LAND USE Initial Appl cation Date . / _ M — /1 Appl cat on # r ✓ 9C 2 ZZO
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COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Pent sing r`�,,, E F o t Street Ltl4ngton NC 27546 Phone (910) 893 7525 Fa / 1
(910) 893 2793 \ ` wwww h ett org/permits
LANDOWNER 7MY11 el Sf M^ 0 W
C Ma ling Address 7r) C. 1 e(T \ U, W t t .rt
City Av\ i State /VC Zip7 Contact # �i m r• - ' S:=1/4. ' S:=1/4. v 1 , v 1 ,4, Email
APPLICANT �,V\ 0A. VYVl u \
1 Lt A i N.) c�ox,c Mailing Address JtC3 to . . .
C ty NN-0 e f S State't C Zip�'2(70 0 Contact # Dqn Ct./\ Email
PI s fll t ppl t f m t f d ff re Ith I dow [�
CONTACT NAME APPLYING IN OFFIC i tE 0 to xt V +- Phone # 9/9 Z q/ /7 ±
PROPERTY LOCATION Subdivision ✓f % IC''A✓/ Lot # Lot Size / GC
State Road 0 #I V 46 L U�9
State Name 2 , { 1 / O PIN " 6 2_ " -7j ? 5! / 1 oa e 6/ f /
Parcel
Zoning A/4 /, /rJt 'T/ Flood Zone Watershed F✓ /A Deed Book &Page Z�G,/f + 9 Power Company
New structures with Progress Energy as sery ce provider need to s pply prem se n mbe from Progress Energy
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON
PROPOSED USE
M Ith
❑ SFD (Size x) # Bed ooms _ # Baths _ Basement(w /wo bath) _ Garage _ Deck _ Crawl Space _ Slab _ Slab
(Is the bon s room crushed? ( ) yes (_)no w/ a closet? () yes (_)no Of yes add in with # bedrooms)
❑ Mod (5 e ) # 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 addit ons? (_) yes ( )no
❑ Manufactured Home _SW DW _TW (Size x) # Bedrooms _ Garage _(site bu It ?) Deck _(s to b It ?__)
❑ Duple (S ze x ) No Buildings N Bed ooms Per Un t
❑ Home Occupat on # Rooms / Use 7 Ho rs of Operation #Employees
El Add t /Accessory/Other (5 e/ ) I( ) Use 1):4 A O FL7O rvr' Closets in addition? () yes no
Water Supply X County _ E isti g Well New Well (# of dwellings using well ) MUST h@ 'operable water before final
Sewage Supply New Septic Tank (Complete Check/ st) _ E sting Septic Tank (Complete Checklist) /� County Sewer
Does owner of this tract of land own land that contains a manufactured home within fi e hundred feet (500) of tract listed above? (_) yes
Structures (e ist ng or proposed) S ngle family dwellings Manufactured Homes Other (specify)
Required Residential Property Line Setbacks Comments
Front Minimum 3 Actual J
Rear 2 C
Closest S de /o i
Sidestreet/corner lot
Nearest Bu Iding
on same lot
If permits are granted I agree to conform to all ordinances and 1 ws of the State of North Carolina regulating such work and the spec fications of plans submitted
I hereby state that foregotn tate accurate and correct to the best of my knowledge Perm t subiee_f to revocation if false information is pro dad
S gn wner or Owner's Agent � ' Da
'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 Appl cation Page 1 of 1 07/10
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SURVEY NOTATION i If tity
CP COMPUTED POINT PKS PK NAIL SET
EPK EXISTING PK NAIL IPS RON PIPE SET 4 ,
EP EXISTING IRON PIPE ISS RON STAKE SET EIA. EXISTING IRON AXLE RRSS RAIL ROAD SPIKE SET _ EIS EXISTING IRON STAKE CMS ONCRETE MONUMENT SET � r'
ERS EXISTING ECM EXISTING STIN G ROTTON SPINDLE CONCRETE MONUMENT WC TNESS CORNER
N C G S TN CAROLINA GEODETIC /
R) EXI OR
IGH RAIL WAY RVEY MONUMENT T I.
R/ RIGHT -OF -WAY ' a
.50 60 "T a Foun.1 tion Plan For .sui 1
Lot 5 - Wa - ord Subdavision "°
SCALE 1 = 30 (M.B '005117 &119) VICINITY MAP -NTS
=Ka FOUNDATION PLAN
6 FRONT - 35' 12813 -0O2F'
SIDE - 10
REAR - 25
CORNER- 20'
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THIS SURVEY DOES NOT REPRESENT
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A CERTIFIED BOL/S A Y SURVEY
/
1 J E E. GODWIN JR CERTIFY THAT 1115 PLAT WAS ` n011111f1f / // // Orh
OR UNDER UNDER MY SUPERVISION FROM AN ACTUAL SURVEY \‘ CAI�a
MACE UNDER MY SUPERVISION: THAT THE BOUNDARIES NOT % 'S ».. a // II eets P A
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SURVEYED ARE CLEARLY INDICATED AS BROKEN UNES4 9� ti ESS/p � � ��� '
THAT THE RATIO OF PRECISION AS CALCULATED 15 1 A/OT 2 rx. Consulting Engineers it Surveyors
THAT THIS PLAT WAS PREPARED IN 4' Y
A D WITH GS 47 -30 AS ENDED WITNESS MY - SEAL X01 NC 50 S 1894„ 765 ( 27504
OM N SIGNATURE. REGI5T NUMBER AND SEAL THIS L -4583
e..4 1h DAY OF / h0 2006 i ( i ` SU[VCy�By 3E� Dr wn JEO/LLP
� Q \� ,`` � Date 04/21/06
I -4443 pp 2236
GWVAN JR PIS EGISTRATION/ „1 "Cr Field Books
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GRANTOR GRANTEE
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