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110 Jordan Lane Lot 9Davie Cniinty_ NC: W Tax Parcel Rennrt Werinecrlsv_ Tanrnary 11 7017 Parcel Number: NCPIN Number: Account Number: Listed Owner 1: Mailing Address 1: City: State: Zip Code: Legal Description: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: WARNING: TffIh IJ NUI A 1UKVEY Parcel Information E8060B0005 Township: Shady Grove 5871959419 Municipality: 82515338 Census Tract: 37059-803 ORRELL-ARNOLD BETTY SUE Voting Precinct: EAST SHADY GROVE 5848 WINDHOVER DRIVE Planning Jurisdiction: Davie County ORLANDO Zoning Class: DAVIE COUNTY R-20 FL Zoning Overlay: 32819-0000 Voluntary Ag. District: LOT 9 GREENWOOD LAKE Fire Response District: Land Value: Total Assessed Value: 1.20 Elementary School Zone: 8/2000 Middle School Zone: 003420825 Soil Types: 0003 Flood Zone: 101 Watershed Overlay: Outbuilding & Extra Freatures Value: Total Market Value: ADVANCE SHADY GROVE WILLIAM ELLIS GnB2 DAVIE COUNTY No l v All data Is provided as is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the O ms A 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, consultants, contractors or employees from any and all claims or causes of action due to no Ty c NC or arising out of the use or Inability to use the GIS data provided by this website. 90 -717IT-rll 1 4 V ,- Im 1JU ale QI DAVIE COUNTY HEALTH DEPARTMENT , r �I IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION 6-U, oU *NOTE: Issued in Compliance With Article 11 of G.S. Chapter 130a Sanitary Sewage Systems / C Permit Number Name v� N1Q t' Date to"� 3 I\ _ N2 7628 Location Subdivision Name x e�A Lot No. Sec. or Block No. Lot Size House Mobile Home Business _— Industry No. Bedrooms 2 =_.No. Baths — 2• No. in Family _ Public'Assembly Other Garbage Disposal YES ❑ NO ❑ Specifications for System: Auto Dish Washer YES.❑ NO ❑ Auto Wash Ma^hine YES V NO ❑ ` '`" i, t" U Type Water Supply — ~ �. Oma° ---- �'..4 >( 'This permit Void if sewage system described below is not installed within 5 years from date of issue. This permit is subject to revocation if'site plans or the intended use change. 1 5, Improvements permit by A - "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: B ASe F System Installed by ��� � �o, _ T Certificate of Completion C • Date-7-1- ate1 9q 'The signing of this certificate shall indicate that the system described above has been installed in compliance w" the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will functi satisfactorily for any given period of time. -0-ir j�14 A) �/u XO 4'90 DAVIE COUNTY HEALTH DEPARTMENT I0 IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETIO — * UOTE:-Issued in Compliance With Article I I of G.S. Chapter 130a Sanitary Sewage Systems Permit Number _ Name `ij v'°�- - — Date � _"� 3 :f �� 2 - � _ -.. �- 7628 Location fj r`x �J ��-�bvC� �C�. ()sA aI X Subdivision Name Lot No. Sec. or Block No. Lot Size House Mobile Home Business -- Industry No. Bedrooms No. Baths — �• — No. in Family _ Public Assembly Other Garbage Disposal YES ❑ NO ❑ Specifications for System: V) Auto Dish Washer YES E] NO ❑ Auto Wash Ma thine YES U/ NO ❑ Type Water Supply *This permit Void if sewage system described below is not installed within 5 years from date of issue. This permit is subject to revocation if site plans or the intended use change. 66, P O u S a ` Improvements permit by����r> *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 'i i \ i P O u S a ` Improvements permit by����r> *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 Certificate of Completion C. 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 shall in NO way be taken as a guarantee that the system will function satisfactorily for any given period of time. 'i i Certificate of Completion C. 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 shall in NO way be taken as a guarantee that the system will function satisfactorily for any given period of time. ScCLI(x C-,' `— [DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) (ArLay`') NAME 13e 4Ni lJuA rlEP PHONE NUMBER "An776 27e ADDRESS SW 4�' V Q`iZ `� r ti -e— SUBDIVISION NAME Orez,.,t ?'_ \ a,_'001 Ir ko 3 2 LOT # DIRECTIONS TO SITE U J at ReQ- �r.e = 9 -RQ A- PTCA act- �--U­ DATE SYSTEM INSTALLENAME SYSTEM INSTALLED UNDER TYPE FACILITY NUMBER BEDROOMS 3- NUMBER PEOPLE SERVED AA -4 TYPE WATER SUPPLY Cm SPECIFY PROBLEM OCCURRING DATE REQUESTED 6" Y INFORMATION TAKEN BY This is to certify that the information provided is correct to the best of my knowledge, and that I understand I am responsible for all charges incurred from this application. SIGNATURE OF OWNER OR AUTHORIZED AGENT Rev. 1193