869 Hwy 801N�s7i �• _
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DAVIE COUNTY HEALTH DEPARTMENT
' IMPROVEMENTS PERMIT AND CERTII°ICATE ,OF COIiAPLETIQ?d f
*NOT I E: Issued in Compliance With Article 11 of G.S. Chapter 3 ar.
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Sanitary \Sewage Systems �'��:r �' � ` � � '� � `� l ;hermit Number
Name lLH�\ U• �\.\s Date—L 9 N2
Location ) .� 3 O �j'"1 Ne ff W V rol XX
.
Subdivision Name Lot No. :Seca or Block No.
Lot Size House -Mobile-Home _ Business __ Industry
No. Bedrooms ' "' �No. Baths � r No.'in Fa� Public Assembly Other
Garbage Disposal , y YES ❑ NO pi T Specifications for System:
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Auto Dish Washer YES Li}', NO ❑ . •
Auto Wash Ma :hive YES '[q/ NO ❑
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Type Water Supply p J
—
*This permit Void if sewage system escribed below is not installed within 5 years from date of issue.
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This permit is subject to revocation f sit plrs o th intended use change. r
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Improvements permit b�
*Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-9:30 A.M.,
1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram: System Installed by
V\ -4')s, -
Certificate of Completion Date
'The signing of this certificate shall indicate that the.,system described above has been installed in compliance with
the standards set forth in the above regulation, but shill in NO way:be taken as a guarantee that the system will function
satisfactorily for any given period of time, -
a
D"IE COUNTY HEALTH ' DEPARTMENT '
a IAAPFt�1VEMENTS PERMIT AND CERYIFI P C PLETI
' NOTE1. 1: Issued in Compliance With Article 11 of G.S. Cha ter 3 �a
anita
Sry Sewage Systems "� 4' % ,Pehmit Number
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Name � t\�Z. V. ��\�s _ Date- i� 1`� N2 7411
ter: r Location a� .� ci a aN N• g�� /Y(� Ir w t� �U�
Subdivision Name Lot No:, Seri. or Block No.
Lot Size 6 `�a' House Mobile -H me , — Business __ Industry _
cm
No. Bedrooms ''_° No. Baths _ No, 'in Faily Public Assembly Ly'""O/her
.,
Garbage Disposal YES ❑ NO Cg-- Specifications for System: is o k
Auto Dish Washer YES LiY_ NO C)r \J
Auto Wash Ma shine YES [Br,' NO ❑ %� pp �, 3 X 1 1►a �r
Type Water Supply — o Q ----
*This permit Void if sewage system es ribed blow i not installed within 5 years from date of issue.
e -
This permit is subject to revocation f s t jf�
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ed use change.
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�417 L �,
m p, Improvements permit bL`'s
*Contact a representative of the Davie County Health Departrrient for final inspection of this system between 8:30-9:30 A.M.,
1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion. Telephone Number: 704-634-5985.
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Final Installation Diagram: System Installed by °
;a
\`1Q
�. r
Certificatebf Completion T, Date +
`'The signing of this certificate 'shall indicate that the 'system described above has-been installed in compliance with
T the standards set forth in the abov 'regulation, but shall in NO,waxbe taken as a guarantee that the system will function
satisfactorily for any given period of time.
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
NAME
h A ?'A
V.
PHONE NUMBER " �`1 ib
ADDRESS
S 3 '1
SUBDIVISION NAME
LOT #
DIRECTIONS TO SITE /L5Z E
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY \Aa\� NUMBER BEDROOMS -S' NUMBER PEOPLE SERVED
TYPE WATER SUPPLY \, SPECIFY PROBLEM OCCURRING Z,�
DATE REQUESTED \ 0S - 9 INFORMATION TAKEN BY
This is to certify that the information provided is correct to the best of my knowledg nd th and eland I am re po ible for all chargee Incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev. 1 193
Parcel #: C700000063
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Parcel #: C700000063
Account #:23980000
Owner Information Tax Codes
LLIS CHARLIE VAN& ELLIS ALICE L ADVLTAX - COUNTY T
69 NC HIGHWAY 801 NORTH READVLTAX - FIRE TAX
DVANCE NC 27006
Property Information
Township
114,40
nd (Units/Type): 1.620 AC
Vddress:
FARMINGTON
Land:
869 N NC HWY 801
Market:
Deed Information
Local Zoning
168,14
Pate: 07/1981 Book: 00114 Page: 0155
9
Plat Book: Page:
Legal Description
PIN
1.624AC HWY 801
5862573114
Property Values
uildin :
114,40
BXF•
21,89
Land:
31,85
Market:
168 14
ssessed:
168,14
eferred•
Sales Information
No. Book Page Month Year Instrument Qual/UnQual Improved Price
00114 0155 07 1981 WD Unqualified Improved 0
View Property Record for this Parcel View Map for this Parcel View Tax Bill Information
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Davie County Web Site
All information on this site is prepared for the inventory of real property found within Davie County. All data is compiled from recorded deeds,
plats, and other public records and data. Users of this data are hereby notified that the aforementioned public Information sources should be
consulted for verification of the information. All Information contained herein was created for the Davie County's internal use. Davie County,
its employees and agents make no warranty as to the correctness or accuracy of the information set forth on this site whether express or
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If you have any questions about the data displayed on this website please contact the Davie County Tax Office at (336) 753-6120.
1.5.9
http://maps.daviecountync.gov/itsnetfView.aspx?prid=1459523 8/31/2016