71-64cs1)
2)
*For offlce~
~.,. ~'~~PLICATION FOR AMENDMENT TO THE
STERFIELDCOUNTY ZONING ORDINANCE
T_he f~o!10~i~n$ i~fo~at~.on is~ to b.e typed ~9~.p~lnted'
A) NA~ OF APPLICANT:
C) TELEPHONE NO.: ~.
D) NA~ OF P~SENT O~NER OF PROPERTY O~ WHICH THI~~ ~Q~ST WILL
*CASE NO. ~ 4" ¢--~ ·
*REVIEW BY P.C. *
IF THE APPLICANT IS NOT THE OWNER OF THE PROPERTY IN QUESTION,
EXPLAIN: (Copy of pending contract or option agreement shall
be attached hereto and made a part of this application.)
LOCATION OF PROPERTY IN QUESTION
(Following information to be obtained by the applicant
from the Office of the County Assessor)
A) MAflISTERIAL DISTRICT C,~F .%~,~ B) TAX MAP NO.
C) SEC. NO. D) SUBDIVISION NO. E) BLOCK NO.
7) LOT oR PARCEL NO. ~i" a) ST~ET ADDRESS ~/~ /
A PLAT OF THIS PROPERTY SHALL BE ATTACHED HERETO AND MADE A PART
OP THIS APPLICATION SHOWING THE FOLLOWING:
LOCATION BY REFERENCE TO NEAREST ROAD INTERSECTION
DIMENSIONS OF SITE
(PAGE 1)
4)
5)
6)
THE PETITIONER REQUESTS THAT THE ZONING ORDINANCE BE AMENDED TO
RECLASSIFY THIS PROPERTY FROM ~/-~z~ ./~,~ TO ~ NO.
· ' ~'NO./NAME ~ ~E
STATE THE REASON FOR THIS REQUEST:
STATE HOW THIS REQUEST WILL NOT BE MATERIALLY DETRIMENTAL TO
THE ADJACENT PROPERTY OWNERS OR THE SURROUNDING NEIGHBORHOOD:
I)
STATE ANY EXISTING USE PERMIT OR VARIANCE GRANTED PREVIOUSLY ON
THE PARCEL IN QUESTION:
8) EXISTING LAND USE:
(PAGE 2)
R) GIVE NAMES OF ALL oWNERs ADJACENT, ACROSS THE ROAD OR HIGHWAY
AND FACING THE PROPERTY AND ANY OWNERS ACROSS ANY RAILROAD RIGHT
OF WAY FROM SUCH PROPERTY. IN THE EVENT'THE PROPERTY AFFECTED
IS SITUATED AT OR WITHIN 100 FEET ON THE INTERSECTION OF ANY
TWO OR MORE ROADS OR ~HIGHWAYS, AT OR WITHIN ONE HUNDRED FEET
OF THE INTERSECTION O~ ANY ROAD OR HIGHWAY WITH A RAILROAD RIGHT-
OF-WAY OR AT OR WITHIN ONE HUNDRED FEET OF THE IN2'~RSECTION OF
· .THE RIGHTS-OF-WAY OF ANY TWO RAILROADS, GIVE NAMES OF PROPERTY
OWNERS AT ALL CORNERS 9F ANY SUCH INTERSECTION.
A) PROPERTY OWNER'S NAME: .~. %fz~~Z~
MAILING ADDRESS: ~A.~//'_~ ~~,~ ~t'~
T~X ~P ~0.: SEC, ~0.: S~DIVISIO~
BLOCK NO.:
LOT OR PARCEL NO.: ~.(~ .~,~
B)
PROPERTY OWNER'S NAME:--~. ~, Lf ~,my A~.~..~,,'~ ~e~.
.
TAX MAP NO.:~ SEC. NO.:
SUBDIVISION NO.:
BLOCK NO.:
LOT OR PARCEL NO.: /~-/
c)
PROPERTY OWNER'S NAME:
TAX MAP NO. :~/O-.Z SEC. NO.: SUBDIVISION NO.:
BLOCK NO.:
LOT OR PARCEL NO,: ...... /~ ..
D)
PROPERTY OWNER'S NAME:
MAILING ADDRESS: Q ~/.~2
..
TAX MAP NO. ~(~ SEC. NO.: SUBDIVISION' NO.:
BLOCK NO.:
LOT OR PARCEL NO.:
(P6GE 3)
E)
F)
G)
PROPERTY OWNER'S NAME:~"['~ ~R,~ ~,o~
TAX MAP NO.: ~ SEC. NO.: SUBDIVISION NO.:
BLOCK NO.: LOT OR PARCEL NO. :~
PROPERTY OWNER'S NAME:
MAILING ADDRESS:
TAX MAP NO. :_~'d-2
BLOCK NO.:
SEC. NO.: SUBDIVISION NO :
~ZOT 0~ PARCEL NO.: ,%"'_ ~
TAX MAP NO.: ~ -3, <'~ SEC. NO.: SUBDIVISION NO -
BLOCK NO.: '~ PARCEL NO.: ~-,.~
H) PROPERTY OWNER'S NAME:
MAILING ADDRESS:
TAX MAP NO.:
BLOCK NO.:
SEC. NO.: SUBDIVISION NO.:
LOT OR PARCEL NO.:
I)
J)
PROPERTY OWNER'S NAME:
MAILING ADDRESS:
TAX MAP NO.:
BLOCK NO.:
SEC. NO.:
PROPERTY OWNER'S NAME:
MAILING ADDRESS:
TAX MAP NO.:
BLOCK NO.:
SUBDIVISION NO.:
LOT OR PARCEL NO.:
SEC. NO.: SUBDIVISION NO.:
LOT OR PARCEL NO.:
(PAGE
~o)
THE APPLICANT HEREWITH DEPOSITS THE SUM OF TWENTY DOLLARS
($20.00) ATTACHED TO THIS APPLICATION, TO PAY THE COST OF
ADVERTISING NOTICE OF THE HEARING OF SAID BOARD TO ACT ON
THIS REQUEST. CHECK OR MONEY ORDER MUST BE MADE PAYABLE
TO: TREASURER~ CQUNTY OF CHESTERFIELD.
I/WE HEREBY DEPOSE AND SAY THAT ALL OF THE ABOVE STATEMENTS
AND THE STATEMENTS CONTAINED IN ANY EXHIBITS TRANSMITTED ARE
TRUE.
(Same name as used in item l-A,
page 1. )
SUBSCRIBED AND SWORN TO BEFORE ME THIS ~'DAY OF ~19~Z ~
/y' / ' '-- - --' ~/-'-~-~-d~'Ak~' -"~'7'~'~-'~-
(PAGE 5)
7~ -C~4 c.
A