Exempted_Sloan, Erwin and Winnifred_19960320

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POBbx 77c '�PAMLICO COUNTY, �iUILDING'INSPECTIONS::` BAYBORO, N.C. 2
51S
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(919)' 70-sacs
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tIer this fors is Completed' Y the 'landowner proposing the projec
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a,q p is given to,-hi¢/her�ad�acent lasidowners for their=consent~;'
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si tures.°:`.The forms arejthea_returned, along with.a pla
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and *the' applicable required -information, to. the`Building`Inapecti
ns`'
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Office for building.permit`-applicatioa/process in. )
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ADJACENT RIPARIAN PROPERTY OWNER..STATEMENT EPN4`
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-I hereby certify -that Iowa property, adjacent to
s t o Ad Is on
Name`of landowner.proposing development bof water ody
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in/near, 4' o' p Acj v ;�' Lot # of
community __ :: t_ _._ Subdivision,_if-applicable_'--
Tax Parcel p off. SA 133y Complete description of how to.
locate this property: i 913 ,Q !)
The proposed project, a = and the location has'beea
described to me as shown in the drawing below and I have*ao objections
to the proposal.
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- - FOR A PIER, CHECIij ONE OF THE FOLLOWING:
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wish to waive the 15minimum 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 1,
—=- - —
lines, -other structures on -the propertyi-and =the-roadr=water= etc:-
-printed Name 0`in.sov? . Date 3 Signature

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PO$bX'7.76 PAMLICO COUNTY,BUILDING INSPECTIONS BAYBORO, N.C. 2 515,,
{ i (919) 445 38fi1
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(After, this_ form _is completed_by the.,.landowner_proposing_,th4,projec .�,
a q py is ivea "to hither adjacent 'landowners4.for their coasent -
si tures.. The: forms are; then r'returaed,:`along with a<buildiag.p
and other`applicable. required'inforawtioa to;,the Building 2ttispecti ns'
. .,
Office. for -building perariit_ application/processing.) '
_ . _ ...
ADJACENT RIPARIMPROP ERTY OWNER STA >, TEMENT EPN
I hereby certify -that -I own property -adjacent -to - -
- Name'of landowner proposing.development body, of water
- i /d e i• S� r 77
ininea6 R EN Z"
r Lot#j:v of A 1Z"ter L
community-- Subdivision, 'if applicable.
Tax Parcel # `C� off SR_LJ_� D. Complete description of how -to
locate this property: t e- rK­ Ay
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iLa ,LrtiG n'.o__o?is+.�'-�+%4sva.�J�,.✓�r..s� .. .,.-
The ProposEd pr ect, a>' �' _, and the- location has.: been
described to me as shown in the drawing below and I havenoobjections
to th 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.,15minimum setback requirement.
., .. ss:#ts**asssssassst**its*�*wssssssss�****>tt+t�r�*ee**�r**se**t**�teft�:*:
Draw the proposed structure,in the space provided below. List the size
of the structure and measured distances from the adjacent property '
-- - _ — -linen,--other structures oa==the property-F aad--t ie- road, -water-,- etc.
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'Printed Name„_ it^ P4 F /P � �p SS Date3

REMARKS
IF ANY OF THE ABOVE INSPECTIONS ARE MARKED DISAPPROVED, DISCREPANCIES MUST BE
CORRECTED AND A RE -INSPECTION SCHEDULED AND APPROVED BEFORE CONSTRUCTION CAN
CONTINUE.
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DATE INSPECTED
INSPECTOR. SIGNATURE. J�r"
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FORM BLD104 �% t