LAND USE R Initial Applicption Date ✓ _ 7 ° -II ) Application # l! 570 2' 2 2 ‘,
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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 harnett org /permits
LANDOWNER 5 V 113orwrt OASO Mailing Address, •S L Sml £d
City Fi 7 i.) e1 VAQ- l riio State n ( Zip a 73 Contact # 5 S 7 7, 7 Email
APPLICANT f5 eAo e++ - s ConsrA+--. J Mailing Address { d (5 `"fly 1,
City Cory State 1c Zip 27 Sig Contact* VP 9 3 b y Email (o s r ,L, y gP., be /ISg ✓;l ^ l
Please f II o f appl ca t to mat f d He t than la dow e
CONTACT NAME APPLYING IN OFFICE I3 u-a C' n- s `
/ i , c� -, 1�.,� Phone # '1(1 9 3 6 �j
PROPERTY LOCA S Pet ^3 agz ` ACV PT / Lot # 5 Lot Size ' 53 SAC
State Road # l 1 7 0 State Road Name ° JC 5g I t / -7 MMap / Book &Page (( 4 6 / 2 7 V
Parcel CJ i / - 0 6 5 3 60 69 PIN ff? 7 3 z - ? ®/ /!/(�
- 7 /Po
Zoning R A 7° Flood Zone Watershed _ Deed Book&Page 2 / J ✓ 4 Power Company
New structures with Progress Energy as service provider need to supply premise number from Progress Energy
SPECIFIC DIRECTIONS [ ONS TO THE PROPERTY FROM LILLINGTON ]
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PROPOSED USE
M I th
❑ SFD (Size , _ I # Bedrooms _ # Baths _ Basement(w/wo bath) _ Garage _ Jock _ Crawl Space _ Slab Slab
(Is the bonus room finished? (_) yes o wf a closet? ( ) yes (Jno Of yes add in with # bedrooms)
❑ Mod (Size x ) # Bedrooms_ # Baths_ Basement (w/wo bath)_ Garage _ Site Built Deck _ On Frame_ Off Frame
(Is the second floor finished? ( ) yes (ono 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
❑ me Occupation # Rooms Use -IMO 1 Hours of Operation #Employees
Addition /Accessory/Other (Size 30 x9 ) Use - 1- 0 4- 1 ‘ 4 . C' (tar. r Closets in addition? ( ) yes no
LzHo Wa r 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 thus tract of land own land that contains a manufactured home within five hundred feet (500) of tract listed above? U yes ( )no
Structures (existing or proposed) Single family dwellings Manufactured Homes Other (specify)
Required Residential Property Line Setbacks
e� �7 Comments /
Front Minimum �� Actual $ g •' ` P . /, i i /.✓? SPA'
Rear
� 5 ar 254 W 'I A ilvt s fti ,
Gllosos s side Ji)____ ..t 3 — 2 2 - II by Nlove, Gee /fr �4 1 16 r 74
Sidestreeticorner lot
Nearest Building
on same lot
If permits are granted I agree to conform to all ordi i - • es and laws of the State of North Carolina regulating such work and the specifications of plans submitted
I hereby state that foregoing statements are t• • ate a . correct to the best of my knowledge Permit subject to revocation if false information is provided
' 3 / c r f(
$ g •1 ner or Owner's Agent Date
This app "lion expires 8 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 ration Page 1 of 1 07/10
1/ Ca' 26 2
91
a LEGEND I I
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P P Power Pole II �
0 ., 4o apP N M H Manhole I \o
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VICINITY MAP (NTS)
GRAPHIC SCALE
1 80
No Bearing Distance
L1 N 02 49 06 E 726
L2 _ N 02 49 06 E 4 90
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ANDREWS
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MEADOW ACRES
R�E'C&Mit 1 IN PLAT CABINET C SLIDE 127 B HARNETT CO
PROPERTY OF
1 David W Barrier certify that this plat STEPHEN TOASO
was drawn under my supervision from BONNIE TOASO
an actual survey made under my
supervision that the boundaries not 285 LENNIE SMITH RD FUQUAY VARINA N C
surveyed are clearly indicated and any
encroachments are shown SCALE 1 =80 11 IA 111 li is 0 1 1t 1
11L 11 t(1 111 1( 101
DATE 3/8/11 1 1 111111 00 \vt
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BOOK M 220 62 (`)V)) 169 )1131