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LAND USE {j Coa Ac _ Initial Application Date: ` 2 �_ '" " Application # // 5779 2Z /1 2 CU# COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION Central Permitting 108 E. Front Street, Lillington, NC 27546 Phone: (910) 893 -7525 C, Fax: (910)0)893 -2793 / www.harnett.orglpermits LANDOWNER: /" , %C0/ iC.4 is - 2-44 i Mailing Address: ?t'> L.c"ffi - 14^. IIc 1 City: l 7 ai nro State:GA ziip /contact # Email: APPLICANT*: Blackwell Homes Mailing Address: PO Box 189 Cit Clayton State: NC Zi 27528 Contact # 919- 320 -8256 Email: *Please fill out applicant Information if different than landowner CONTACT NAME APPLYING IN OFFICE: Paul Gorma Phone # 919 PROPERTY LOCATION: Subdivision: Anderson Creek Lot #: (.f/!X I Lot Size: State Road # i z, ` r -7 State Road Name: Q h / /a • WD Map Book &Page:t7cr / 3 7 3 Par cel: 9 / ' C?� .l I r� a. 7 / / // PIN: aS C0 :c/ - � 3QI Zoning: 7/I Z �ood Zone: Watershed: lV/ / ( Deed Book &Page:lO,22' X? t f Power Company': South River New structures with Progress Energy as service provider need to supply premise number from Progress Energy. SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: 27 N to Nursery Rd. follow Nursery for 3 miles. The entrance to Anderson Creek is on the left. PROPOSED USE: a n u1 a / /a Monolithic V ' SFD: (Size - )dx 73 # Bedrooms: ( 1 . # Baths:_ Basement(w /wo bath):_ Garage: ✓ Deck: ✓ Crawl Space: ✓ Slab:_ Slab:_ (Is the bonus room finished? (_) yes (_)no w/ a closet? (_) yes (_)no (if yes add in with # bedrooms) ❑ Mod: (Size _x_) # Bedrooms_ # Baths_ Basement (wlwo 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: ❑ Addition /Accessory/Other: (Size _x_) Use: Closets In addition? (_) yes (_)no 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 (✓ )no Structures (existing or proposed): Single family dwellings: Manufactured Homes: Other (specify): Required Residential Property Line Setbacks: Comments: Front Minimum Actual Actual l 3c0� Rear o`✓ Lnn[f /s -_ Closest Side El— o Sidestreetfcomer lot (-2O r 020 r2 Nearest Building 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 foregoip ments accurate and correct to the best of my knowledge. Permit suuJbjjeeF�t t r e cation if false information is provided. . Signature of Owner or Owner's Agent / D **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 Resdential Land Use Application Page 1 of 1 07110 g | |, i , !. El ' )| . ® 2 § 1| §§ ! } i - - }| ' § |,! . j\ § ) / ; ■ • i | | & K ]! \ § ƒ ` . i s £ / !. ` Ohl, k — ,� \ ® . § \) ■ ct , .. P |§ | . / 6 2 § II < �) | m /,_ © a' § N \, � ., ' . _ ` w . | . ` | j �. • ._ (\i - | ; i- \ § a s aAv | _ / � r / ee u _ ) )g ST�EP�N , , u Ja DISTRICT ��� ,Eemmm f L /� / -/2 -} � m � yam, ■ � 6 1111:0 1 1 1 1 111 il 1 11111111 Etin, .. v .. . 1 , .. v. Turf p � p oc Ofi EDs 6T MAN • b I /...1. von { �. �{ s ode "` i5 1�,2i et ��.. le Illieq Dr.i by and Return to: J. E. Holshouser, Jr. P.O. Box 122.7 Pinehurst, NC 28370 f Description for Index: (IS ::5:) , Phase 3C -1, Anderson Creek Harnett County stamps: $1'. -- .,.,..- 11 16 _ w STATE OF NOR1' • A ' GENERAL WARRANTY DEED . COUNTY OF HARNE' ) THIS GENERAL - •RRANTY 11 ade this the 13` day of May, 2009, ANDERSON CREEK PART RS , (a Delaware Limited Partnership, doing bus' es or Carolina as Anderson Creek Partners, Limited Par. er- 12- Whispering Pines Drive, Spring Lake, NC 28390 (herein:fte. cal'. -d "Grantor "), and ALFRED PENNY, JR. and wife, CHASTA C. 'EN Barrington Trail, Jonesboro, GA 30236 (hereinafter called G te- "). W I T N . E T H: The Grantor, for valuable c• s.- - . ation paid by the Grantee, the receipt of which is hereby a k owl:d•-d, and'subject to the matters set out below, grants, b.r• s, - .1s, and conveys unto the Grantee all of that certain p - .nd situated in Anderson Creek Township, Harnett Cou. 'oa • Carolina, described as follows: All of Lot.629, Phase 3C-1, of An:; s• Cree' Club as shown on a plat thereof recorded in h- • is of the Register of Deeds for Harnett Count _n ':p :oo 2007, pages 373 -375. . This conveyance is made subject to Decla.a_' of Covenants, Conditions and Restrictions re o'•eda =•ok 1510, page 89, Harnett County Registry; eas -m o• record, matters shown on the above plat, ad va . e. (::;:2:7