LAND USE Initial Applicat on Date 4 - 1 1/ Appl cation# //5790 76 1,23
✓
DRB# CU#
COMMERCIAL
COUNTY OF HARNETT LAND USE APPLICATION
Central Permitting J,r¢' 108 E Front Street L Ilingtoon'/r)1NNCC 27546 7P/hone (910)893 7525575 Fa (910)893 2793 www hamett org/permits
LANDOWNER L' C' State t`/`' Zip 29C`(�Mact#Address / Ema �� -M�
APPLICANT )4o.(0 (d i finh c_c Maing Address ID7 ✓o-ii Ct
City $GYl� State /itZp"Wontact# gig-1171- ?7o3 Email kit 1412.6200069/0444%Or'
Pi semi ut ppllca t f rm 1 fdff tth I dew /J/ G C� /� Q p
CONTACT NAME APPLYING IN OFFICE /41� oaf" r `6 Phone# g I I-'1 7P a 76 3
PROPERTY LOCATION Subdivis on Gt( /6 4,994"4"'„)/9 Lot# 4 Lot Size,
State Road j# rye^-- fate Road Name /1/v i / J [� Map Book&Page C'5'�i01 2<1 7
Parcel �V 0/ 7`7 0 ,y>j',,# /�/ PIN /fir — 7 — 70 / o
Zoning)/DRRRA Flood Zone / I Watershed AO Deed Book&Page //Lit !?LPower Company
New structures with Progress Energy as service provider need to supply premise number from Progress Energy
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON
PROPOSED USE
❑ Multi Family Dwelling No Units No Bedrooms/Un t
❑ Business Sq Ft Retail Space Type #Employees Hours of Operation
❑ Daycare #Preschoolers #Afterschoolers #Employees Hours of Operation
❑ Industry Sq Ft Type #Employees Hours of Operat on
Furth Seating Capac ty #Bathr�s / Aim K(then ���' � Pill-
n
cessory/Addition/Oth r(S e _)Use tI ✓` A `v
Water Supply County _Existing Well New Well(#of dwellings using well ) MUST ha e opera water before final
Sewage Supply _New Septic Tank(Complete Checklist) _E ist ng Septic Tank(Complete Check/st) County Sewer
Comments
T 31., o -21n 2 2G ®
: /
If permits are granted I agree to conform to all ord nances and laws of the State of North Carol na regulat ng such work a d the spear cations of pla s submitted
I hereby state that foregoing s .is ents are . • rate nd car ect to the best of my knowledge Permit subject to revocation if false information s provided
/71 G^ it Aril
Signature of Owner or Owner's Agent Date
This application expires 6 months from the initial date if permits have not been iss ed
A RECORDED SURVEY MAP RECORDED DEED(OR OFFER TO PURCHASE)AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPLICATION
Commercial Land Use Application Page 1 of 1 08/10
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Property Owner's Letter of Authorization
Owner(s)Name Mike Cagle Pres/H. M S Kids
Please print
Property Address 107 Carletta It Cagle Dr,Cameron,NC 28326
I certify under penalty of perjury under the laws of the State of North Carolina that I am the owner
of the above property and I hereby authorize
Agent's Name Teach All Nation's Ministnes/Pastor Marvin Gregory
Agent's Telephone Number 919-478-8703
This letter indicates that Mike Cagle/H M s Kids the above listed agent permission to use the
property and Mike Cagle VP/Cagle Furniture Co grants permission to use Cagle Furniture s
parking area located directly in front of the Cagle Furniture Store 107 Carletta R Cagle Drive
Cameron, NC 28326 The area will be used for the Soul Winning Tent Revival being held from
April 28 to April 30 2011:Ai (774
wSignature
Date /2/ 0 O
l
Owner's Daytime Telephone V 9- 7 f 9 Tr/3
1/ 5`✓n 2 4
in 44,,J5a W it4ik' Aft�.L' l�rW its 1 iji s F .;i q 1'' hkks "l tii t 4 rt } J
* v,' zAr k's x� �r 4 r! i6 ti {�/ + .:i
{pFire Marshal/Emergency Management r �.
