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153 Glenn Allen RdDavie County, NC Tax Parcel Report Thursday. September 29. 2016 R Parc el Information All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the Implied warranties of merchantability or fitness for a particular use. All users of Davie County s GIS websIte shall hold harmless the Parcel Number: F70000000403 Township: Farmington NCPIN Number: 5861228030 Municipality: Account Number: 28376000 Census Tract: 37059-803 Listed Owner 1: GADDY RANDY W Voting Precinct: SMITH GROVE Mailing Address 1: 153 GLENN ALLEN ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27028-7661 Voluntary Ag. District: No Legal Description: .691 AC GLENN ALLEN RD Fire Response District: SMITH GROVE Assessed Acreage: 0.69 Elementary School Zone: PINEBROOK Deed Date: 8/2001 Middle School Zone: NORTH DAVIE Deed Book / Page: 003850083 Soil Types: Mr62 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 149780.00 Outbuilding & Extra Freatures Value: 3290.00 Land Value: 17110.00 Total Market Value: 170180.00 Total Assessed Value: 170180.00 I V r O °1 Davie County, All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the 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 NC or arising out of the use or Inability to use the GIS data provided by this webshe. r+ b P \221 V Davie_ County Health Department 4� 36 Environmental Health Section P.O. Box 848 n 210 Hospital Street, 0Courier #: 0940-06 Mocksville, NC 27028 Phone: (336) - 753 - 6780 Fax: (336) - 753-1680 ON-SITE WASTEWATER CERTIFICATION (Check One) Replacement Remodeling Reconnection Name: Phone Number 334- 9q P - Z39 2- (Home) Mailing Address: jS (a`tnn 4(6 pu (Work) >'Yto�ks,ril�e� nIC 2i7o�g Detailed Directions To Site: LS$ IM EA517 'YVm 1'1�aI�SJAIP, -t-b lkoWwPo,.�n Gi 1-C_(e on 6 GQ 31� nnI IC 4,0ArdiUJA C tl +0 flu.,, Pr (Un e-ff. Property Address:158 dje r, Allam Please Fill In The Following Information About The EXISTING Facility: Name System Installed Under: U-Arr Al L' Type Of Facility:` S Date System Installed (Month/Date/Year): O [ l Number Of Bedrooms:____3_Number Of People: Z Is The Facility Currently Vacant? Yes ) If Yes, For How Long? Any Known Problems? Yes No If Yes, Explain: Please Fill In The Following Information About The NEW Facility: Type Of Facility: 2.r%;5 k z'A "6f Number Of Bedrooms: Number of People Pool Size: Garage Size: Other: Requested By: Date Requested: y -ZZ -13 (Signature) For Environmental Health Office Use Only G;we Disapproved Environmental Health Specialist ✓��i X, Date: *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: Cash Check Money Order # Amount:$ Date: Paid By: Received By: Account #: Invoice #: Ar c -e 7 0dd600 4103 10///f,�' �Q41 a-1 8030