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221 Hobson DrDavie County, NC Tax Parcel Report A � :)7 Thursday. Sentember 29.2016 WARNING: THIS 1S NOT A SURVEY Parcel Information Parcel Number: M5060B0029 Township: NCPIN Number: 5745583474 Municipality: Account Number: 4667000 Census Tract: Listed Owner 1: BARNEY RANDY LEE Voting Precinct: Mailing Address 1: 221 HOBSON STREET Planning Jurisdiction: City: MOCKSVILLE Zoning Class: State: NC Zoning Overlay: Zip Code: 27028-6658 Voluntary Ag. District: Legal Description: 1 AC HOBSON DR Fire Response District: Assessed Acreage: 1.02 Elementary School Zone: Deed Date: 6/1987 Middle School Zone: Deed Book / Page: 001380260 Soil Types: Plat Book: Flood Zone: Plat Page: Watershed Overlay: Jerusalem 37059-807 COOLEEMEE Davie County DAVIE COUNTY R-20 DAVIE COUNTY CZOD JERUSALEM COOLEEMEE SOUTH DAVIE GnB2 DAVIE COUNTY Building Value: 0.00 Outbuilding & Extra 17720.00 Freatures Value: Land Value: 21000.00 Total Market Value: 38720.00 Total Assessed Value: 38720.00 IN01 9 P IE All data is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the Davie County, implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the County of Davie, North Carolina, Its agents, consultands, contractors or employees from any and ag daims or causes of action due to �O NS� NC or arising out of the use or inability to use the GIS data provided by this website. Phone: (336) - 753 - 6780 & Ej W E,U V1 1. vu2n P. . Bo 01A T ospi zl OMRONMENTAL H DAVIE COMM # oc csville, N Cth Department ealth Section 848 Street 9-40-06 27028 ON-SITE WASTEWATER CERTIFICATION FOR DWELLING (Check One) Replacement Remodeling Reconnection. rax: (336) - 753-1680 Name: R b Yl �4Q r Yl 'e k Phone Number (Home) Mailing Address:21\ (Work) WA -(t c .szu'� CYN C 270 2 - Detailed Directions To Site: 5OU I VA Col ow 3-o � �-(o0 ` \ ti -t- Qa_ c A 1 o U, Property Address: Please Fill In The Following Information About The EXISTING Facility: Name System Installed Under: Type Of Facility: Date System Installed (Month/Date/Year): 1 QAI�'© Number Of Bedrooms: _�_ Number Of People: \ Is The Facility Currently Vacant? Yes Q If Yes, For How Long? Any Known Problems? Yes QI If Yes, Explain: Please Fill In The Following Information About The NEW Facility: Number Of Bedrooms: 610 of People__ Requested: 6 - Z -/O For Environmental Health Office Use Only 6provedD Disapproved Comments: Environmental Health Specialist � iOvad YA-t9 Date: �Uz/ z -1 y *The signing of this form by the Environmental Health Staff is in no way intended, nor should be taken as a guarantee (extended or limited) that the on-site wastewater system will function properly for any given period of time. Payment: _ Check Money Order # Amount:$ /Od- /b Date: G - L- /D Paid By: R4*_W_ l; ,� j Received By: Account #: _r. re- Invoice #: