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HomeMy WebLinkAboutWood, Jon 80536Cil trCAMA/TDREDGE&FILL GENER/AL PERMIT N9 80536 ABCD Previous permit #New EModification EComplete Reissue Epartial Reissue Date previous permit issued As authorized by the state of North carolina, Department of Environmental euality andtheCoastalResourcesCommissioninanareaofenvironmentalconcernPursuanttol5ANCAC Applicant Name__ Address Project Location: Street Address/ State Road/ Lot #(s) State ztP Phone#( _) _E_Mait Subdivision Authorized Agent _ztP Affected AEC(s): tr clv I OEA tr E}Y tr HHF tr PTA trrH nES N UBA trPTS DN/A Phone # (_)River Basin Adl. Wtr /man /unkn)tr ORW: Ies / no PNA yes / no Closest Maj. Wtr. Body Type of ProjecV Activity (Scale: Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger pier(s)_- Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshor6 _ Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other Shoreline Length / SAV: not sure Moratorium: nla Photos: Waiver Attached: A building permit may be required by: ( Note Local Planning Jurisdiction) yes no yes no yes no yes no -tT-]-f-tul r+*l#-r'* Ii - l- ":l1_..--L--IIffitt #-l-+tt I:__I I i-' I t i --l-f-*,-u++t+ I I #-{ I I{ -t t-'-f-1l IJ + I H-v -Ft_ ]-- '-t-- I I I I -i I I iIt----1-I I t-1 I I -+-_Htl r I I+ I I I'r -t i Hr Fffi _1 i-*t- --t----+* +lii++i- -.|--t--L-*+J_L-.. I _t_#I .lllt-fr-t-1 -T-t-*t*-t I i--J ;'-',,.,,j-,-,,.,,.'--"t--.- i- LJ*Jt t-li-l* i I T' I Y-l +__r E S"" note on back regarding River Basin rules. Notes/ Special Conditions Agent or Applicant Printed Name Signature # Please read compliance statement on back of permit ** PermitOfficer's Printed Name Signature Application Fee(s)Check #lssuing Date Expiration Date ) *t -t**1-t+*i- -n hl*-r-l+ttrt--# rr I - -i-1- ill-i--t-1 r I 't ffi +l+ f-J--]: r II I . L-1*ti -jj t-j- I, ]+ii -'-.l-----r -1 tiH flJ-lt t IJ l I I I ".].--" !i I+ , ? I 1-tll 1t-J- { -l -t-rr- -I I -J i -,+4 _ffi I J--l-l -H-tttl l I Statement of Compliance and Consistency This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any violation of these terms may subiect the Permittee to a fine or criminal or civil action: and may cause the permit to become nullandvoid. This permit must be on the proiect site and accessible to the permit officer when the proiect is inspected for compliance. The applicant certifies bysigningthis permitthat l) priorto undertaking any activities authorized bythis permit, the aPPlicantwill confer with appropriaie loial authorities to confirm that this proiect is consistent with the local land use plan and all local ordinances, "na Z; " written statement or certified mail return receipt has been obtained from the adiacent riparian landowner(s) . The State of North Carolina and the Division of Coastal Management, in issuing this Permit under the best available information and belief, certifythatthis proiect is consistentwith the North Carolina Coastal Management Program. lf indicated on front of permit, your proiect is subiect to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of Water Resources. Contact the Division of Water Resources at the WashinSton Regional Office (252-946-6481) or the Wilmington RegionalOffice (910-796-7215) for more information on howto comPlywith these buffer rules. River Basin RulesAPPlicable To Your Proiect: Tar- PamlicoRiver Basin Buffer Rules Neuse River Basin Buffer Rules Division of Coastal Management Ofiices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 2s2-808-2808/ | -888-4RCOAST Fax: 252-247 -3330 (Sewes: Carteret, Craven, Onslow - Nofth of New River lnlet- and Pamlico Counties) Elizabeth City District 401 S. Griflin St. Ste. 3fi) Elizabeth City, NC 27909 252-26,4-3901 Fax:252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquoank and Perquimans Countier) E othe.: Washington District 943 Washingon Square Mall Washington, NC 27889 252-946-648t Fax:752-948-M78 (Serves: Beaufort, Benie, Herdord, Hyde, Tyrrell and Washin4on Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 9t0-796-721s Fax: 9 I 0-395-3964 (Serves: Brunswick, New Hanover, Onslow - South of New River lnlet- and Pender Counties) http://portal.ncdenr.orSlweb/cmldcm-home Revised 7/06/17 j{***-*** 3 S.b tu u && Bo4T r:rr*rtsa "ty , 1 l gl +t\1 \*\: {t I { t,*,f.i ir\rt/(Iu*gq* e*- i 5E ttE 3 t--{omBgI ) t l qJ .u*.I ,\+ &-6l-o_ \r"^ *I '\+ I t 3o''[kl '* Cor\brn*J Amo, [-l prefr r pla$;.*s,anJ J",k-s = 51-?t3b5q'fl ry\ Ax r Frht' 3't :b03.''lll s ( I-$uu eli ne .?S I ,'-*Mt$Hs- I "Lt {+ l30? Sou^*$ $r Ern*n,lJ ]Fsiu , l\lc z*st{ ?.D, I I ) l IU ) I ] I I J.*- I T AD.'ACEilT f*arna d Addrose of property:1 J (totarSbr**,Shcetor FORTi IJ ?3 >t t+ E Appllcantsrrrc *XL1L{18 rq irftaitirpftH*r' Jon n oru g A+la*,1...L*n. Lo t;k'J I hsreby certify for ffris that I ou,n a{amnt b tle ebow rc&ren6d property. The indlvirtuatap$yilrg ttny 8m $roposmg. X X I understard truat a ry?l.Sdq **.I$ffiffiffi* bo#,ouse, or lm musr be set hck aminimum dist.nce of 15' ftom my areior rifrrian ffi'rlnress uraived by me. {rf you wbh towaivetfie sotback, you mu"t rntitrr the appropriate brank boror.) I hfi'e m obJcdons to this poposal, % t have objecdous to &is poposL n&rf lsD*utlo*Wd racelpt I do wish to waiys the is,setback rrequirement. I do not wish to waive fie 15, solbad< raguiram€nt. Oryvnor trd Crrt O orT3.pc ?o O( 5or Addrass (Rtpefirn Propcrty otmer lniomaton) e GJc- Enno*o-[ J te'Ne LSZ- I L{1 ff -fit}.$".,J fir, g L L Number 1.7a,?l'l-Za-fu) 8t4 Dae )-O c-,/ llo aurrraHc af Datc Dut$tor{ oFAD.'ACE}IT RIPARNT Narne oA froperty Qrffiro,: Addmss of prWe$:1 (Lot or Applicantphoneft zsz-'?Ltr trl ilhilirgAddrws:n(al doD oufi{ER fng aflw 66 IJ FORM as o{ Yor a+lo*; Itmraby cer$E, &at I own pruperty adjacent to me aboveapplyirE they are for this I haneno objections to tltis proposal.% I have objections to this proposal. Omer (Rlnfian prcpcrty Owru lnfonrnton) rgferaned individuat X I ur*rstardthataminimum**;a&ffi tlifffiTlffi"umive the setback, you lnuqt rntihtte approgiat* Hank bdor,.) y , r do notwisfr to waive *E 15'satback raquiremem. tnl0 p or d(I O{a,rfs). N or Name g *\\ >S?- 1>t .SrroJ D6. ffler""l J \u N t'l Io&phone Nurnbor Date q It l-s '&, a c eJstq ln wtdttg tlrtthln t0 days rrofr6e.fq IrCilww 1- Date C nrqb**J A ---i l pr€rurf l*fonns ailr ,a.nd deaks =t- a bt:3.qq nr1 &x I 1 I I {t t i lY *:' r I {" A. {tF6\^ ("+*1 I 1 :i' rco\ {on P,ht"| ,\ ''/< u-i ?' : 'vo I vl 5q1 ,3lo 'I'Fk r ln& *l S*tr Suun* $r, Gnry**^/.l ]fsde , I\Je z$stY .,j{**_-_ 3 g.b , r! ? \.--l--q\\\ -,- 1 ro.-l I,) +1 fi[ ffi 1-*i. t-t -J {.* o rc. tu i j eJ* .*fr "$r &1- ll && 8o4T rLst-ss[ ,f J0 *lt$ra I l I DocuSign Envelope lD: DD67D193-A00C-4774-83AF-6EED2FOFBIO2 OTTER TO PTJRCIIASE AND CONTRACT [Consult "Guidelines" (Standerd Form 2O) for guidance in completing this form] For valuable consideratioq the receipt_ rq{ legal suflicieacy of which are hereby acknowldged, Euyer offsrs to purchase and Seller upoo acceptance agrees to sell and cgnvey the Propcrty on the terms ard conditions ofthis Ofrer To Purchase and Contract and any addendim or modification made in accordance with its tenns (together the "Contract"), l. TERMS AND DEFIMTIONS: The terms listed below shall have the respective meaning given them as sct forth adjacent to each term. Mary Lou Lonev(a) "Scller": (b) 'fBuyer":Tina Venters and Jonathan Scott Wood (c) 'tProperty": The Property shall include all that real estate descnlbed below together with all appurtenances thereto including the 2 and 3 belaw.improvements located thereon and the fixtures and personal pmperty tistcd in : 7308 Sound Drive Paragraphs Sheet Address City:Zip:28594 and mail delivery may differ from address shown. County: NOTE: Legal Description; (Complete Plat Reference : Lot/[Jnit over taxes, ,{It applicable) , Block/Sectioa , SuMMsion/Condcminium , as shown on Plat BooklSlide at The PIN/PID or other identification mrmber of the Property is: 52 Carteret Lot 19 Other description: Some or all of the Sect. One (d) "Porchare Price" may described in 625,000 BY (ADDITTONAL) EARNEST named in at be delivercd to Escrow MONEY DEPOSIT made payable to Escrow Agent or immediately available funds such as official bank $ $ $6250 paid in U.S. Dollars upon the following terms: BY DUE DILICENCE FEE made payablc to Seller by the Effective Date. BY IMTIAL EARNEST MONEY DEPOSIT made payable to Escrow Agent named q-laraguph lifl E with this offer OR $ deliverei within five (5) diys of the Effective Date of this contract by E cash Ql personal check I ofi'icial bank checkI wire transfer. $ check or Paragraph 1(f) by cash wire tansfer to TIME BETNG Agent OF THE no later than ESSEA'CE with 618,750 regard to said date. BY ASSUMPTION of the unpaid principal balaoce and all obligations of Seller on the existing loan(s) secured by a decd of trust on the Property in accoidance with the attached Loan Assumption Addendum (Standard Form 246-T). BY SELLER FINANCINC in accordance with the attached Seller Financing Addendum (Standard Form 2A5-T). BY BUILDINC DEPOSIT in accordaoce with the attached New Constuctiou Addendum (Standard Form 2A3-T). BALANCE of the Purchase Price in cash at Settlemeot (some or all of which may be paid with the proceeds of a new loan). Sttould Buyer fail !o def{v9r gither the Due Diligence Fee or any Initial Earnest Money Deposit by their due dates, or should any check or other funds paid by Buyer be dishonore{ for any reason, by the institution upon which the psymenr is drawn, Buyer shail have one (l) banking day after wtittm notice to deliver good funds to the paye6. In the event Buyvr does not timely deliver good funds, Seller shall have the right to termirate this Contract upon writteu notice to Buyer. (e) "Earne*t Money Depo*it'!: The Initial Eamest Money Deposit the Additional Eamest Money Deposit and any other eamest monies paid in connection with this Eansaction, hercinafter collectively rsferr€d to as "Earnest Money Deposit", shall be deposited and held in escrow by Escrow Agent until Closing, at which time it will be credited to Buyer, or until this Contract is otherwise tgrminated. In the event: (l) this offer is not accepted; or (2) a condition of any resultiog contract is not satisfie{ then the Eamest Page I ofl0 $ $ $ $ tB RTALT Ql]8 This form jointly approved by: North Carolina Bar Ascociation North Inc. initialsBuyer initials Blld Hqd lrlrnd Liaitcd Ral E{ste S!r., PO 8or 1069 Blld Hqd lilrtr4 NC lttl6l Phre:91S.457-7,1E4 Fd: 910-1t-5?75 Micfiils shw Prcdu€d rilh zipFom@ by npL.gix i807O Fifrecn Mil. fto.d, Fmr. Iridrrgan a8o25 u.zieLggll.Eo STAI'DARD FORIII2.T Revised ll20l2 @ uzan l^L-rv Unrirlcd DocuSign Envelope lD: DD67D'193-A00C-4774-83AF-6EED2F0FB102 Mgr"y Deposit shall be refunded to Buyer. In the event of breach of this Contract by Seller, the Earnest Money Deposit shall be refirnded to Buyer upon Buyer's request" but such rcturn shall oot affect any other remedies available to Buyc for sucn breach. In the event of breach of this Coatract by Buyer, the Earnest Money Deposit shall be paid to Seller upon Seller;s request as liquidated damagesand as Seller's rcle and exclusive remedy for zuch breach, but without limiting Seller's rights under Paragraphs +(a) ana {(e) for damage to th€ hopsrly or Seller's right to retain the Due Diligence Fee. It is aCknowledCed by the parties ihai payrnent of the Earnest Money Deposit to Seller in the event of a breach of this Contract by Buyer is compensltory -and not punitive, such amount teing a_reasonable estimation of the actual loss th&t Sellsr would incur as a result of s.irch breich. The piyment of the Earnest Money-Dcpositto Seller shall not constitute a panalty or forfeiture but actual compensation for Sellels anticilaied loss, bothptitl acknowledging the difliculty determining Seller's actual damages for such breach.