71-T-10SPLANNING DEPARTMENT'S MOBILE HOME REPORT
BOARD OF SUPERVISORS
WEDNESDAY, 10 NOV. 1971
7~-T-10S T.E. Shook
The Health Department reports favorable conditions for the installation
of a subsurface dralnfleld. The mobile home will be parked on property
belonging to the applicant. Adjacent property owners state no objection
to this request which is for two years. There are give similar permits
in the immediate area.
71-T-11S
Woodrow W. Quesenberr2,
The Health Department reports favorable conditions for the installation
of a subsurface drainfield. The mobile home will be parked on property
belonging to the applicant. Adjacent property owners state no objection
to this request which is for two years. There are five similar permits
in the immediate area.
Resp. ec~t fully submitted,
R. L. Kautz
Planner
Chesterfield County Planning Department
'>/ ,~- For Office Us~"~nl~y: ~.
T 0 P A R K A T R A I L E R ~
(NEJ AND RENEWAL) ~&
(Following information is ~
to be typed or print,
1. Name of applicant: ~r~-.:~f~ ~
2. Address of applicant IO~20~,q~ooo~. ~ ,,
3. (~)
Telephone 9~
Mailing address where trailer will be located
I O;;L,;2..o E
*(B) Magisterial district B~-~, (O)
(D) Sec. (E) Blk. (?)
Name of owner of trailer
Name of owner of property on whdch trailer will be parked..
Name of person who will occupy the trailer fyT~rm~r~
explain
Tax map
Lot or par.
?. Time requested for trailer to remain at site (use permit granted
for a maximum of two years only).
months / years ....
8. Size and type of trailer to be parked on the above noted property.
Make~-li~M°del tq]~. Color--Width ,J ~. Length .~ j
No. of Bedrooms _ ~ No. of Bathrooms . I
Source of Water
Method of Sewage Disposal .~%~_~.~
9. A plat (map) of this property must be attached to this application
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 undersigned owners and occupants of the
adjacent property to the property on which a trailer is
posed to be. located, hereby 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} /<~>~It~l d/,°~)-~ ~¢" Owner ( ~ Occuoant. (
Tax Map and Sec. No.~-~ Block No. /~
Address: ../0~/~9 ~,'~~~ ~. ~'~ ~ ~Z~
Check One Only
I do object . I do not object
( ) (
~lame
(p~n~)
SA~O~,/d~ff~~ Owner ( ~ Occupant ~_..
Tax Map ~d Sec. No. ~-~lock No. ~' Lot or Parcel No. ~ E~ ~
Check One Only
I do object
(
Signature:
Lot or Parcel No.
I do not object
( )
~Jame (print) ,'/~-P/e~/, uSSell F Owner (~'") Occupant
Tax Map and Sec. No..~7-~ Block No. ~ Y~ 'Lot or Parcel No..~g~./
Check One Only
I do object I do not object
( )
Add~ona~ speces on baok oF pa~e.
(2)
"ame (print) }~:~,'le~, ¢;~"/; ]% dh'
Owner
Check One Onl~
I do object I do ~bJect
Name (print)
Tax Map and Sec. No.
Block
Owner ( ) OccupanL '
Lot or Parcel No.
Address:
Check One Only
I do object I do not object
( ) (~' )
~..gnature:
:~.'uue (print)
r.:.¢x Map and Sec. No.
~.ddress:
Block
Owner ( ) Occupant:
Lot or Parcel No.
Check One Only
I do object I do, not object
( ) ( )
S~gnature: .
********************************************************************
Owner (
N~,~e (print)
Tax Map Se~ No.
I do object
( )
Block
Lot or Parcel No.
Check One Only
) Occupant
I do not object
( )
S::~gnature:
(3)
(3)
The Chesterfield County Health Department must make an inspection oi,
the proposed trailer location, both before and after the trailer is
installed. It is the applicant's resoonsibillty to contact the
Health Department and make an appointment for this inspection (tele.
phone - 748-1398). The inspection form must be attached to this
application.
The Applicant and/or his agent must be present at the Board hearing.
I/We hereby certify that all of the above statenents and the statement~:~
.contained in any exhibits transmitted herewith are true. Further,
that all owners ~nd occupants of adjacent prooerty h~¥e...signed Section
No. 7 of this application and have been notified of the date and ti~m3
of the hearing.
~X~oPlicant-,s Signat~re 7 /-~ --
Subscribed and sworn to before me this /~ day of
My Commission expires
-4-
/ C~STERFIELD, VIRGINIA
Request for Lot Evaluation
For:
Phone.. ~. 7 ,.V' "' O ';.o ~7
Owner Address
Phone
CHESTERFIELD COUNTY HEALTH DEPARTMENT
Exact Location .~ ~.~-_'1-~ /2_
Lot Block Section r Street Subdi~islo'n
Applicant /~7'~'Desires to have a lot opinion that is subject to re-
evaluation prior to issuance of Building Permit.
~7 Is applying for Building Permit #
Type of Construction
./..~ Dwelling /--/ Other /7 House plan not final
/7 Auto. Washer /..-7 Garbage Disposal /~ublic Water /7 Ind. Well
Actual or potential bedroom ~Estimated water cnnsumption ~gpd.
Soil Study:
Recommendations: Based on present standards it is our opinion that
t'his/~ot has: '
/%// FAVORABLE /7 QUESTIONABLE /7 NOT SUITED
~-6il for septic tank and ~-~ainfield installation~-
Remarks:
This is not a permit to install a ~e~ ....
Sanitarian
Date
Posted
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Brlgflt Wood