71-T-9SA P ?LI CATI ON FOR A USE PERMIT
TO PARK A TRAILER
( NE?~ AND RENE~AL)
(Following information is to be typed or printed)
Name of applicant
Address of applicant~/~~y~
For Office Us~nl~'
Case No. O/~ r- ~
(A) Mailing address where trailer will be located ~/~/Y~
*(B) Magisterial district ~~I~ , (C) Tax map
(o) sec. Lot
Name of owner of trailer
5. Name of owner of property on which trailer will be parked
6. Name of person who will occupy the trailer /~
OR. ~ KO~O ~ ~TH~.~iV~~ months / ye~s
8. Size and type of tra~er to be parked on the above noted property.
Mak e~Z ~ O W~Mo d e 1¢~~ ~or~,,/idth, ,,
No. of Bedrooms ~ No, of Bathrooms /
9. A plat (map) of this property must be attached to this aoplication
This plat must be to scale.
* Information obtainable from the office of~,the County Assessor.
Information, addresses, and signatures of all property owners
occupants who are adjacent to the parcel on which the trailer
be located must be orovided in the spaces below.
We the undersipned owners and occupants of the
adjacent property to the property on which a trailer is ~ro-
posed to be located, h~reby certify that we do or do not ob-
ject to the granting of a Use Permit to park a trailer on the
property described in this petition.
Information available from the office of the County Assessor.
Name (print) .~-~e.&e. zK ~,,K .~. ~6'~e.-~.
Tax Map and Sec. No. Block No...~
Address: ~k%~ ~-~j~ ftQ_.j~. ~_~r~(.~
Signature:
Check One O~nly
I do object I do not object
( )
(print) ~&l~+~% ~U, %,,~lym~w,_~, ,
Owner (~/) Occupant (
Lot or Pa~-cel No ~~
Tax Map and:Sec. )o~:'GC~) Block
Address: .~.~ ~?~u~ fLl,,~....~
Check One Only
I do object I do not object
( )
Signature:
'~.me (Drint) :~a3~ ~3, ~ ~h~ Owner ( ~ ) Occupant
% c¢3' '
Tax Map and Sec. No. Block No.
Check One Only
I do object I do not object
( )
Additional speces on back of pa~e.
Signature:
'.~me (print) ~¢~\,k ,~. oJ~.,'~
Map and Sec. N2~-16 (43 Block i ~
Check One Onl[
I do object
Own _ ( ~'..t ~Occdr :.
Lot or TM ..... ' "- ~
I do not obJec?
(/~)
?~am~' (print)
fax Map and Sec. No. Block
~ddress:
Owner ( ..... ) Occupant
Lot or Parcel No.
Check One Only
I do object I do not object
( ) (,. )
.~nature:
~'.ue (print)
Map and Sec. No.
Block
Owner ( )
Lot or Parcel No.
Occupa.~
Check One Only
I do object I do. not object
( ) ( )
~gnature:
******************************************************************
Y:m~e (print) '~
Owner ( ) Occupant
Tax Map Se~ No. Block Lot or Parcel No.
I do object
( )
~ Mnature ·
Check One Only
I do not object
(
(3)
(3)
The Chesterfield County Health Department must make an inspectio~
the proposed trailer location, both before and after the trailer
installed. It is the applicant's resoonsibility to contact the
Health Department and make an appointment for this inspection (t.i
phone - 748-1398). The inspection form must be attached to this
a~ication.
The Applicant and/or his agent must be oresent at the Board hearing,~
I~/~e hereby certify that all of the above statenents and the statema-
/ontained in any exhibits transmitted herewith are true. Further,
tha~-~!l~own~r,s and occup~Dts of adjacent ,p~gp,ert~ h~,ye,signe.d Sec~
No. ? of this appl~'~ation and have been notified of the date and ti.'
of the hearing.
~oplicant's Signature
Subscribed and sworn to before me this ~.~' day of ~/~/~. /~?_/
My Commission expires
Notary Public
-4-
~qu~~~Evaluation
For:
Applicant
Phone
Owner
Phone
CHESTERFIELD COL/~TY HEALTH DEPARTMENT
CCaESTERFIELD, VIRGINIA ~
Address
Address
Exact Location
of Premises
Applicant
Lot
/-~'~Sires to have a lot opinion that is
............. ., .. t to
evaluatimn prior to issuance of 5u'~l~m,,~9- ?ez'mit
/__~ Is applying for Building Permit #
Block Section Street 'SubdiViSion
Type of Construction
/__-7 Dwelling ~-Other ~F~/[/-7 House plan not final
~,,-7 Auto. Washer /-7 Garbage Disposal /__--7 Public Water /_-7 Ind. Well
potential bedroom ~___Estimated water cnnsumptior, ~~gpd.
Actual
or
Soil Study:
Recommendations: Based on present standards it is our opinion that
~hi'~o/~.~as:
/~ FAVORABLE /-~ QUESTI0~kBLE /-7 NOT SUITED
~-~il for septic tank and ~-~ainfield installation'i~
Remarks:_ ~ ~~ ~&~ ~ ..~~~ ~
This"i'h not
a pez-n-~t to ins~ali a ~eptic tank/
PLANNING DEPARTMENT'S MOBILE HOME REPORT
BOARD OF SUPERVISORS
WEDNESDAY, 13 Oct. 1971
71-T-9S
Stella S. Wall
The Health Department reports favorable conditions for the
installation of a subsurface drainfield. The mobile home will
be parked one,property belonging to Mrs. Mabel S. Cook. Adjacent
property owners state no objection to this request which is for
2 years.
Respectfully submitted,
R. L. Kautz
Planner
Chesterfield County Planning
Department
TAKE NOTICE
That the Board of Supervisors of Chesterfield County will,
on Wednesday, 13 October 1971, beginning at 2:30 P.M., in the
County Board Room at Chesterfield Courthouse, Virginia, take
under consideration the rezoning and the granting of specific
use permits of the following described parcels of land:
71-T-9S In Bermuda Magisterial District Stella S. Wall
requests a Use Permit to park an individual mobile home on
a parcel of land of rectangular shape fronting approximately
75 feet on General Blvd. and extending northwardly to a depth
of approximately 145 feet, being located approximately 40 feet
east of the intersection of General Blvd. and Brandywine Avenue,
and better known as 2818 General Blvd. Refer to Tax Map Sec.
81-16(5) Blk. 4, lots 3, 4, 5.
Copies of the above amendments are on file in the Planning
Department, Room 307, Office Building, Chesterfield Courthouse,
Chesterfield, Virginia, for public examination between the hours
of 8:30 A.M. and 5:00 P.M. of each regular business day.
APPLICANT AND/OR AGENT MUST BE PRESENT AT HEARING
Ail persons favoring or opposing the granting of the above
requests are invited to appear at the time and place herein
stated.
Michael C. Ritz, Planning Director
County of Chesterfield
Chesterfield, Virginia