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71-77CS- ' ' ~ -. *For ,°ffice ]e only * ~~l~/ CHESTERFIELD COUNTY ZONING ORDINANCE ~ ~~,~ T~9 follow%n~<information is ~o be typed or ringed ~ A) NA~ OP APPLICANT: ~ ~ D) NA~ OF P~SENT OWNER OF PROPERTY ON WHICH THIS ~Q~ST WILL E) MAILING ADDRESS: F) TELEPHONE NO.: 2) 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.) 3) LOCATION OF PROPERTY IN QUESTION (Following information to be obtained by the applicant from the Office of the County Assessor) A) MAGISTERIAL DISTRICT B) TAX MAP NO.~2 ~ C) SEC. NO. 4~) SUBDIVISION NO. E) BLOCK NO. P) LOT OR PARCEL NO.~ G) STREET ADDRESS A PLAT OF THIS PROPERTY SHALL BE ATTACHED HERETO AND MADE A PART OF THIS APPLICATION SHOWING THE FOLLOWING: , LOCATION BY REFERENCE TO NEAREST ROAD INTERSECTION DIMENSIONS OF SITE .(PAGE " TONo./NAME - - NO./NAME 5) STATE THE REASON FOR THIS REQUEST: 7~ ~,-~/~'% ~l,' 6) 7) STATE HOW THIS REQUEST WILL NOT BE MATERIALLY DETRIMENTAL TO THE ADJACENT PROPERTY OWNERS OR THE SURROUNDING NEIGHBORHOOD: STATE ANY EXISTING USE PERMIT OR VARIANCE GRANTED PREVIOUSLY ON THE PARCEL IN QUESTION: 8) EXISTING LAND USE: (PAGE 2) 9) 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 OF ANY ROAD OR HIGHWAY WITH A'RAILROAD RIGHT- OF-WAY OR AT OR WITHIN ONE HUNDRED FEET OF THE INTERSECTION OF · -THE RIGHTS-OF-WAY OF ANY TWO RAILROADS, GIVE NAMES OF PROPERTY OWNERS AT ALL CORNERS OF ANY SUCH INTERSECTION. A) PROPERTY OWNER'S NAME:C..~.~fDt~t~ , . ,, , ,,,. MAILING ADDRESS:,~) ~'~ ~':'"'' i> .... ,~ ', ~ ,r,, \;~ TAX ~P NO.: SEC. NO.:' SUBDIVISION NO.: BLOCK NO.: _, LOT OR PARCEL NO.: B) ~ c) PROPERTY OWNER' S NAME: , ~,, ~:, Fr~:~ , ~. MAILING ADDRESS: ~ ~> ~;:~ ~A/~:''r.~ '~.l ~ ~ '"~ TAX MAP NO.: ~ SEC. NO.: ~ SUBDIVISION NO.: BLOCK NO.: . ~'~) LOT OR PARCEL NO.: ~:T' ~ILING ADDRESS'. . .., ,..~.... .. .' ,~,. :'"""' TAX ~P NO.: ~ SEC. NO.: ~ SUBDIVISION NO.: . BLOCK NO.:.. ~. . L~ OR PARCEL NO.: D) PROPERTY OWNERtS NAME: ~..-!~"[.~.{!;.'~ ! MAILING ADDRESS: ~ ';' "'~'~ ,~"'~:,"~r ',~ ,~,~r: MAP ,o., s c.A su ; v smo . B~CK NO,: _ /~,_. _ LOT OR PARCEL (P,,AGE 3) E) PROPERTY OWNER'S NAME: ~ f"^ ~ !,~., ~, MAILING ADDRESS: ~, ....~(', ',' .,'~.~,~ ~r TAX MAP NO.: .... T,,~, SEC. NO.: S~DIVISION NO.: BLOCK NO. :~ LOT OR PARCEL NO.: PROPERTY OWNER'S NAME: ' ' ' '' '__3, MAILING ADDRESS :~ " TAX MAP NO.: ~-Z, SEC. NO.: ~' SUBDIVISION NO.: BLOCK NO.: ...... LOT OR PARCEL NO.: G) PROPERTY OWNER'S NAME; MAILING ADD~SS:~~ TAX MAP NO.: ~- ~ . BLOCK NO.: LOT OR PARCEL NO.:..~"-- ~ ~"-/ T~ MAP NO.: ~-~ SEC. ~0.: S~BDI¥ISION NO.: BLOCK NO.: LOT OR PARCEL NO. :, .~"'-- 2 I) J) PROPERTY OWNER' S MAILING ADDRESS: TAX MAP NO. :~" / SEC. NO.: SUBDIVISION NO.: BLOCK NO,:, ,:,, LOT OR PARCEL NO.: /%. PROPERTY OWNER' S MAILING ADDRESS: TAX MAP NO.: ~ SEC. NO.: ~ SUBDIVISION NO. :~_~ (PAGE MAILING . . ~; .~ V. ADDRESS: TAX MAP NO : Z~-~SEC. NO.: '~ · SUBDIVISION NO.: ' BLOCK NO.: . ~ , , LOT OR PARCEL NO.: PROPERTY OWNER' S NAME: ~ · z~r- ~ tt5 (~') TAX MAP NO,: ..... _SEC. NO.: ...... SUBDI¥ISION NO.: BLOCK NO. :, ,, ~, . LOT OR PARCEL NO.: ..... ~ PROPERTY OWNER'S NAME: MAILING ADDRESS: NO.: ~ ° ~ TAX MAP NO..:__~_~zi_SEC. BLOCK NO.: ~ ..... LOT OR PARCEL NO.: ~ ........ MAILING ADDRESS:, _',,~ ~ TAX MAP NO. :. .Z_~'-~SEC. NO.: BLOCK NO.:--~_~______LOT OR PARCEL ~o.: MAILING ADDRESS._~--/ ~ ' ' ~ , ' TAX MAP NO.:~SEC. NO.i BLOCK NO.:... ~ ....... LOT OR PARCEL NO.: PROPERTY OWNER' ~ MAILING ADDRESS. TAX MAP NO. :~I~"I 5 ,~SEC. NO.: A SUBDIVISION NO.: ~ LOT OR PARCEL NO.: BLOCK NO.: (PAGE 5 ¢) "T-~) MAILING ADDRESS: ~---II ~u~_.~ TAX mP NO.: i~-/4 SEC. NO.., ~ ._SUBDIVISION NO.: BLOCK NO,: ~ ,, _ LOT OR PARCEL NO.: ~ILING ADD,SS: [ : ........ SEO. NO.: ~ SUBDIVISION NO.: BLOOK NO.: ~ LOT OR PARCEL NO : / PROPERTY OWNER' S NAME~// MAILING ADDRESS: - ~' , / ' · ~$~? TAX MAP NO,:27'-(~- SEC NO ' C SUBDIVISION NO.: /~ ~ BLOCK NO.: .... ~_ LOT OR PARCEL NO ' /Z PROPERTY OWNER'S MAILING ADDRESS: '[ ' -. i ~., BLOCK NO.: ,[N~_ ~ LOT OR PARCEL NO PROPERTY OWNER' S NAME: 3~) MAILING ADD,SS: - TAX MAP NO.: ~7'4 SEC, NO.: BLOCK NO.: ~ LOT OR PARCEL NO : ~ ' ~o~ OWN~, s ~A~: ~. TAX '~A~ ~O..