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72-3C*For office ""~, only_ * *CASE NO. * *REVIEW BY P.C. * 1) a) APPLICATION FOR AMENDMENT TO THE CHESTERFIELD COUNTY ZONING ORDINANCE The follow, i.n.g, information is to be typed or printed A) NAME OF ~,,-~.~'~.~. B) MAILING C) TELEPHONE NO.: D) NAME OF PRESENT OWNER OF PROPERTY ON WHICH THIS REQUEST WILL E) F) -?~ . / I "~ ~ g/ln/i?. / OCCUR: ,: ....... '. MAILIN0 ADDRESS ¢&~'Z/' '"~" ' ........ TELEPHONE NO.: 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.) >': o -L"'o:- "." , ,.. '? ~; ~-':'-1 - ':::~: : .,: .... ,::, _ . '.,', .' ., .i., :., ~ ,,' :-~ : ,, . , F,-', .... ""~""'~:';"/ '"'" ":' '"'?'"> '":~":'"?/> '>~ .... ,' ;' 7 3) A) LOCATION OF PROPERTY IN QUESTION (Following information' to be obtained by the applicant from the Office of the County Assessor) .I. .../' // / g MAGISTERIAL DISTRICT ,'?.,:-'~'./.~.-.7/?.,(/V/',B) TAX MAP NO. C) SEC.'NO. D) F) LOT OR pARCEL NO. SUBDIVISION NO. E) ~/~ G) STREET ADDRESS BLOCK NO. · 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 1) 4) 5) THE PETITIONER REQUESTS THAT THE ZONING ORDINANCE BE AMENDED TO RECLASSIFY THIS PROPERTY FROM NO./~A~ ........ NO,iN'['ME' STATE THE REASON FOR THIS REQUEST: ~ ......... ,,, ........... . ...... .: ~ / ~'. ," ;" t,"/// ,' C."...; .. ".~ ........ ,-' "~ .~..,.'; ~ ,' ~' z .~ .- 6) STATE HOW THIS REQUEST WILL NOT BE MATERIALLY DETRIMENTAL TO THE ADJACENT PROPERTY OWNERS OR THE SURROUNDING NEIGHBORHOOD: .., // + ., .,.. ,,,,.,,.,,,,. ...... , .~/ ,,. ...... ..,.....:.-.../ t ,~:/l /,,. . ,, i...~:'.,, ' --, ~' ~/ '/ / /'L . - /.. .... ~,~' ...... , ........I :' ~'"">"? '"' "'~'/ ':" "~' ':' " ........ "":":'::" '/:"~ L~::'/:::.~, ~.'..v, " STATE ANY EXISTING USE PERMIT OR VARIANCE GRANTED PREVIOUSLY ON THE PARCEL IN QUESTION: ,.., .~ ,>.:::,/:2~ 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 ~FFECTED 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) B) C) TAX ~AP NO.:/~5'/~ SEC. NO.: ~ SUBDIVISION NO.: BLOCK NO.: LOT OR PARCEL NO.: TAX MAP NO.:/~o/~SEC. NO.: ~ SUBDIVISION NO.: BLOCK NO.:. )" LOT OR PARCEL NO.: MAILING ADD.SS: S~/ JIf:FF~/ ~. , ....... TAX ~P NO. :/~'/~ SEC. NO.: ~ SUBDIVISION NO.: ~ ' D) PROPERTY OWNER' S NAME i ~.~,~LT.~.r ~ MAILING ADDRESS: 20~ ~ P/X~7~ TAX MAP NO.:/~-/~SEC. NO.: ~ . SUBDIVISION'NO.:, B~CK NO.: ~ LOT OR PARCEL NO.: ( P,.AGE 3). ,~,~ E) PROPERTY OWNER'S NAME' · - MAILING ADDRESS' ~,,~ A/ ~/,(/,ff7"T'~/ / '~/~ TAX MAP N0.' '~SEC . · . NO. · ~:~' S~DIVISION NO. :_ ~ .. BLOCK NO,: ~/ LOT 0R PARCEL NO.: /,~ PROPERTY OWNER'S NAME: _/..~!~/~'~:u' *- "::~~'4'/', ~ ~-.)'~' ~}i'=~ ~%//J MAILING ADDRESS:,~/d~: ~%~ ,~'f/~7~ TAX 'MAP NO.: /~/~ SEC. NO.: ~ SUBDIVISION NO.: BLOCK NO.: , LOT OR PARCEL NO.: /c~ G) PROPERTY OWNER'S NAME:_ H) I) MAILING ADDRESS: ~2~ PII,/~ 7-7~,~ L~/'~ . TAX MAP ~0.~:/~-/,~ SEC. NO.: c~ SUBDIVISION NO.: BLOCK NO.: '~' LOT OR PARCEL NO ' /7 TAX MAP NO.:/~:/~ SEC. NO.: _ /dP SUBDIVISION NO.: · BLOCK NO. :... ..J' LOT OR PARCEL NO.: PROPERTY OWNER'S NAME: MAILING ADD,SS: ~//0 TAX MAP NO. :/:~-/,,~ SEC. NO.: /~)_ .SUBDIVISION NO.: BLOCK NO.: ~ LOT OR PARCEL NO.: /.