TOWN INFO 03/09/2011 15:57 9108933693 TOWN OF LILLIN8TON #1397 P.002/004
TOWN OF i.ILLINC3TON
7 . ZONING PERMIT
106 West Ponf Non PO Box 2NLMlnclonNC Mee .pews 0109034654 efes 91049346n
Required Attachments: A description and drawing of the proposed construction in relation to lot.
Name of 1 Property r mit
Applicant �11vn AE'ER Owner n,M1i,2 Eder 1
Home Home y�
Address Address 238 tL, itlr r'IJasou C.lr.ee.i 'fit: •
City /State City /State
- /ZiP /Zip F 1 ��v:1Is AL 2)3,5o3
Horne " e Business Home Business `l I 0
Telephone Telephone Telephone Telephone e& 4 -sit S,
Parcel Identification Number(s):
0650 - a - 380Q , Deb
Property Address: What are you requesting to build? How many dwelling units on
Be specific. tt ` bia rani the property already?
Ill LO , Cc as t 64 5 ar ...
�r Telt at OA ��oM Property Size (acres):
IApt;;� gT PJ+,v • aob..
,, % A S t a 57 Lot Number(s):
Owner / Applicant Must Read and Sign
AFFIDAVIT: The undersigned property owner, or duly authorized agent/representative thereof certifies that
this application and the foregoing answers, statements, and other information herewith submitted are in all
respects true and correct to the best of their knowledge and belief, WITH THE UNDERSTANDING THAT
ANY INCORRECT INFORMATION SUBMITTED MAY RE •- ' VOCATION OF THIS
APPLICATION. I hereby authorize the Town of Lillin a . • review this reques - • • conduct a site inspection
to insure compliance to this application. I also und - : • • that this Zoning Permits 11 expire six (6) months
from the date of issuance, if the permit is not. ; c upon.
, u - -
C.F. Z0 I
Print Name s 1j o : •. . ■ 'r i tative Date
FOR OFFICE USE -
Zoning District: Watershed District: Is property located in floodplain
C . 3 ❑ Not located in one according to the FEMA map?
❑ Cape Fear - Critical �No ❑ Yes
Front Setback: k\i ,,5 Cape Fear - Protected
Side Setback; \ ad Exempt from Watershed Regulations? _EfkAettr___—
❑ No more than one a cre of I and Planner s Signature
Rear Setback: will be disturbed throughout entire 2/ca/ i I
(including phases) project area. Date
'Yes, less than one acre