~SEC. ~0.: BLOCK NO. :_ ,. ~..~ ... LOT OR PARCEL NO.: '! (PAGE~) E) PROPERTY OWNER' S NAME: I../ MAILING ADDRESS: ~~_~~ ~ ~....~1' '.~""~ I /Y. ~--.__~_ _~$"""" TAX MAP NO.:.___~'____SEC. NO..~SUBDIVISION NO.:~ &'"-- BLOCK NO.: ~,, , LOT OR PARCEL NO.: PROPERTY OWNER'S' NAME:',I~i II;_~ L,.. 'J, ,~ M. ~ _ TAX MAP NO.: Z/~. SEC. NO.. SUBDIVISION NO. :~ BLOCK NO.: ~ , LOT OR PARCEL NO.: ~ . ~ PROPERTY OWNER' S NAME: MAILING ADDRESS: TAX MAP NO.: L~-~.~,,SEC. NO.: SUBDIVISION NO.: ~.'.oc~ NO.: ,~ ~ . r~o~' o~ ~A~C~.~, NO.'. , I ..... ~) PROPERTY OWNER' S NAME: ~----- -" -- -------'- -.~ MAILING ADDRESS: . TAX MAP NO.: ~D~! '~, sEC. NO.: SUBDIVISION N,O. :~ BLOCK .0.: /$ ...... LOT OR PARC~.L NO.: /,4 '~ /~'-. ~' ~) PROPERTY OWNER'S NAME: ~~-/-/ :__- MAILING ADDRESS: TAX MAP NO.: ~,~ ~,.oc~ ,o.: ~,$. ~.o~ o~ PROPERTY OWNER'S MAILING ADDRESS: TAX MAP NO.:_~_~__-~ SEC. NO.: _._~ SUBDIVISION NO.: BLOCK NO*: ,LOT OR PARCEL~NO.:.~ (PAGE~) MAILING ADDRESS: TAX MAP NO.: SEC. NO.: BLOCK NO : _ ~ 'LOT OR /' ~ F)' PROPERTY OWNER'S NAME: MAILING ADDRESS: TAX MAP-NO.: SEC. NO.: BLOCK NO.: ~, G)' PROPERTY OWNER'S NAME: SUBDIVISION NO.: H) LOT OR PARCEL , .... ,. L~ ..... MAILING ADDRESS: ....... ~.. ~ .P"" TAX MAP NO.: SEC.,.t~i~ .... .... [~) SUBDIVISION NO.: BLOCK NO.: ~ , I~6¥:"0R PARCEL NO.. PROPERTY OWNER'S NA~: 0 . TAX ~P NO.: ~'-, EC. NO.: _ S~DI~SiON NO.: BLOCK NO. :, ._ LOT OR PARCEL NO.: t, y I) PROPERTY OWNER'S NAME: MAILING ADDRESS: TAX MAP NO.:~-i SEC. NO.: SUBDIVISION NO.: BLOCK NO.: ...LOT OR PARCEL NO.:, ~ J) PROPERTY OWNER'S NAME: MAILING ADDRESS: ............. TAX .MAP NO.: e~' ~ SEC. NO.: SUBDIVISION NO.: BLOCK NO.: .LOT OR PARCEL NO.: ~ ( PAGE 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~ COUNTY OF CHESTERPIELD. I/WE HEREBY DEPOSE AND SAY THAT ALL OF THE ABOVE STATEMENTS AND THE STATEMENTS CONTAINED IN ANY EXHIBITS TRANSMITTED ARE TRUE. /~fGN~TORE O~APPLICANT ~-'-- ~ /(Same name as used in item 1-A ~/~ page 1. ) ' MY COMMISSION EXPIRES /~..._9 / NOTARY (PAGE 5) -. / MAILING ADDRESS' BLOCK NO.: LOT OR PARCEL /~1 ~ILING ADD.SS: ' TAX MAP NO.: ~8-~ SEC. NO. :_ SUBDIVISION NO.: BLOCK NO.: ..... LOT OR PARCEL NO.: ~ PROPERTY OWNER'S NAME: H) MAILING ADDRESS: ~, · AX ,A~ ~0.: /F-/3 S~C. ,0.: S~V~S~O~ ~0.: BLOCK NO.:_._ bLOT OR PARCEL NO.: 7 PROPERTY OWNER'S Nt MAILING ADDRESS: TAX MAP NO.:.:I SEC. NO.: BLOCK NO.: SUBDIVISION NO.: LOT OR PARCEL NO.: I) PROPERTY OWNER'S NAME: MAILING ADDRESS :. TAX MAP NO.: /~"~ SEC. NO.: BLOCK NO.: SUBDIVISION NO.: _LOT OR PARCEL NO.: ~ BLOOK NO.: ~ (PAGE E) PROPERTY OWNER'S NAME: ~) H) I) J) a) MAILING ADDRESS: TAx MAp NO.:/F-/3SEC NO : ~/' SUBDiViSION NO : ~ ~-~ BLOCK NO. :., LOT OR PARCEL NO.: ~ TAX ~P NO.: /'~ SEC. NO. :,.. ~ SUBDIVISION NO. :,, BLOCK NO. :. ~ LOT OR PARCEL NO.: ~. PROPERTY OWNER'S N~E: ":~: ' :~:'~I~?A ~~~C~~ MAILING ADD,SS: '." ' ....... '"'~ "" ~'" ''~ ' ' -" /~ TAX MAP NO.:/~-/~ SEC. NO.: ~ SUBDIVISION NO.: ~ ~ BLOCK NO.: ~ LOT OR PARCEL NO.: ~ PROPERTY OWNER'S NAME TAX MAP · BLOC~ NO.: ,~, LOT OR PARCEL NO · O~'-. MAILING ADDRESS: PROPERTY OWNER'S NAME: MAILING ADDRESS: TAX MAP. NO.. /,J~ SEC. NO : SUBDIVISION NO.' BLOCK NO.: ~/ LOT OR PARCEL NO : ~ (PAGE E) ~) G) BLOCK NO,: LOT OR PARCEL NO.: ~ PROPERTY OWNER'S NAME: MAILING ADDRESS: TAX MAP NO.: /~-/3 SEC. NO, :.,, ~/ SUBDIVISION NO.: BLOCK NO. :, .~/ LOT OR PARCEL NO · .~ PROPERTY OWNER'S NAME: ~~~~., ~, y- ~.~<~/~,,' ' .~ , - ~,.[ ~.~/ TAX MAP NO.:/~-/~ SEC. NO. '~ ~ · ~) ~ : .'~' SUBDIVISION NO.. .:oc NO.: : PROPERTY OWNER' S NAME MAILING ADD.SS: BLOCK NO.: LOT OR PARCEL NO,' I)PROPERTY OWNER'S MAILING ADDRESS :. TAX MAP NO ..~ .... -~b SEC. NO.:... ~ SUBDIVISION NO.: BLOCK NO.: 2: LOT OR PARCEL NO.._ ~/ J) PROPERTY OWNER' S NAME: MAILING ADDRESS: 9 ~- TAX MAP NO,: _ . NO.: ~SUBDIViSION NO. : . [~ BLOCK NO.: ~, . LOT OR PARCEL NO.: ..... / ~ (PAGE E) PROPERTY OWNER'S NAME MAILING ADDRESS: ,2' TAX MAP NO.:, , SEC. NO. :., , SUBDIVISION NO.: BLOCK NO.: .... LOT OR PARCEL NO.: PROPERTY OWNER' S NAME :. TAX MAP NO.: ~'- SEC. NO. :.,. SUBDIVISION NO : BLOCK NO.: ......... LOT OR PARCEL NO.: G) PROPERTY OWNER' S NAME.: ~i']..~..O.,~.~CL.