LAND USE R SCANNED
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Initial Application Dale ` tt i DATE Appl cation # ocw 5017 a 1 Da c,f
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COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E Front St eet L II w ngto NC 27546 Phone (910) 893 7525 Fax (910) 893 2793 ww harnett org/pe m is
LANDOWNER Ha i4,„„e pi-, J (. In IOTA LLP Mailing Address 90 30y 3 2 4,
City 2ehrti A) State /1(( Zip 2-71"x7 Home # Contact # ,/
APPLICANT' tip,/, 61 n. fet id 0, Mailing Add ess 2 •51 - 0 ;ova, 5" /'e /0,)
cty _ rhetedin0 r statetC- zip 27 Ilsme# 9l9 S).-rl3v Contact# e h 7 4'!" fyt
P asetll t ppllc t formato idtt re tth la dow e
CONTACT NAME APPLYING IN OFFICE 7) fry 2, G, fho# J Phone it' °/( 5 rL n
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PROPERTY LOCATION Subdiv sion w /phase or sect on %t u /er Pout Lot # r7 Lot Acreage 3 Pr
State Road it 9,n) V P' State Road Name _Afv714 Map Book&Page 0 - 7 I 1
Parcel
//f� 0 31 C 7C oo'r y7 PIN °1 f 7 3P t) p%G L 006) Uo
ZoningQ (\ad F--- Flood Zone )C Watershed Ain Deed Book&Page 0 rT n / Power Company lr'torer f
New homes with P ogress Energy as service prov der need to supply premise number from Progress Energy
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILUNOTON / 4 't H ti . 1 D I. to rt 5', ha ant urY 3 e^ t /'.r
e 4di /f/Kfirr �c,Ar»'7A7 $c1r.1/
PR OPOSED USEZ( 4 �9 Deck /1 Crawl Slab
21 SFD (Size 4'C/�w 1 J a Bedrooms 3 # Baths L Basement (w /wo bath) ,1(r, Garage /
(Is the bonus room finished? w/ a closet_ If so add in with # bedrooms)
❑ Mod (S ze ) # Bed ooms_ # Baths_ Basement (w /wo bath) _ Garage Site Bu It Deck ON Frame / OFF
(Is the second floor tintshed? Any other site built additions? )
❑ Manufactured Home _SW _DW TW (Size_x ) # Bedrooms _ Garage _(site built? 1 Deck (s to bu It? )
❑ Duplex (Size x ) No Buildings No Bedrooms/Unit
❑ Home Occupation # Rooms Use Hours of Operation #Employees
❑ AdditiorvAccessory/Other (S ze x ) Use Closets in add t on(_)yes ( )no
Water Supply (vjounty (J Well (No dwellings ) MUST have operable water before final
Sewage Supply (.4 Septic Tank (Complete Checklist) (J Existing Septic Tank (Complete Checklist) ( )County ewer
Property owner of this tract of land own land that contaIns a met tactured home w/in five hundred feet (500) of tract listed abo e7 ( )YES )NO
Structures (ex sting 8 proposed) Stick Bu II/Modular t/ Manufactured Homes ' Other (specify)
Required Residential Property Line Setbacks 3,f Comments /f� r 5 , ,/ ( ,
F ont Minimum Actual Au 3 .. Z ° 4 - �` / /fi roc
Rear 2- s3
1, 1/
ClosestSde /0 3! � 2
S desireet/corner lot 3.0
Nearest B (ding (0 ---
on ante lot
11 perm is are g anted I ag ee to co Corm to all ordinances and laws of the State of North Ca olma regulat ng such work and the spec t cat ons of plans submitted
I hereby stale that forego ng statements are accurate and cor ect to the best of my knowledge Permit subject to evocatio d false nformation Is p o ded
ZL et
Signature of Owner or Owner s Agent Dale
This application expires 6 months from the Initial date 11 no permits have been Issued
A RECORDED SURVEY MAP RECORDED DEED (OR OFFER TO PURCHASE) AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPLICATION
Please use Blue or Black Ink ONLY
LAND USE 5/08
_ S123056E __
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2100 _ 4900 3000
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\`\ '''�Nk CARO', S12 30 56 E 100 00
r. A9 BEAL = JUNU DRIVE
9 L 4486 50 PUBLIC R/W
A z/ 10 I- 'Pig&
THIS NAP AS PREPARED PROI REIDILE DATA, AS NITRE MO FROG
07*0 SOIREES PYpVIDED SY DIE IVIER. TIIS IS A PREL➢IDYRY
SITE PINL INTENDED RR PLANNING USE ORY NO 01 IC V
REPRESENTS A SIDNEY INDE BY THU L9PAVY MID NN R NOT
Charlie T Carpenter P L S PRELIMINARY SITE PLAN FOR
c I / Professional Land Surveyor WYNN CONSTRUCTIO\
1940 Juniper Church Road
PIN 9S9/ 34 8462 000
- _Ti___ Four Oaks NC 27524 PARCEL ID 039576 0088 47
C (919) 963 - 2909 LOT 47 TINGEN POINTE S/D
P02007 P0711 718 282 JUNO DRIVE
(918) 320 - 5281 3/17/11
1 40 BROADWAY NC 27505
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