- k Y< s rr . :VC:r. Krt i Y 3?( 7. s. ( . s .
,. �-t,,1 .a.r .#�..-n . vs.�.�tJ'.,.� . � !. ..a n� ? ,.h ]v�.a hr
Mailing P 0 Box 370 Lillington NC-27546 p 910 893 7580
Physical 200 North 13th Street Suite 19 ®910 893 5025
Erwin NC 28339
TENT APPLICATION
DATE [�7 —11
EVENT 2011 Tent Revival
APPLICANT Teach All Nations Ministries
LOCATION Hwy 24/87 directly in front of Cagle Furniture
Cameron, NC
ADDRESS
EVENT DATE 28 30 Apr 2011 PHONE 919-478 8705
CONTACT PERSON FOR EVENT Deacon Harold Hughes
PHONE 919 478 8703
TENT INFORMATION
SQUARE FOOTAGE 1600 sq ft
COOKING EQUIPMENT NO
FLAME RESISTANT YES NO#
FIRE EXTINGUSHERS YES SIZE
NO SMOKING SIGNS YES
t' h(l f4YF 1 e d e N, xti at S *.•,�,�' k r'§ Yt kF l if 1.+`c 1 e JI 1 Y t
4 �' X,, c 4 �o- sai 1 a�jk^ r • ¢ +x•FireeMarshal/EmergencyrManagementr� �t,4A��, � < ° �"��M� � � tit,�r J "; :n�. �«1 F t"s
ut .Ea. 3� ¢„ x s� • ro , ah^i .. J ,3 i 4�l x 4'kx kc ° "',YI� xa ° `.s c s
A.}�r.�r.a ±w ye. *-•Gti;0 n�.;?„A'i f 1 o-.2S � i-..t. �M1'�2 'd mYr'aL l
Mailing P 0 Box 370 Liltington NC 27546 ra 910 893 7580
Physical 200 North 13th Street Suite 19 ®910 893 5025
Erwin NC 28339
APPLICATION FOR PLAN REVIEW
APPLICATION NUMBER 1/ Y 5--C° L d /0.(7 �/� y
TODAY S DATE 41 — 4 — ! 1 RECEIVED BY 'G' 6 4451
SUBMITTED BY Teach All Nations Ministries
NAME OF PROJECT 2011 Tent Revival
PHYSICAL ADDRESS Hwy 24/87 directly in front of Cagle Furniture
,Cameron, NC
PHONE NUMBER 919 478 8703 EXT
CONTACT PERSON Deacon Harold Hughes
MAILING ADDRESS 12254 Hwy 210 S , Spring Lake NC 28390
PHONE NUMBER 919 478 8703/919 478 1323
CONTRACTOR S NAME SAAM'S PARTY TENT
MAILING ADDRESS 481 IVAN DRIVE/ FAYETTEVILLE, NC 28306
PHONE NUMBER 910 864 4633
NOTICE PLANS THAT ARE SUBMITTED WILL BE REVIEWED AS QUICKLY AS
POSSIBLE WITH AN AVERAGE TIME OF REVIEW BETWEEN 7-10
WORKING DAYS
FM REVIEW 4/08
Nov 06 00 16 51a naademy Tent flndrratiaa 32221713,390 N 4
171-17' T i' ." � '«,«.,.. of 7- ' '. 1 ' '., 'll'.u .:r�ll 11 _
?.tir:m: pPm41TA® wvrawr a NM tonal`r ' iFPUElplilN Acadaery Pent&Garnas ^-
1:asottam
. , , e� BtKiSGdtordAvt 4.
� r: '°' rgr�=e LOS Anaelo5,CA 02058 .. .::
. 1222)277 OBE This aeDot ratydlrO�M�,rr11I1 15051deSeN6ed below hewn/h et r+Odaty ntant ,_•-i. Premed(or d�Tb'tiT'>S bK NORMS a1Jb1h�ERNtlJ.RtJta4r-
I�dR- - 'FA4'kTTinneta--- aiUt76 _ NQ-" gaol --�'-u - 1'.
•.1 MTV - C6ttWAwrlrO11 rs hereby meat tl+ar (Omar _-
W} TNaarnmaaoseeJdwdbeanytalebealli als have irtenIred a'MN affir m nnannnt swam
wowed and tandoree byte Elea RfO4LWr ala ndtlwtteppUemlonutaalsatrical E.
- 'egg denalndvdadrmdanWtMsInaWmaltMSretsaiCellanraaen dureHulaandRt0ua. •
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IratedelRpplleaUan_ .. _ - - - _
a ; h I(M TearandavocetnbyeaDune F aMarat�o"farsealwe ne � rpa peaxe
L..� fared nertilpi by
NFivaala& _ Reg NtLLi9LCt•
I Trodanamw of Mamaeeelslaal labricm mataraa I used - _ 1ANYL
f -I 1 he Flame Retardant Process Used 1MV P P211 Be Removed by Washing
Tool SWIM Prderrt F,_, F
_{ tL.Vat E9frdlrrY Be d olm -
Z, II w+ PI,P;;0PS. 77 {ri ' r ' IrT 1i I to . .;'.1:1:k1; i''i I It
IN THE MARDIWA/LIONOOF THE FOL1.R asa
Tplb MOW We t1vi1:D
1 mamma tRfiZt IUW Fen FINAL 11205 O061PLETN -
CO'tMOL NO _ - MISS '
CUSTOMER ORDER NO. -
II cu$Yf]bfLx, IiJLY}1 7 NO _
— . -- —
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vARO ORCaAMTITY _ - _
a °L0it -, - -. — — __
STYLE -. -. __ .-_ —
nATE P PLESSEU _ - -_-- -
.MIMAtRAM.,411 ARE MRT IFIE t Err TEOAL
TIMRSHALL Ab Mat-THE EQUIeamotirs LFYHatA74Rp 1Y"
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TENTS PQ Saams Party Tents
InvoicE
Fayetteville NC 28306
TENTS TO COVER YOUR EVERY OCCASION I Date Invoice TEKIS www saamspartytents cob 4/9/2009 2861
TABLES CHAIRS Office 910 8644633
Bill 6 Debbie Saab Mobile 910 237 8368
Fax 910-487 1431 Delivery Date 30 Apr 09
Bill To Delivery Time 9 10 a m
Teach All Nations Ministries
Hwy 87 Pick Up Date 4 May 09
Spring Lake NC Pick Up Time anytime
703-470 8222/67Q-0009
POC Rev Smalls
Phone 703470 8222
FAX
Quantity Item Description 20/, Price Each Total
1 40 x 40 frame t 40 x 40 frame tent 7 / 750 00 750 007
2 lights globe lights 2 tI 24 00 48 001
1 generator generator 12-0 100 00 100 001
delivery charge delivery charge l b 35 00
35 001
8 sides sides 20 to 20 00 160 001
, .5\ _ evi
001
q6) V
n
Cleaning charge will be refunded if tables and chairs are clean 016?
My signature certifies that I have read and agree to all terms and conditions on the reverse side of tins
contract. My signature also releases Sawn s Party Tents from any and all liability whatsoever during the Subtotal $1 093 00
contract period stated above Sums Party Tents is not responsible for any damages to any merchandise
under tent or for any damages to underground utilities or sprinkler systems during contract period or due
to acts of name Sales Tax (7 0%) $76 51
x
Print Name Total $1 169 51
x Signature Payments/Credlts 581 R
Balance Due 8y 76