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HomeMy WebLinkAboutNCC241564_FRO Submitted (2)_20240522 T" ;. Lissara Land,LLC (.(I ) P. O. Box 281 Lewisville, NC 27023 Lots 126 and 127 361 Lissara Lodge Drive, Lewisville, NC 27023 367 Lissara Lodge Drive, Lewisville, NC 27023 Finanically Responsible/Ownership Form • Note: If the Financially Responsible Party is not the owner of the land to be disturbed, include with this form the landowner's signed and dated written consent for the applicant to submit a draft erosion and sedimentation control plan and to conduct the anticipated land disturbing activity. Lissara Land, LLC Luman L. Wilcox,Jr. Manager 5,201202q Date