Exempted_Figiel, Jeffrey_19960319

M I W
333o
PoBox-776 -PAKLIC0 COUNTY BUILDING INSPECTIONS BAYBORO, N.C. 28515
'[phone]
(Ater this form is completed by the landowner proposing,the project,
a cqpy 's, i given to hip/her adjacent landowners for their consent and
sipatures.: The forms are then returned, along with a building plan
and otherApplicable required information, to the Building Inspecti8nsl
Office for building permit application/processing.)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPNO _
.>CAr1Jhereby certify that I own property adjacent to
JEFFREY THOMAS FIGIEL Is on BEAR CREEK
Name of landowner proposing development body of water
in/near, MESIC, NC Lot#- Of
community Subdivision, if applicable
Tax Parcel
304 _L�?Off SF
Complete description of how to
locate this property: HWY 304 TO BEAR CREEK ROAD. 1ST LEFT IS
RIGHT OF WAY ONTO FIGIEL PROPERTY.
The proposed project, a PIER and the location has been
described to me as shown in the drawing below and I have no objections
to the proposal.
FOR A PIER, CHECn, ONE OF THE FOLLOWING:
1 wish to waive the 151 minimum setback from my riparian access.
I DO NOT wish to waive the 151 minimum setback requirement.
Draw the proposed structure in the space provided below. List the size
:: of the structure and measured distances from the adjacent property
-...-lines, other structures on the property, and the road, water, etc.
!i \'A i
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rinted liarn� S(C`O;Lte 7 Signat
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pp$OX 77G : PAMLICO COUNTY BUILDING INSPECTIONS BAYBORO, N.C. 28515
[phone]
(A ter>this form is completed by the landowner proposing the pro ,
a'C�py is.given to. his/her adjacent landowners for their consent an
sig4atures.: The forms are then returned, along with a building pl
and other applicable required information, to the Building Inspectidns'
Office for building permit application/processing.)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPN#
I hereby certify that I own property adjacent to
's on
Name of landowner proposing development body of water
in/near �-A `e < "C -V(el Lot# of
community Subdivision, if applicable
Tax Parcel # 031,�Zoff SR`L
Complete description of. how to
locate this property:`
I r lop_, 4,7
The proposed project, aand the location has been
described to me as shown in tAe drawing below and I have no objections
to the proposal.
FOR A PIER, CHECK ONE OF THE FOLLOWING:
I wish to waive the 15' minimum setback from my riparian access.
I DO NOT wish to waive the 15' minimum setback requirement.
Draw the proposed structure in the space provided below. List the size
of the structure and measured distances from the adjacent property
Tine's, other structures on the property, and --the road, water, etc.
rinted Name
- - Datei Signatures