-tf legal proceedings are brought by Buyer or Seller against the.,other to rocovcr the Earnest Money Deposit, the prevailing palty in the piocieding sha-ll be entitl& io recover from the non-prevailing party reasonable aftorney fees and court costs incurred in istr;ection uiittr tUe proceeding, THE PARTIES A6REE THAT A REAL ESTATE BROKERAGE FIRM ACTINO AS ESCROW AGENT MAY PLACE THE EARNEST MONEY DEPOSM IN AN INTEREST BEARING TRUST ACCOI,,NT AND THAT ANY INTEREST EARNED THER-EON SHALL BE DISBURSED TO THg ESCROW ACENT MONTHLY IN CONSIDERATION OF THE EXPENSES TNCURRED BY MAINTATNING SUCH ACCOUNT AND RECORDS ASSOCIATED THEREWTTH, (g) "Elfective Dlte": Th" 91E that: {l) the last one of Buyer and Seller has signed or initialed this offer or the final counteroffbr, if any, and (2) such sigrring or initialing is communicated to the party making the offer or counteroffer, as the case may be. (h) "Dle Qi_Iigence": Buye/s qpqgrtulity duriag the.-Due Diligeoce Period to investigate rhe Properry and the fiansactiou contemplstcd by this Contract, including but not.neces*arily limited io the matters described iir Paragraph 4 beiow, to decide whether Buyer, in Buyer's sole discretisn, will proceed with or terminate the ftansaction. !)-_ "Due piligence Io"j.{ negotiated amoun!.if any, paid by Buy,er to Seller with this Contract for Buye/s righr to conduct DueDiligence during thJ.Du" Dil-igence leriod. It shaU be- theproperty oi Setler upon the Effective Date and sda[ be i credit to Buyer at Closing. The Due Diligence Fec shall be non-refi:ndable cicept in the cvent of a material breach of &is Contract by Sitter, or if this Contract is terrrinated under ?aragraqh 8(l) or Paragrapi 12, or as otterwise provided in any addeudum hereto.'nrry"r and Seller each expresslY {aivo any right-that.they may-have to deny the right to conddct Due Diligence or to assert any defense as to the enforceability of this Coatract based on the absence or alleged iniufficiency of any Due Difigence Fee, it beirig the iatent of the PurtiT.lg create a legally binding contract lbr the purchase and sale of the Priperty without regird to the existencior amounr of ary Due Diligence Fee. U) "Due Diligence Period": The period bcginning on the Effective Date and none extending through 5:00 p.m. on NME BETNG OF THE E.S.SENTCf with regard to said date. (k) I'Settlemc-nt'1t.TE proper exgculion and delivery to the settlement agent of all documents necessary to complete the transaction contemplated by thi.s Contract, inclyding dre deed, settlement statemeot, deed of trust and olher loan sr conveyance documents, aad the settlemsnt agenfs receipt of all fimds necessary to complete such transaction 0) "Set0ement Dlte": lhe parties agree that Settlement will take place on or about Auqust 31, 2021 (the "Setlement Daten), un.less otherwisc agreed in writing, at a time and place designated by Buyer. {m) "Clodngrt: The completion of the legal process which results in the transfer of title to the Prop€rfy from Seller to Buyer, which includes the following steps: {l) the Settlement (defined above); (2) the completion of a satisfactory titte update to thi Property fiollowing the Setllement; (3) the settlsment agcnt's reccipt of authorization ta disburse all necessary funds; and (4) recordation ii.r thl appropriate county registry of the deed(s) and deed(s) of trust, if any, which shall take place as soon as reason'ably possible for the settlemcnt ag€nt aft€r SettlEmcnt. Upon Closing, the proceeds of sale shall be disbursed by the settlement agsnt in accordance with the settlement statement and the provisions of Chapter 45A of the North Carolina General Statutes. If the ritle updatc should Page 2 of 10 DS STANI}ARD FORM 2.7 Revired ll20l2 o ln0r2ler initials wBuyer inrtials Producod wilh lpFtrrro by zFLogb( 18070 Fl,tff Mib Rosd, Flig. Micligsn 48mG M2ipl ogF-com Untitled .N DocuSign Envelope lD: DD67D193-A00C4774-83AF-6EED2F0FB102 rEvesl unsxpect$ ll*, sncumbrsnces or other title defects, or if the settlgment egent is not authorized to dirburse all necemary frmds, thcn the Closing shall be suspended and the Setllernent deemed delayed under ?*ragraph l3 iDelay in Settl$neat/Closing). {n) "Special Arsessmeutr": A charge against the Properfy by a govemmental authority in addition to ad valorem taxes andtfurri"g governmental service fees lovied with such taxes. or by an owners' association in addition to any regular as$essmsnt (dues). sithsr of r#hich may be a lien against thc Properry. A Special Asse$smeni may be either proposed or coa{iimed. "Propoced Special Arscisment": A Special Assessmgnt that is under formal consideratian but whieh has not been approved prior to Settlemsnt. "Confirmed Special Astelsment": A Special Asees*mflrt that has been approved prir:r to Settlement whether or ttot it is fully payable at time of Settlement. Seller sh*ll repair any darnage cau*ed by removd ofany items excepted above. {NOTE: Seller and Buyer shr:uld confirm whether fuel tanks, &ntsnn8s, s*tellito dishes and receivers, alarm rystems, and other items listed above are leased or not owned by $eller aad should be entered in the blank abcve.) 3- PERSONAL PROPERTY: The following perxonai properry shall be transferred ta Buyer a{ no valus at Closing:None (NOTE: ConlracL Buyer is advissd to consult with Buyei's leuder to asrure that the Personal Property items listed above can be included in this ) 4, BI,]YER'S DUT DILIGf,NCA PROCESS {a) ofr Loen: During the Due Diligence Period, Buyer, at Buyer's expen$e, shall be entitled to punus qualiiicarion for and approval the Loan if any. NOTE: Buyer is advised {o cansult with Buyet's lender prior to *ig:ring this offer to assure that the Duc Diligence Period allows sufficient rime for the appraisal to be completed and for BuyeCs lender to provide Euyer sufficient information to decide whether to proceed with ar termi$aie the trasaction since the Loan is not a condition of the Contract. {b) Property Investigetion: During thc Due Diligence Pericd. Buyer or Buyer's agent$ or reprtsentatives, at Buyet's sxpense, shalt be eilitled to couduct all desired te$ts, suryeys, appraisals, investigations, examinations and inspectioas of ths Property as Buyer deem* appropriatc, inrluding but NOT limitsd to the following: {i) [nspictions: Inspections to delsrmine the condition of any improvements on *he Properfy, the presenee of unusual drainage conditionr or evidence of excessive moishre edversely aflecting any improvernerts sr the Property, the presence of asbestos or existing environmental eontamination, evidence of wood-destroying inseets or damage therefrom" and the prefislrce aad level ofradon gas on the Property.