TOWN INFO TOWN OF LILLINGTOI\
•
ZONING PERMIT
108 Weal Runt Sheet PC Box 2961111 / • NC 2751E Planning 2 inspections 910-893 369
phone 910-893 2081 fax 910-893 369
Required Attachments A description and drawing of the proposed construction in relation to lot
Name of n IrQ \ P roperty
Applicant ,� 7ot % �S-,) Owner ( / ! L L C
Home Home
Address !1e 4 '/,(1 '. / ', f Address _Ai All." /AA lit c I (</ 4
City/State Q Un City /State
/Zip k) ki C 2 5 3 � ( /Zip /1,-C
Home Business .7.2 _5'3 tic Home Business
Telephone Telephone Telephone Telephone X 99. (6(0r
Parcel Identification Number(s)
C 5 R Srica 69Y
Property Address What are you requesting to build? How many dwelling units on
Be inecyficy, the property already?
J ' 4tc w4ii ( off u 1 I pV/ (Ja Sa Property Size (acres) L
P..28-v-\3 � Lot Numbers) N�
Owner / Applicant Must Read and Sign
AFFIDAVIT The undersigned property owner or duly authonzed agent/representative thereof certifies that
this application and the foregomg 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 RESULT IN THE REVOCATION OF THIS
APPLICATION I hereby authonze the Town of Lillington to review this request and conduct a site inspection
to insure compliance to this application I also underst: a :t this Zoning Permits will expire six (6) months
from the date of issuance if the permit is not : • e. upon
4hL4' ,S
et e _7/7(
Print Name S gnature o • cr or ',/ presentative Date
FOR OFFICE USE
Zoning Distnct Watershed Distnct Is property located in floodplain
❑ Not located in one according to the FEMA maps
} 0 ❑ Cape Fear Cnticai ZUNIo ❑ Yes
Front Setback Cape Fear Protected
� DW JV r
Exempt from atershed Regulations V
Side Setback I Ala) •
No more than one acre of land Planner s Signature
Rear Setback will be disturbed throughout entire 3 / / t k
0-0 (including phases) project area Date
1 ❑ Yes less than one acre