HomeMy WebLinkAboutWillis, Nancy J. 76645CZP
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Eric Ellis
llarine Construction
DOCKS.SEAWALLS.BOAT UFTS
DECKS & REPAIRS
TGlGphone z 252.7 25.671 5 &
205 Nottingham Lane Morehead City, NC 28557
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ADJACENT RIPARIAN PROPERry OWNER STATEMENT
I hereby certiry that I own property adjacent to Nan"7 S. t 't it\;l
lL l.i\ l"l\.,(Nam'e P
( \,J
(Address, Lot, Block,Road,
,s
)o
etq)
of -lon,in 2 \,J , N.C.
(Waterbody)andror County)
The applicant as described lo me, as shown below, the development proposed al the above
location.
I have no objection to this proposal
I have objections to this proposal.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(lndlvidual proposlng development must f7ll ln desciption below or attech a site drawing)
6'x 18 / Aoer<
ult++ l/'X 1l'Pbl$o'
I understand that a pier, oo"*, .*nnffii5Pn.**, breakwarer, boathouse, tift, or groin
must beFet back a minimum distance of 15'from my area of riparian access unless waived by
me. (lf ybu wish to waive the setback, you must initlal the appropriate blank below.)
J ldo wish to waive the 15'setback requirement.
I do not wish to waive the 15' setback roquirement.
(P Prope Owner lnformation)
re
, \\.h
Pdnt or Ptint or)tq si
Name
c +w llu \l u.-,Ir.
,Address P<-f2o7
a +tf)o
.)r?,i {"L"21r*4P ,y'"t.r,o
address
-)-d\o
Tslephone
Date
'Valid for one calendar year after signature'
Dale'
{- l't
(Revised Aug. 2014)
property located at
T
t
T
r!
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to s.i\\ i ,s
property located at .It c o N
of
( r-v off.
Lot,Block,Road,'
on tn N r rnr po N.C.
(Waterbody)
The applicant has described to me, as shown below, the development proposed at the above
location
I have no objection to this proposal.
I have objections to this proposal.
DESCRTPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(tndtvidual proposlng development must fill in descrlptlon below or attach a sife drawlng)
(-)
6'X 18 / Aoctc
rJrlt tL' Y t t' Phl6r,.
r
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15'from my area of riparian acoess unless waived by
me. (lf you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
(Adjacent Property Owner lnformation)
ar Name
dt or^l il\. .
Mailing
/\,l ev.J Dor +.t{ r EYf)o la
Citv/StatetZip){2 - 1q 2 - >8?q 5;l
address Telephone / email address
Date
*Valid for one calendar year after signalure'
Dale*
(Revised Aug. 2014)
(4,nr. J.,,r,.{
(City/Town and/or County)
F
t
I C
31)-61 1{
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