(ii) Review of Documentr: Revierv of the Declaration of RestrictivE Covenants, Bylaws, 44"1.! of Incorporation, Rules and Regulations, and other goveming documents of any applicable owners' association andr'ar subdiriisiln. ,I{ $e Propetty is*subject to regulatian by an owners' association" it is recommended that Buyer review the completed Residential Pmperty and Owners' Associstion Disclosure Statement provided by Seller prior to signing this affer' (iii) In*urance: lnvestigation cf the availability and cost of insurance for the Pn:peny. {iv) Apprairals: An appraisa} of the Property" iui Survey: A survey to determine wheth€r the property is suitable for Buyer's inteaded use and the location of eassments, setbacks, prop€(y boundaries and other issues which may or may not constitute title defccts. Page 3 Seller initials l^L STAI\I'DARD FOR-*I2-T Revl*ed ll20l2 &u2al2Buyer initials pIoducdd r*th ,pFdrt& by 2SLoSu '!8S?0 Fiftffi Mib Road, Fl?w, Mtdhig&n 48*26 M,I'Logir .qm Llnlitled DocuSign Envelope lD: DD67D193-A00C4774-834F-6EED2F0FB102 (vi) Zoning ttrd Governmentel Regulefion: Investigation of cur€nt or proposed zoning or other govemmental regulation that may afGct Buyer's intended use of the Property, adjacent land uses, planned or proposed road construction, ald school attcrdance zone$. (vii) Flood Hazrrd: lovestigation of potential flood hazards on dre Property, and/or any requirement to pwchase flood inzurance in order to obtain the Loan. (c) Reprir/Improvemcnt -Negotietio_ns/Agreement: The parties acknowledge and understand that they may, but are uot required to,^engage in negotiations for repairs/improvements to the Property. Buyer is advised to make any repiir/improvemsnt requeits in sufficient time to allow repairlimp,rovement negotiations to be concluded prior to the expirarion of thi Due Diligence eeribd. Any agr. eement tltut q" parties may rcach with -respect to repairs/improvements shall be considered an obligation of thi parties and is air addition !o this Contract and as such. must be in writing and sigried by the parties in accordalce with Paragraph 20. NOTE: See Paragraph 8(b) Access to PropertyAMalk-Through Inspection and Paragraph 8(k) Ncgotiated RepairVlmprovements. (d) Buyer's Obligetlon to Repeir Damege: Buyer shall, at Buyels expense, promptly repair any damage to the Property resultingfiom any activities of Buyer and Buye/s- agents and contactors, but -Euyer itrall'n6t Ui responsibte ior uny damige caused b[accepted practices either approved by the N.C. Home Inspector Licenswe Board or appiicable to any'other N.C. licemeiprofessional performing rgasolalle lPPraisals, tests, sun'eys, examinations and inspections bf the Property. This repair obligationshall survive any termination of this Contract. (e) Indemnity: Buyer will indemnif and hold Seller harmless from atl loss, damage, claims, suits or costs, which shall arise out ofany conkact agreement' or injuly to any person or properfy as.a result of any activilies of Buyer and Buye/s agents and cont1acto6relating to the ProPertY except-for-any loss, damag",glui*., suit or cost arisiirg ou1 of pre-exiiting condiiioot oTtt" friperry ""Oo.out of Seller's negligence or willful acls or omissions. This indemnity shall suriive this 'Contracr an'a any termination trerebf. (f).. Buyer's Right to Tgrminetel Buyer shall have the rigtt 1o terrninate this Contract for any reason or no roasonr by delivering toSeller written notice of termination (the "Terminalrgn ]lotrc_el] tryg t1Du" Diligence Period (or *y;il#rp"n *riienextsnsion of the Due Diligence !eno{), TIME BEING OF THE E'SS;',VCA. lf Buyeitimely delivers the ferniination'*otice, thisconuact shall be terminated and the Earnest Money Deposit shall be refunded to Buyei. ITYARNING; If Buyer is not satisfied wirh the results or progres$ of Buycy's Due Diligcnce, Buyer should terminate this Contrsct,prior to the expiration of the Due Diligence Peiod, unless Buyer can obtain a written extension from Seller. SELLER IS NOT OBLIGATED TO GRANT AN EXTHNSION. Although Buyer may continue to investigate the Property following &e expiration of the Due Diligence Period, Buyet's failure to deliver a Termination Notice to Seller prior to the expiration of the Due Diligenee Period shall constitute a waiver by Buyer of any right tc terminate this Contract based on any matter relating to Buyer's Due Diligence. Provided however, following the Due Diligence Period, Buyer may still exercise a right to terminate if Seller fails to materially comply with any of Sellcls obligations under Paragraph 8 of this Contract or for any other reason pennitted under the terms of this Contract or North Carolina law. (g) CLOSING SHALL COI{STITUTf, ACCEPTANCE OF THE PROPERTY TN ITS THEN f,XISTING CONDITION UNLESS PROVISION IS OTIIERWISE MADE IN WRITING. BUYER REPR.ESENTATIONS: (a) Loen: Byver p does [l does not h1v-9 to obtain a new loan in order to purchase the Property. lf Buyer is obtaining a new loan, Buyer intends to obtain a loan as follows: E FHA E VA {attach fgAlVe Financing Addendum) [ Convintional I Other: - Ioan at a I Fixed Rate D Adjustable Rate in the princif,al amount of - plus any ftnanced VA Funding Fes or FHA MIP for a term of year(s)-, at an initial interest-rate not to exceed % pet annum (the "Loan"). IOTE: Buyels. obligations under this Contract are not conditioned upon obtaining or closing any loan. If Buyer represents that Buyer does nottave to obtain a new loan in ordcr to purchase the