~/ SEC NO.: '// SUBDIVISION NO..' BLOCK NO.: -~ , , LOT OR PARCEL NO.: (PAGE PROPERTY OWNER'S NAME. ~-3,-J~VT~-3 f'~(33X/~ ,. ~('~, MAILING ADDRESS: /Z>C'--). /~,,k" ,~. dL>~5 ~'- TAX MAP NO.: /O'~/,~f SEC. NO.: // SUBDIVISION NO.: ._ ~-~ BLOCK NO.: ~ LOT OR PARCEL NO.: / PROPERTY OWNER'S NAME:.~/JF'A/Y~X/ZD Z~, ,~ ~.~ZL/~:/.~f't.~f. MAILING ADDRESS: ..... ~/..~., ~}/~~ ~. .... TAX NO.: SEC. NO.: // SUBDIVISION NO.: BLOCK NO.: ~ LOT OR PARCEL NO.: PROPERTY OWNER'S NAME:~/,~%~/~,~ ~/, 5~°.~.5'Z~.~/fX/.,~.,_57F~/QZ.~,~ MAILING ADDRESS: ._~dPtO ,/'~/~vf~'~5~-~'~]~c"~.~) ,C~.~ TAX MAP NO.: /~-/~ SEC. NO.: // SUBDIVISION NO.: BLOCK NO.: /~ LOT OR PARCEL NO.: /~ PROPERTY OWNER'S NAME:,,,~/-~/~ MAILING ADDRESS: ~0~ TAX ~P NO.: /~-/~ SEC. NO.: // SUBDI~SION NO.: BLOCK NO.:, /~ ...... LOT OR PARCEL NO.: /~ , PROPERTY OWNER'S NAME: ,~...)./j77%/.~.~' ...~.~.. MAILING ADDRESS' ~/~'D TAX MAP NO.: ~"/~. SEC. NO.: '// SUBDIVISION NO.: .~'/ BLOCK NO.: --/ LOT OR PARCEL NO.: PROPERTY OWNER'S NAME: MAILING ADDRESS: 7~'5"C'? 7 ... TAX MAP NO.: ~F-/~f- SEC. NO.: // SUBDIVISION NO.: / BLOCK NO.: LOT OR PARCEL NO.: "~...'...~ ~ (PAGE PROPERTY OWNER'S NA,~fE: ' MAILING ADDRESS: .... :. · TAX MAP NO.:~.~' SEC. NO.: BLOCK NO.: SUBDIVISION NO.: LOT OR PARCEL PROPERTY OWNER'S NAI<E' MAILING ADDRESS: TAX MAP NO.: f,.~-~'/ SEC. NO : BLOCK NO.: ',j // SUBDIVISION NO.: LOT OR PARCEL NO.: PROPERTY OWNER ' S NAME: ,,, ,,~ ,,,,~,..~. :;/:, ~, MAILING ADDRESS: ~:.'0'/~ ' ~ TAX MAP NO. :.~-/~G~ SEC. NO.: // SUBDIVISION NO.: BLOCK NO. :.,, ~' LOT OR PARCEL NO.: PROPERTY OWNER' S NAME: ~,/~.'~LfJ/d/G':, ' MAILING ADD,SS: r.< ~ .- ~' ..... /6:/4 ' SUSDZVZSXO NO - TAX MAP NO.:,, . SEC NO · BLOCK NO.: LOT OR PARCEL NO,: PROPERTY OWNER"S NAME: ~A[LING ADDRESS :~ TAX ~AP NO.: .:.~- /. SEC. N0.: {> SUBDIVISION NO.: BLOCK N0.: LOT 0R PARCEL NO.: PROPERTY OWNER'S NAME: , ~. ,. ,:. ,, .., :,,.,,, .,'. /~7~ ...... MAILIN~ ADDRESS- .: ,.'-;// · , TAX MAP NO.: d,P'.-fi'L~,SEC NO : SUBDIViSIO~ NO BLOCK NO : LOT OR P ' ARCsL NO.: (PAGE 9) GIVE NA)~S 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 ~FFECTED 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. MAILING ADDRESS: ~ ~ TAX MAP NO. :~ ,'... SEC. NO.: .... SUBDIVISION NO . BLOCK NO.: LOT OR PARCEL NO.: /-/ ~ILING ADD'SS: _~'? , . . . -'-'.'. ,. _ · ~ ' S~DIVISION NO : TAX~ MAP NO.: ~-'~. SEC. NO.: · BLOCK NO.: LOT OR PARCEL NO.: Z,/"4~'~%~' z") / ~ '"-"" + .... , ,~ /,~ r , ~A[ MA? ~0..".~.~...:":':. SEC. ~0.: Sg~DZVZSZO~ PROPERTY 0WNER'S NAME: MAILING ADDRESS: TAX MAP NO.: BLOCK NO.: SEC. NO.: SUBDIVISION'NO.: LOT OR PARCEL NO.,: (P GE 3) 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: TREA~URER~ COUNTY 0F CHESTERPIELD. I/WE HEREBY DEPOSE AND SAY THAT ALL OF THE ABOVE STATEMENTS AND THE STATEMENTS CONTAINED IN ANY EXHIBITS TRANSMITTED ARE TRUE. S. IGNA~UR-E OF APPLICANT f.-'J~/t/~- i~'-C~'-2~..)' (Same name as used in item~l-A, page 1. ) SUBSCRIBED AND SWORN TO BEFORE ME THIS ~ DAY OF J~/. 19~. (PAGE 5)