417 Cornatzer Rdi DAVIE COUNTY HEALTH DEPARTMENT %'.'
IMPROVWENTS PERMIT AND CERTIFICATE OF COMPLETION
I
*Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c.
Name �`;r1t�t.irj.
Location
Subdivision Name
Lot Size
No. Bedrooms
Garbage Disposal
Auto Dish Washer
Auto Wash Machine
Type Water Supply
Date
Lot No
House - Mobile Home
_ No. Baths No. in Family
YES E] NO p
YES 0 NO p
YES E] NO C]
f'.:
Permit Number
Sec. or Block No.
Business _— Speculation
Specifications for System: 10C)c�
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
Improvements permit by
*Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-
9:30 A.M. or 1:00-1:30 P.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram:
�'U5 �Ny�fiz
Certificate of Completion �'--� Date
---1j`
'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.
1
am MCdMPW.Af Ap,
STATE OF NORTH CAROLINA, Davie County,
THIS DEED,Madethi. 29 dayof September 1983 .by.Jba—�•-
Advance Homes, Inc.
a Corporation of Davie — - — Cloonty and state of North CaroWu, betehtaftea aged canto. ad
Lvnn.0 aither
t ...
of Davie County and state of North Csrolbsa, hervicuther aped Grsntea.
WITNESSETH: That die Grantor. for and ineonridcrationofthe sum of—Ten dollars and 2ther valuable eonsideratiotAg,re
utd nthw food sad valuable considerations to him in hand paid by the Grantee, the receipt whereof k hent aekn baa p steed. L"R&6&d• sold
std conveyed• and by thew preunts does five, print• bargain, sell, convey and confirm unto dee Grantee, �k beim and or waeatora sad sw4os. grabs s to
Shady Grove Township. Davie County. NorthCarolina. deans'bedrtdbw:
Lying and being in Shady Grove Township. Davie .County, North Carolina and
beginning at an iron pin, said iron pin being located South 05 degrees 18
minutes 40 seconds West, 25.83 feet the southwest corner of Zeno D.'Hoots,
Deed Book 65. page 467, Davie County Registry and being in the eastern
line of Tom Howard Deed Book 57, page 196, Davie County Registry; thence
South 45 degrees 04 minutes 37 seconds Bast, 213.41 feet to a point in the
center of Cornatzer Road NCSR /1616; thence with center of said road South
45 degrees 16 minutes 51 seconds West. 255.93 feet to a point. in the center
of said road; thence North 05 degrees 18 minutes 40 seconds East, 332,21 feet
to the point and place of beginning and containing 27,309 square.feet as
surveyed by Ray C. Cates on November4, 1982.
Herein described property being the same and identical property heretofore
conveyed in Deed Book 118, page 20. Davie County Registry and Deed Book
119. page 843, Davie County Registry and being surveyed by C. Ray Cates.on
November 4, 1982,.Job No.1193A.
STAT[ OF STATQ OF
No NORpf�f:yth2G1
w c 7 [psi (�djt{
The above land war conveyed to Grantor by , sat sea No, , rope
Ttt,tlA.V%F AND TO HOLD The above deseribed pretnkea, with all the appurtenances thertwue belenong. as in may wine appetta4inp, ~dm Crater, Sia
huirl arulloy.nf14�{ore and n.isns forever.
Crantio$Mcnants that he Is seized of said premises M fee, and has the right to convey dw now In &@ dmpMtdM said! prewiaa me fm Goa as►
CJ
cvm) r"ly�'yys jM4S'%Wwxcrptions above stated, W any); and that be will warrant and defend the said tkle a the aama ttsabtat t1e lawfid clabte of all panaa
�' wLa'vrsttycr.S .• .
aN en pfyrensr Jrptalle to the Grantor or Granter, the singular shag Include the prod and the ma.culMe dm! Include the fesab" or 60 mew.
" J14 WITNMs &IIERJOF, the Grantor has caused this deed to be executed by ks duly autharbW ef&ere and its oval to w beseueto affined, dee dry a.td
' e •eras first SU" vralean, s
Advance Homes. Inc.
(Cftna seal) secretary PresYent
STATE OF NORTH CAROLINA Davie COUNTY. "' ••.,
�� 1. o�
i
j
Donna Stroud N.L. Ward Jr.
1.�_ , a notary public. do hereby certify these e w p gy tree iefare was
this day and adnowledged that he is Secretary of AdYAnce_Homes. Inc.
Y authority Y i� Corporation, the forepoinp inswuntent was Dined M Its name y ka' . t:.
and that, b authors dui n and to the act *(the
President, waled with its corporate teal• and attested by himself as Its seeretery, :'t�('` , t
' r'
Witness my hand and of kcal seal this the 29 day of 1 83 ' s,
7/20/84 .,'o•,...,•
My Commission "pees: �' �sp•i
STATE OF NORTH CAROLINA, navies --COUNTY.
i
_ 7%. forefoinf «rtifk.tA) of Di=re S*mttri,.�`1L2t1L'Y tib is of Davie (ZMW
isXKKcertified to be correct. This instrument was presented for regWration this 29 day of.
at —4 M5 MiL. P. M., and duly recorded M the of lee of tht Rcsktre of Deeds of
North C.rolhu. in Fool 120 , Pate.
T1ris the 2%_day of Sei� x'- A. D.. IAL.
J. K. Smith��,�,
6y r, J
Resister of Deeds NORM. Deputy Register of Deeds '
ThisOeeddrawn by— SgaAA It. 10= M, jr-, Attartt y
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