Proilerty, Sellerls advised" prior to signing t[,1. oder, to obtain documentation from Buyer which demonstrates that Buyer will be able to close on the Property without thi neiessity of obtaining a new loan. (b) Other Property: Buyer Q does fi does not have to sell or lease other real propery in order to qualify for a new loan or to complete purchase. NOTE: If Buyer does have to sell, Buyer and Seller should consider including a Contingent Sale Addendum (Standard Form 2A2-T) with this offer. Page 4 of l0 5 l^L STAI\IDARI} FORM 2.7 Revised ll20l2 0 l/2012Seller initialsBuyer initials Prpducod uth dpFqtrtQ by zhLogu 1E070 Fiftan Mib Rod. F€s. Micli9an 4E026 wiplooir com Untitled DocuSign Envelope lD: DD67D 1 93-A00C-4774-83AF-6EED2F0FB1 02 (c) Performrnoe of Buyer's Financid Obllgrtionr: To the best of Buye/s knoudedge, there are no other circumstances or cqnditions existing as of the date of this offer that would prohibit Buyer from performing Buyet's financial obligations in accordauce with this Contract, €xcept as may be specifically sot fodh herein. (d) Property Disclosure (check only one): Q Buyer has received a signed copy of the N.C. Residential Property and Owners' Association Disclosure Statement prior to tlre _ signing of this offer. [t Buyer has NOT received a sigrred copy of the N.C. Residsntial Property and Owners' Association Disclosre Statement prior to the sigmng of this offer and strall have tle right to terminate or withdraw this Contract without penalry (includins a refund of any Due Diligence Fee) prioi to WHICHEVER OF TXE FOLLOWING EVENTS OCCURS FIRST: (l) the end of the third caletrdar day following receipt of the Disclosurs Statement; (2) the end of the third caletrdax day following the date the Contract was made; or (3) Settlement or ocsupancy by Buyvr in thc case of a sale or exchange. Q Exonpt from N.C. Residential hoperty and Owners' Association Disclosure Statement because (SEE GUIDELINES): 6. BI.]YEROBLIGATIONS: (a) Owners' Asrocletlon Feer/Cherger: Buyer shall pay any fees required for confirming account payment information on owners' association dues or assessments for payment or proration and any charge made by the owners' association in connection with the dispositica of the Froperty to Buyer, iocluding any transfer and./or document fee imposed by the owners' association. Buyer shall not be responsible for fees incurred by Seller in completing thc Residential Property and Owners' Association Disclosure Statcnent. (b) Recpo$ibility for Proposed Special Assessments: Buyer shall take title subjea to all Proposed Special Assessments. (c) Rerponsibility for Certain Costr: Buyer shall be responsible for all costs with respect to any loan obtained by Buyer, appraisal, title search, title iosurance, recording the deed and for prE)aration and recording ofall instruments required to secure the balance of the Purchase Price unpaid at Settlement. SELLER REPRTStrNTATIONS:1 (a)trtrtl Ownership: Seller represents that Seller: has owned the Property for at lcast one year. has owned the Property for less than one year does not yet own the Property. (bl Primary Residence: Seller represents that the Property f] is or [f is not Seller's primary residence. (c) Lead-Brred Paint (c:heck dapplicable):[] The Ptopetty is residsntial and was built prior to l9?8 (Attach Lead-Based Paint or Lead-Based Paint Hazards Disclosure Addendum {St$dard Form 2A9-T}). (d) Assersments: To the best of Selle/s knowledge there are no Proposed Special Assessments except as follows (lnsert "None" or the identification olsuch assessmenls, if mY):None Seller warrants that there are no Confirmed Special Assessments except as follows (lnsert "None" or the identification of such asscssmcnts, if any)None (e) Ownerr' Association(r) ead Duet: Seller authorizes and directs any owners' association, any managsm€nt company of the ownerE' association, any insurance company and any attorney who has previously represented the Sellsr to release to Buycr, Buyer's agents, represeutative, or leuder true and accurate copies of the following items affectiag the Property, iactuding any amendments; . maEter insuraace policy showing the coverage provided and the deductible ilnoutrtr Declaration and Restrictive Covenantso Rules and Regulationso Articles of Lncorporationr Bylaws of the owners' association. cluretrt fiaancial statement aud budget of the owners' associatioa. parking restrictions and information. architecturalguidelines Page 5 of 10 OS STANDARI} FOR&I2.7 Revised ll20l2 o l/2012initialswBuyer initials Produced mlh apFdrr& by zFlogir 18070 Frtt$n Mib R@d, FEs. Mhtsgan 4{}026 w ,nloeF.do Untirled 1V td \-, DocuSign Envelope lD: DD67D1 93-A00C-4774-83AF-6EED2F0FB1 02 The name, address and telephone number ofthe president of the owners' association or the association rumnger is: None Owne$'association website address. if any: The name, address and telephone uumber of the president of the owners' associatiou or the association milulger is; None 8. Owners'association website address, if any: SELLER.OBLIGATIONS: (a) Evidence of Title; Seller agrees to use best efforts to deliver to Buyer as soon as reasonably possible after the Effective Date, copies of all title information in possession of or available to Seller" including but not timited to: title insurance policies, attorney's opinions on title, surveys, covcoantsn deeds, notes and deeds of trust leases, and easements relating to the Property. Seller authorizes: (l) any attomey presently or previously representing Seller to release and disclose any firle insurance policy in such attomey's file to Buyer and both Buyels and Seller's agents and attomeys; and (2) the Property's title insurer or its agent to release and disclose all matcrials rn the Property's title insurer's (or title insurcr's agent's) file to Buyer and both Buyer's and Seller's agents and attorneys. (b) Accers to PropertyAtralk-Through Inspecdon: Seller shall provide reasonable acc€ss to the Property (including working, existing utilities) through the earlier of Closing or possession by Buyer, including, but not limited to, allowing Buyer ao oppomrnity to conduct a final r;,.41-16rough inspection of the Fropcrty. {c) Removal of Seller's Property: Seller shall remo!