes (__)no Any other site built additions? (__) yes ( )no
❑ Manufactured Home: _ SW _ DW _ TW (Size x ) # Bedrooms: _ Garage: (site built ?_) Deck: (site built? )
❑ Duplex: (Size x ) No. Buildings: No. Bedrooms Per Unit:
❑ Home Occupation: # Rooms: Use: Hours of Operation: #Employees:
d Addition /Accessory /Other: (Size 41 10' ) u se: Extension to Breakfast nook Closets in addition? (_) yes (lino
Water Supply: ✓ County Existing Well _ New Well (# of dwellings using well ) 'MUST have operable water before final
Sewage Supply: New Septic Tank (Complete Checklist) Existing Septic Tank (Complete Checklist) ✓ 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 (Zino
Structures (existing or proposed): Single family dwellings: Existing Manufactured Homes: Other (specify):
Required Residential Property Line Setbacks: Comments:
Front Minimum 35 Actual 46
Rear 25 46.5
Closest Side 10 12
Sidestreeticomer lot 20 -
Nearest Building 10 -
on same lot
If permits are granted I agree to conform to all ordi f . • : - and laws of the State of North Carolina regulating such work and the specifications of plans submitted.
I hereby state that foragoin tem a% correct to the best of my knowledge. Permit subject to revocation if false information is provided.
2-/ r//
Sig I • - of Owner or Owner's Agent Date
application 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 APPLICATION
Residential Land Use Application Page 1 of 1 07/10
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