LAND USE 'p CY6 h iii P t 4 �/ I L f 2L 9
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Initial Application D ate
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' �1, r , .'.'' COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
i g Central Permitting , 108 E. Front Street. Lillington, NC 27546 Phone: (910) 893 -7525 Fax: (910) 893 -2793 www.harnett.org /permits
: lk LANDOWNER . �l / d t �1./// 11 P 7 Mailing Address: Pr O' Re) X /rage a ll a7 or r 27s /
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} , city u' l h r 6 % "Pr State: Zip: ) 7S contact# q !9- 497 he 7 Email:
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+ APPLICANT • Oto q Mailing Address:
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State: Zip: - Contact # Email:
• Please fill out applicant information If different than landowner
• CONTACT NAME APPLYING IN OFFICE: 'u Phone # , I \
• PROPERTY LOCATION: Subdivision: __ � _ _ 1. _ 1y�1�WIJ • ( . Lot #: I Lot /Siize:: 1 ,1 4'
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State Road # ' f� ,I5
/ ,"�I State � / Na - L��A�9'L�l� ( ' I - Map Book &Page: L-1�1 0 / I
Parcel h . 1.1 ' lf� I V l.� L L— PIN: ! ' 1
�'( 14'' 210 ,. i in
Zoning:; 4� O rlood Zone: x Watershed: ) \ I Deed Book &Page:L l� t
! I Power Company':
'New' structures with Progress Energy as service provider need to supply premise number from Progress Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: )-4 /i >/ ) / /J in el 4 h /1, .1 0 4 j
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CO 0 3 /H 1/1 tr0 17,9 r l y . n 717 e J 4 t
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PROPOSED USE: , "_
Monolithic
SFD:. (Size, x # Bedrooms # Baths _ Basement(w/wo bath, _ 3arage:_ __ Deem -- crawl apace Slab:_ Slab:_
(Is the bonus room finished? (_) yes (_)no w/ a closet? (_) yes (_)no (If yes add in with # thdrooms)
U Mod: (Size x_) # 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? (_J 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:
ome Occupation: # Rooms: �7 Use: Hours of Operation: #Employees:_
Addition /Acres ry/Other: (Size / 7 x //.,L) Use: Use Closets in addition? (_) yes (_)no
W er Supply: �C7{nty _ 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? (_) es ( I
)no
Structures (existing or proposed): Single family dwellings: nufactured Homes: Other (specify : I �
Required Residential Pro arty Line Setbaccj ss: , - " f /} ' ICI /�'I'
Front Minimum _og Actual I n / n � J! ' j, - CU') /� Q `
le, r�-1
Rear 210 �� U , � C ,E r / t � , I c,c l : l�� , - C � `,c�'!k' . (lop
Closest Side I ' Zg LK..�C J Q
Sldestreellcorner lot /� LJ (x
Nearest Building 1 l /
on same lot
If 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 s tements are accurate and correct to the best of my knowledge. Permit subject to revoglion if false Information Is provided.
/Signature of Owner or ePS Agent Date
"This 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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2010018113
HARNETT COUNTY TAX ID# FOR oismAvtbu RE EP OF DEEDS
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-OLD p L.f - � - BK :2797 PG:7411- 743
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Parcel #
Excise Tax: -0- Recording Time, Book & Page:
Prepared by: Mail after recording to
HAYES, WILLIAMS, TURNER & DAUGHTRY, P.A. Grantees
804 West Broad Street
Dunn, North Carolina 28334
File #: 2010 -348
NORTH CAROLINA GENERAL WARRANTY DEED
NO TITLE CERTIFICATION
This deed made this 20th day of October, 2010, by and between:
GRANTOR: GRANTEE:
LYNWOOD HARE and wife, GASPARNUNEZ, unmarried
FRANCES HARE 19690 Hwy 210
980 Purfoy Road Angier, North Carolina 27501
Fuquay Varina, North Carolina 27526
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall
include singular, plural, masculine, feminine or neuter as required by context.
WITNESSETH: That the Grantor, for a valuable consideration paid by Grantee, the receipt of
which is hereby acknowledged, has bargained and sold, and by these presents doth grant,
bargain, sell and convey unto the Grantee, in fee simple, all those certain tracts or parcels of land
lying and being in Black River Township, Harnett County, North Carolina, and more
particularly described as follows:
BEING all of LOT 1 containing 1.40 acres and LOT 2 containing 1.39 acres on map
entitled "RECOMBINATION AND MINOR SUBDIVISION FOR: IOLA MCLEOD HARE
ESTATE ", as shown on a plat prepared by Joyner Piedmont Surveying dated September 8, 2010
and recorded on October 11, 2010 in Plat Book 2010, Pages 721 -722, Harnett County Registry.
Reference to said map is herby made for a greater certainty of description.
The property herinabove described was acquired by Grantor by instrument recorded in Book
2797, Pages 532 -534 on October 19, 2010, Harnett County Registry.
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