€, by the date possession is made available to Buyer, all personal propsrty which is oot a part ofthe purchase and all garbage and debris from the Properry. (d) AIEOavit and Indemnilicrtion Agreement: Seller shall fumish at S€ttlement an affidavit and indemnificarion agreement in form satisthctory to Buyer and Buyer's title insurer, il'any, executed by Seller and any person or entity who has performed or fumishd labor, services, materials or rental equipment as described in N.C.G.S. $44A-8 to the Propety within 120 days prior to the date of Settlement verifying that each such person or entity has beel paid in full and agreeing lo indemnifo Buyer, Buyer's lende(s) and Buyet's title insurer against all loss from any cause or claim arising therefrom. (e) Pryment and Satisfaction of Liens: All deeds of trust, deferred ad valorem taxes, liens and other charges against the Property, not assumed by Buyer, must be paid and satisfied by Seller prior to or at Settlement zuch that cancellatioa may be promptly obtained following Closing. Seller shalt remain obligated to obtain any such cancellations following Closing. (t) Title, Legel Aeeesr: Seller shall execute and deliver a GEI$ERAL WARRAN-fY DEED lbr the Property al Settlement unless otherwise stated herein, which shall conv€y fee simple marketable and insurable title, free of all encumbrances and defects which would be revealed by a current and accurate survey ofthe P.operty, exceptr ad valorem taxes tbr the current year (proratd through the date of Settlernent): utility easements and unviolated reskictive covenants that do not materially affect the value of the Propefly; and such other encunrbrances as may be assumed or specifically approved by Buyer in writing. The Property must have legal access to a public right of way. NOTE: Buyer's lailure to terminate this Contract prior to the expiration of the Due Diligence Period as a result of any encumbrance or defect that is r:r would have been revealed by a title examination of the Property or a current and accurate survey shall not relieve Seller ofauy obligation under this subparagraph. NOTE: If any sale of the Property may be a "shofi sale," consideration should be given to attaching a Short Sale Addendum (Standard Form 2A14-T) as an addendum to this Contract. (g) Dee4 Excise Taxes: Seller shall pay for preparation of a deed and all other documents necessary to perform Seller's obligations under this Contract, and for state and county excise taxes required by law. The deed is to be made to: Tina Venters and Jonathan Scott Wood O) Agreemcnt to Pey Buyer Expenses: SellEr shall pay at Settlemert $ none toward any of Buyer'$ exp€nses associated with the purchase of the hoperty, including any FHAIY.A, lender and inspection costs that Buyer is oot permitted to pay, less any portion disapproved by Buyer's lender. Page UAB L n^i STA"\I}ARD FORIII2.7 Revtued ll20l2 o t/20r2 DS {v initialsBuyer initials PrDduced Hlh ,pFtrm8 by zpLoga 1E070 F,ns Mlft Road, Fr.8d. Mmligen 48mG yw.lDt ogtr .om Untitled DocuSign Envelope lD: DD67D193-A00C-4774-83AF-6EED2F0FB102 NOTE: Examples of Buyels expenses associated with the purchase of the Property include, but are not limited to, drscount points, loan origination fees, appraisal fees, attornq/s fees, inspection fees, and "pre-paids" (taxes, insurance, owners'association ducs, etc.). (i) Peyment of Couftrmed Special Assessmerts: Seller shall pay all Confirmed Special Assessments, if any, provided that the amount thereof can be reasonably determined or estimated. (,) Late Llsdng Penaltles: All propcrty tax late listing penalties, if any, shall be paid by Seller. (k) Negotirted Repalrsflmprovemcnb: Negotiated repairvimprovsmenB shall be made in a good and workmanlike manner and Buyer shall have the right to vcrify same prior to Settlernent. (l) Seller's Failure to Comply or Breach: If Sellsr fails to araterially comply rvirh any of Seller's obligations under this Paragraph 8 or Seller materially breaches this Contract, and Buyer elects to terminate this Contract as a result of such failure or breactr, then the Earilest Money Deposit and the Due Diligence Fee shall be refunded to Buyer and Seller shall reimburse to Buy€r the reasonable costs actually incurred by Buyer in connection with Buyer's Due Diligence without affecting any other remedies. If legal proceedings are brought by Buyer against Seller to rscover the Earnest Money Deposit, the Due Diligence Fee and/or the reasonable costs actually incurred by Buyer in connectiou with Buyels Due Diligence, the prevailing party in the proceeding shall be entitled to recover from the non-prevailing party reasonable attomey fees and court costs incurred in connection with the proceeding. 9. PRORATIONS AND ADJUSTMENTS: Unless otherwise provided, the following items shall be prorated through the date of Settlernent and either adjusted between the parties or paid at Settlement: (a) Tare on Reel Property: Ad valorem taxes and recurring governmental service fees levied with such taxes on real property shall be proftrted on a calendar year basis; (b) Tares on Perronal Property; Ad valorem tsxes on personal property for the sntire year shall be paid by Seller unless the personal properfy is conveyed to Buyer, in which case, the personal prope$y taxes shalt be proratcd on a calendar year basis; (c) Rentr: Reots, if any, for the Property; (d) Duet: Owners'associatioo regular assessments (dues) and other like charges. 10.IIOME WARRANTY: Select one of the following: X No home warranty is to be provided by Setler. I Buyer may obtain a one-year home waranty at a cost not to excced $ Settlement. f] Seller has obtained and will provide a one-year home warranty from , and Seller agrces to pay for it at at a cost of S and will pay for it at Settlement. NOTE: Home warranties typically have limitations on and conditions to coverage. Refier specific questions to the home waranty company. ll. CONDIIION OF PROPERTY AT CLOSING: Buycr's obligation io cr:mplete the transaction contemplated by this Contract shall be contingeat upon the Property being in substantially the same or better couditiqn at Closing as on the date of this offer, reasouable wear and tear excepted. 12. RISK OF LOSS: The risk of loss or damage by fire or other casualty prior to Closing shall be upon Seller. If the improvements on the Property are destroyed or materially damaged prior to Closing, Buyer may terminate this Contract by written notice delivercd to Seller or Selle/s agent and the Earnest Money Deposit and any Due Diligence Fee shall be refunded to Buyer. tn the event Buyer does NOT elect to terminate this Csntract, Buyer shall be entitled to receivs, in addition to the Properry, any of Selle/s insurance proceeds payable on account of the damage cr destnrction applicable to the Property being purchased. Seller is advised not to cancel existing insurance on the Properry rrutit after confrrming recordation of the deed. 13. DELAY tN SETTLEMENT/CLOSING: Abssnt agreement to tbe contrary in this Contract or any subsequent modification thereto, if a party is unable to complete Settlement by the Settlernent Date but intends to complete the transaction and is acting in good faith and with reasonable diligence to proceed to Settlement ("Delaying Purty"), and if the other party is ready, wilkng and able to complete Settlemffit on the Settlement Date ('Non-Delaying Party") then the Delaying Party shall give as much notice as possible to the Non-Delaying Party and settlement agent and shall be entitled to a delay in Settlement. If the parties tail to complete Settlement and Closing within lourteen (14) days of the Settlement Date, or to further extend the Settlement Date by written agreement, then the Delaying Party shall be in breach and the Non-Delaying Party may termi$ate this ConEact and shall be entiiled to enforce any remedies available to such party under this Contract for the breach Page 7 of 10 seller inirials @- STA.\{DARD FOR}12.7 Revlsed ll20l2 a u20t2 "N Buyer initials DS Prcducod with eipFtrrlo by zploqix 18070 F1ften Mile Ro€d, F.aw. Michigan 48020 PwziFlogir.nm Untitled eL DocuSign Envelope lD: DD67D193-A00C4774-83AF-6EED2F0FB102 14. POSSESSION: Possession, including all means of access to the Property (keys, codes, garage door openers, etc.)" shall be delivered upon Closing as defined in Paragraph l(m) unless other$dse provided below: I A Buyer Possession Before Closing Agreemant is aftached (Standard Form 2A7-T) ft A Seller Possession After Closing Agreement is attached (Standard Form 2A8-D fl Possession is subject to rights of tenao(s) (NOTE: Csnsidsr attaching Additiooal Frovisions Addendum {Form 24- I I -T) or Vacation Rental Addetrdum (Form 2Al3-T)) 15. OTHER PROVISIONS AND CONDITIONS: CfIECK ALL STANDARD ADDENDA THAT MAY BE A PART OF THIS CONTRACT, IF ANY, AND ATTACH HERETO. ITEMIZE ALL OTHER ADDENDA TO THIS CONTRACT, tF ANY, AND ATTACH HERETO. NOTE: UNDER NORTH CAROLINA LAW, REAL ESTATE BROKERS ARE NOT PERMITTED TO DRAFT CONDITIONS OR CONTINGENCIES TO THIS CONTRACT. E Additional Provisions Addendum (Form 2Al l-T) fl Back-Up Contract Addetrdum (Form 2.A'l-T) l-l Contingent Sale Addendum (Form 2A2-T) E FHA,I/A Financing Addendum (Form 2A4*T) I Lead-Based Paint Or Lead-Based Paint Hazard E BED Loan Assumption Addendum (Form 2A6-T) New Construction Addendum (Fomr 2A3-T) Seller Financing Addendum (Form 2A5-T) Short Sale Addendum (Form 2Al4-T) Vacation Rental Addendum (Form 2Al3-T) Addendum (Form 2A9-T)tr OTHER: Contract is conti tank i roval and cleara rmit allows dock with 2 boat minimum. at the cost of the Buyers. 16. ,{,SSIGNMENTS: This Contract may nol be assigned without the $nittm con$snt of all parties except in connection with a tax- defened exchange. but ifassigrred by agreemen! then this Contract shall be binding on the assignee and assignee's heirs and 3uccessors. 17. TAX-DEFERRED EXCHAIYCf,: In the event Buyer or Seller desires to efTect a tax-deferred exchange in connection with the conveyance of the Property, Buyer and Sellr agree to cooperatc in effecting such exchange; provided, however, that the exchanging party shall be responsible for all additional costs associated with such exchange, and provided further, that a non-€xchanging party shall not assume any additioral liability with respect to such taxdeferred exchange. Buyer and Seller shall execute such additional documents, including assignment of this Contact in connection therewith, at ro cost to the oon-exchangiag party, as shall be required to give effect to this provision. 18. PARTIEST This Contract shall be binding upon and shall inure to the benefit of Buyer and Seller and their respective heirs. successors and assigns. As used herein, words in the singular include the plural and the masculine includes the feminine and neuter genders, as appropriate. 19. STJRVIVAL: If any provisioa herein contained which by its nature and effect is required to be obssrved, kept or performed after the Closing, it shall survive the Closing and remain binding upon and for the benefit of the palties hereto until fully observed, kept or perfcrmed. 20. ENTTRE AGR-Ef,llIENT: This Conract contains the entire agr€€ment of the parties and there are no represectations, inducements or other provisions other than those expressed hsrein. All changes, additions or deletions hereto must be in writing and signed by all parties. Nothing contained berein shall alter any agreement between a REALTORO or broker and Seller or Buycr as contahed in any listing agreement, buyer ageacy agreement. or any other agetrcy agreement between them. 21. NOTICE; Any notice or communication to be given to a party herein may be given to the party or to such paffy's agent. Any written notice or communication in connection with the transaction contemplated by this Contract may be given to a party or a party's agent by sending or transmitting it to any mailing address, e-mail address or fax number set forth in the "Notice lnformation" section below. Seller and Buyer agree that the "Notice lnfomration" and "Escrow Acknowledgment" secfions below shall not coostitute a material part of this Conkact, and that the addition or modifrcation of any information therein shall not constitute a rejection of an offer sr the creation ofa counteroffer. 22. EXECUTION: This Confact may be signed in multiple originals or counterpafis, all of which together constitute one and the same instrument, and the parties adapt as their seals the word "SEAL" beside their signatures below. 23. COMPUTATION OF DAYS: Unless otherwise provided, for purposes of this Contract. the term "days" shall mean consecutive calfldar days, including Sarurdays, Sundays, and holidays, whether lbderal" state, local or religious. For the purposes of calculating days, the count of "days" shall begin on the day tbllowing the day upon which any act or notice as provided in this Contract was required to be performed or made. Page 8 of l0 DS @fl initials STAI{DARD FOR]II2-T Revired UZA0 a u2012Buyer initials DS Produced wth n9Far6 by zillogu 18070 Frtm MiL Road. Ft.Eg. Micligan 48O2S M nI{ d0i- .^m Undrled \J1, DocuSign Envelope lD: DD67D193-A00C4774-83AF-6EED2F0FB102 THE NORTH CAROLINA ASSOCIATION OF REALTORS@, INC. AND THE NORTH CAROLINA BAR ASSOCIATION MAKE NO REPRESENTATION AS TO THE LEGAL VALIDITY OR ADEQUACY OF ANY PROVISION OF THIS FORM IN A}.IY SPECIFIC TRANSACTION. tF YOU DO NOT II.IDERSTAND THIS FORM OR FEEL THAT rT DOES NOT PROVIDE FOR YOITTR LEGAL NEEDS, YOU SHOULD CONSULT A NORTH CAROLINA REAL ESTATE ATTORNEY BEFORE YOU SIGN IT. This offer shall become a binding contract on the Effective Date. 7 /10/202t 7 /L2/702L Date: Buyer Date: Buyer Date: ot>. 7 /10/2021, (sEAL) (SEAL) (SEAL) Date : Seller Date: Seller Date: Se ller {SEAL) (sEAL) (SEAL)Buyer Page 9 of 10 STANDARD FORM 2.7 Revised l/2012 @ u2012 ProducGd wfi EpFffm€ by zblogix 18070 Fnm MlL Road, Fntr. Mictig€n 48026 ldrly:illpCtr"cam Untitled DocuSign Envelope lD: DD67D193-A00C4774-83AF-6EED2F0FB102 NOTICE INFORMATION NOTE: INSERT THE ADDRESS AND/OR ELECTROMC DELIYERY ADDRESS EACH PARTY AND AGENT APPRO\tsS FOR THE RECEIPT OF ANY NOTICE CONTEMPLATED BY THIS CONTRACT. INSERT'N1A" FOR ANY WH]CH ARE NOT APPROVED. BUYER NOTICE ADDRESS:SELLER NOTICE ADDR.ESS: 1008 Breedon Court , NC 28405 Buyer Buyer Fax#: 1-844-262-4010 Seller Fax# Seller E-mail: 4arylloney@gmail.comtv 021 SELLING AGENT NOTICE ADDRf,SS: Firm Name: none Acting asQ BuyeCs AgentQ Sellet's (sub)AgentflDual Agent Mailing Address: Individual Selling Agent; [] Acting as a Designated Dual Agent (check only if applicable) License #: Selling Agent Phone#: Selling Agent Fax#: Selling Agent E-mail: LISTING AGENT NOTICE ADDRESS: Firm Name: none Acting as Q Seller's Agent Q Dual Agent Mailing Address: Individual Listing Agent I Acting as a Designated Dual Agent (check only if applicable) License #: Listing Agent Phone#: Listing Agent Fax#: Listing Agent E-mail: ESCROW ACKNOWLEDGMENT OF IMTIAL EARNtrST MONEY DEFOSIT Escrow Agent acknowledges reccipt of the Initial Earnest Money Deposit and rgrees to hold and dhhurse the srme in accordance wlth tle terms hereof. Date Firm; Michael Lincoln. PA By: ) (Print name) Page l0 of 10 STAI{DARD FOR]\{ 2.7 Revised l/2012 o I/2012 Producad ui*t apFsm6 by zbLogix 18070 Fifteo Uib Road, Fffi. Mkligen 4E026 w rpl ogir mm Untitled Mailing Address: 8526 Ocean View Drive Emerald lsle, NC 28594 DMSIOO{ OF COASTAL MAilAGEffiEI{TA&,ACENT RIPARNil PROFERTY OUN'Ei-iOi'rtc;'ii3}"WANr'ER FORII Name of Property Orrpr:L** La,, ) Address of Property:1 o{U?l e-,1 or Seetfi Strst orRoad,City & County) J A$icant SBne*7SL1L{I MaitingAddrwE ilup r*ps g &*larl..:[*J.d-ovt I hereby csrtify epp{ying for this that I orn property aqia@nt to the above refurcnaed The indMdmt flmy are propming. I have no objectiors to this propossl. I have objeetions to this p,qposal. ffyauhaveotgecsorsb (DCt ) tn *attng wtfr$n rrrafbOdng wrrrounus notrfytlreOivds/onofCoasta,ilanagearcnt anllaUe at ,0epof recefpf af tttls rmdcq Cor;fact irrforrnafia$ for DCtf dlices Is*w lh X I do notwish to waive the 15'setback requirarnent. UI'AIVER SECTIOI{I undersnd that a ef!.qocK moorirq - ilgs, rreafu,r*er, bodrouse, or li* must be set back aminimum dbtance of 15'ftom my arei;f ripirian "-;d;-;'"t*.-#;h1fi;:iilfrr;ffiir'waive the s6tbad(, you mu"t inrfuar the appropriate brank bebw.) % I do wish to waiva the 15' setback ruquirement. &vner U., CfuO or ?o 4t Sar Addrass (Rlparhn Property &rngr Infomson) e of -fi1a.$r*J o Enruora-l J [. Ne 2{€nng,a,J J-.)* N c-28 firf CttytState/ZipLS7-*7L{1 L )z-3sTebptano Number Tehplwne Number1-L*-2,)1*7:a,2-'l D*e 8td S"l Dde -t LL& X ADrAcEilr"romm*9ffm**A** Name of Pro$y Ormor: Address of proparty:-) Applicantgrone#:1?*{q L c,ry & ttl tiailing Address:ollotl.b,.Jdn w6a DP n3* W FORM as u{u ,, qol s1 4J I hareby ertiff applyir€ forthis ilrat I orun property djacent to the above reftrenced property. The individuat I do wish to waive *re Is,eetback reguirement.x I do notwish to waive $a 15' satback r€quirement. Orner )(Rlparhn Prcpcrty Own r lniormaton) they are propoeing.L I hsrrc no objections to &is proposal, I have objections to dris proposal. lf youllrlwo0l@neO (DCil) ln wrfrng vthtn awllable at I understand that apier,,l:t,rr*&S:trJ,., boathouse, or rift must be set back aminimum distance of 15' from my areidt ridarian Gru-u"less rraived by me. (lf you wish towaivs the setback, you must lnrtd the approgiate Hank bdorr.) b'Joo ar w&IVarne 0 Sat Address rn fs). N .-( ou,,n J D( . ea o.\\ "l ar ffame Address TSb -]>t lErnorr"l J t,st e N c, z8Sqq q 11 -l ?5 tctTebphorloNumborTeleptnnaNumber 1'>o'> \*-l - Date I I '"t Dgde Lo'?l S? r*olpt of thls noffce.W lttforlanetfurfu wil*w ,$o srgnoture al