~. TAX MAP NO. :. ~y-,~SEC. NO.: SUBDIVISION NO.: BLOCK NO.: LOT OR PARCEL NO.: MAILING ADD.SS: ~. TAX ~P NO. :, ~-~SEC NO : ~SUBDIVISION NO : BLOCK NO. :, · ~ LOT OR PARCEL NO,: I) PROPERTY OWNER' S N~: MAILING ADD.SS :. TAX ~P NO . ~-¢ SEe, NO.: ~¢-: S~DZVZSZON NO,' B~CK NO. :. ~ LOT OR PARCEL NO · J) P~OPERTY OWNER'S NA~: MAILING ADDRESS: . , , , TAX MAP. NO.: 2'Y-~ SEC NO ' SUBDZVZSZON NO : BLOCK NO. :,, ..~ LOT OR PARCEL NO : (PAGE 4) E) PROPERTY OWNER'S NAME: MAILING ADDRESS: TAX MAP NO.: ~,~%~'SEC NO.: '~ SUBDIVISION NO.: BLOCK NO.: LOT OR PARCEL NO.: P)PROPERTY OWNER' S NAME: TAX MAP NO,: SEC. NO.: .... SUBDIVISION NO.: BLOCK NO.: ~ LOT OR PARCEL NO · G) PROPERTY OWNER'S NAME: ~'"'" ~?/' .' ' ' TAX MAP NO.: ~2-~ SEC. NO · SUBDIVISION NO : BLOCK NO.: ~ . LOT OR PARCEL NO,: ~2 ~"' PROPERTY OWNER' S NAME: .~,J~ -~-,.~L.~iz:,-~':/~. " .~-~ ..,-~<3~/~.,<~. . T~ ~P NO. :~ SEC. NO. ~.. SUBDIVISION NO : BLOCK NO. :... ~ LOT OR PARCEL NO,: PROPERTY OWNER~ NA~: 'L ~.; ' ..~' ' - MAILING ADDRESS :. ":;~" ~ . v'. .... ,- TAX MAP NO,.~-- ~ SEC, NO,: S~DIVISION NO,: No. :, · PROPERTY OWNER'S NAME: ~ {..~'~3, MAILING ADDRESS: '~ TAX MAP NO · ~ '- . ·- / SEC NO : BLOCK NO :.. ~ , LOT OR PARCEL NO.: ..... (PAGE 4) E) ~) MAILING auu~.'.~S' ' :' ~ '." TAX ~p NO. :2fi'--/~ SEC, NO.: _S~DI~SION NO.: BLOCK NO.: ~, LOT OH PARCEL NO · ~ PROPERTY OWNER'S NAME: MAILING ADDRESS: TAX MAp No.: 2 ?- ?SEC NO . BLOCK NO.: G) PROPERTY OWNER'S NAME: SUBDIVISION NO : LOT OR PARCEL NO.: ~ MAILING ADDRESS: TAX MAP NO.: L~/-~XSEC NO.' ~ SUBDIVISION NO · BLOCK NO.: , ? LOT OR PARCEL NO.: LOT OR PARCEL NO.: H) PROPERTY OWNER'S NAME: MAILING ADDRESS: TAX MAP NO. :, Z~-~ _SEC. NO.: --~ '" SUBDIVISION NO.: BLOCK NO.: -~V ' I) PROPERTY OWNER'S NAME: MAILING ADDRESS:. TAX MAP NO..___~.., SEC. NO.. <, SUBDIVISION NO.: BLOCK NO.:_~ ~ LOT OR PARCEL NO.: J) PROPERTY OWNER'S NAME' "'--~" · MAILING ADDRESS: TAX MAP. NO.: ~_/ SEC. NO,:~SUBDiVISiON NO.: _ BLOCK NO.: LOT OR PARCEL NO : - ~ (PAGE E) ~) PROPERTY OWNER ' S NAME: ~...~~____~/~~.~.~_ MAILING ADDRESS: TAX MAP NO.:~ BLOCK NO.: ,~/ LOT OR PARCEL NO. :_. PROPERTY OWNER'S NAME: MAILING ADDRESS: TAX MAp NO.: Z?-~SEC. NO.: BLOCK NO.: v/ SUBDIVISION NO.: LOT OR PARCEL NO.: / I) J) G) PROPERTY OWNER'S NAME: MAILING ADDRESS: ~" ¥'_ sEc. .:_ D SUBDIVISION NO.: TAx MAp NO. :_ ~ - No BLOCK NO.:. /'~ LOT OR PARCEL NO.: PROPERTY OWNER'S NAME: MAILING ADDRESS: · Ax ,~ ~o.:.e? ~ s~. ~o.,.. ~s~o~v~s~o~ ~o.: BLOCK NO.:.. , ~_ ~ LOT OR PARCEL NO... //1 PROPERTY OWNER'S NA~: ~ 't? :~ '- MAILING ADD,ESS, TAX MAP NO.: B~K NO.-.., _ , LOT OR PARCEL NO.:~_ /' .... PROPERTY OWNER'S NA~: MAILING ADDRESS: TAX MAP. NO.:~_~'_~SEC. NO.: SUBDIVISION NO : BLOCK NO.: -. , ,, LOT OR PARCEL NO.: (PAGE I) E) PROPERTY OWNER'S NAME: MAILING ADDRESS: TAX MAP NO :. P~OPERTY OWNER'S NA~: MAILING ADDRESS: TAX MAP NO.: ,fT-/~SEC. NO.: BLOCK NO.: ,~. SUBDIVISION NO.: LOT OR PARCEL NO.: // G) PROPERTY OWNER'S NAME: MAILING ADDRESS: TAX MAP NO : ~j~'-//~ SEC NO.' SUBDIVISION NO : BLOCK NO. :, , LOT OR PARCEL NO.: ~ H) PROPERTY OWNER'S NAME: MAILING ADDRESS: , /,- ,.:? , ,- ,~ ~ TAX MAp NO.: SEC. NO.: SUBDIVI · · , , SION NO.. BLOCK NO.: ~ , LOT OR PARCEL NO.: ~ PROPERTY OWNER'S NAME: MAILING ADDRESS:- TAX MAP NO.: BLOCK NO.: ,, SEC. NO.: SUBDIVISION NO.: _, __LOT OR PARCEL NO.: PROPERTY OWNER'S NAME: MAILING ADDRESS: TAX MAP. NO.: BLOCK NO.: SEC. NO.: SUBDIVISION NO..' .... LOT OR PARCEL NO.: (PAGE E) PROPERTY OWNER'S NAME /'- BLOCK NO.: , LOT OR PARCEL NO.: ~ILING ADDRESS TAX MAP NO.:~-~ SEC. NO.: ~ SUBDIVISION NO.:. BLOCK NO. :.,~ _ , LOT O~ PARCEL NO.: G) PROPERTY OWNER'~ "'^'~"~. MAILING ADDRE.q.~ · TAX MAP NO. :_ ~~SE~. NO, -. SUBDIVISION NO,: BLOCK NO, :. H) PROPERTY OWNER'S NA~ " ' ' "" ' ' ~~~. MAILING ADD.SS: ~/ TAX MAP NO ''~:' '- · ..-.-/ '~"~ ~SEC. NO.: ~, SUBDIVISION NO.: .' '~ · BLOCK NO.: ~ LOT OR PARCEL NO,: ~. : I) PROPERTY OWNER'S NAME: MAILING ADDRESS:- TAX MAP NO.: SEC. NO.: SUBDIVISION NO : BLOCK NO.:. ~LOT OR PARCEL NO.: PROPERTY OWNER' S NAME: MAILING ADDRESS: TAX MAP. NO.: BLOCK NO.: SEC. NO.: SUBDIVISION NO : LOT OR PARCEL NO.: (PAGE '"',,,... ?.~ %N,N,' /I "%.., 5-,3'/ I '-. "' .-P xq4 :,,'"'-,.