494-95_Farrell, Larry B_19960614

08r28Am
J Vt1 •+v -� ..��
V
.. i
ADjAC]C• T][' v
mitOW PROPERTY OWNER STii 1[']CXV 2 f
' (FOR A FIERIAIOOkING PPILINGS/,BoAIUn1S'OA2r10US,-'3
y
I hereby certify that I own property adjactut to 46A)zt�,
(t ame' of Property Oviner)
�: property located at
on C-0 R-k R, N.G..
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development lie is proposia)g at that
location and I have: no ()bjeetiu,Ys to iris proposal. I understand that a pier/tnootLng
pilings/boadift/boathouse must be set back a minimum distance of fifteen feet (13') from ttiy area
Of riparian access unless waived by mo.
I dQXA wish to waive die, setback requirement.
I & wish to waive that setback xequirenient.
....------------------------------- ------_------------------------------------------------------------
- i)ESCRIP'11ON ANI)/CAR 1)1tA.'VVtPvG Ok' 11120POSED OLI M- 01'iid T*-
(�'v be filled In by indiyklucd proposing deveWmenr
, v
Prig r xygc Name i` ;, '` `j
t
,Telephone Number `i'�
Date: G `s'

_08 : 28AM .. _ . _ , ., ... _ .. 0 02 .,.,,.
ADj4CMT Rt2ARLW. P' . PROT'Y OWNER STATEMENT
(FOR A P,TERIMOOR NG PIUNGSIBOATUFIYBOATHOUSM
,Y
that I own
adjacent to Aprier"./i3 �a
i hereby certify P Way of Property Owner)
property located at
(Lot,
etc.)
onll�rt�7fF ,")Lk , in s3 N.C.
(Waterbody) (Town and/or County)
He has described to Inc, as shown below, the development he is proposing at that
location, and, I have no objections to his proposal. I understand that a pier/mooft
pilings/boadi#l/boathouse must be set back a minimum distance of fifteen feet (1SI from my area
of riparian access unless waived by ma.
` I ,do ng& wish to waive the setback requirement.
I & wish to waive that setback requirement.
.--------ar----r---------NYw_-_--------
DE,SCPJMON ANp/OR DPAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing deyeloprnent�
'L.& cc gax ry �e [I
..� - - '-a'fa,.
77r-
bm�r
Type Name
Telephone Number
Date: G `r ' W

tiuo zu:DO FAIL - ` .PARROZT-INS
-fits-66 WED 08:47
��• 4IRAg—ST
INC:- TRAHPORT r NC
91 > ass 1421
"'19002-
1
A'- 02
ADJAC U. T RWARIAN FROPURTX 0'%VNER STX-rEMIWr
K (FOR A PMWAfUDRING PILE INasjuaj'l'"pTIZOAMOUSj�o
I hereby certify that I own property 42cmt to B FA-eREt t 'a
(r amber. of Property Owu") r
+� Ply located at 'T -
f�t, Bloat Road, etc.)
V&R- in Diu A nlS N.C.
El o
(Waterbody) (Town swdlor County)
He has de=llcd to nee, as shown below, the developmeat he is proposing at that
location, and, I have no ohjediQus to his PraposaL I undentand that a pder/ uooriny.
Piling&Uatlift/boathouse must be set back a tninimum distanco of SRcut feet (15•) ficam my era
Of riparian access untrsa waived by me.
I do twt wish to waive the setback requitemant.
I to wish to waive that setback n4uirt.ut,ont.
DESCRIPTION AND/OR DRAWING Ol- PROPOSED DEVTs WpAEENT:
(Ta be jiile�l i,s by iadividua.(pnvposiaP devslopmQnl) �..
P `e t
6 Nit
� (J
.��gAu �.-o X to jt7 ^T` .
I3-bSe
Print Qr Type Name
91_q„ .spy -��
TeLaphoaa Number
Date: