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71-19cs1) 2) *For offic ~CASE NO. APPLICATION FOR AMENDMENT TO THE CHESTERFIELD COUNTY ZONING ORDINANCE The, f,ol,!,owing informati,on,,is to be _typed or printed A) NAME OF APPLICANT: ..... ~. I,%~)'.~3.,,0~]) ...C~.. I,~ .~$~ ~G~,, ~ ...... E) ~AILING ADDRESS:, ~01 ~~ ...... ~V~,~,, ,~O,,~D F) TE~PHOE NO.: Z7~---~[6~ IF THE APPLICANT IS NOT THE OWNER OF THE PROPERTY IN QUESTION, EXPLAIN: (Copy of pending contract or option agreement shall be attached hereto and made a part of this application.) 3) LOCATION OP PROPERTY IN QUESTION (Following information to be obtained by the applicant from the Office of the County Assessor) A) MAGISTERIAL DISTRICT ~-~ ~(LL B) TAX MAP NO. ~ C) SEC. NO. ~ D) SUBDIVISION NO. ~__ E) BLOCK NO. F) ~ PARCEL NO. ~- G) STREET ADDRESS A PLAT OF THIS PROPERTY SHALL BE ATTACHED HERETO AND MADE A PART OF THIS APPLICATION SHOWING THE FOLLOWING: LOCATION BY REFERENCE TO NEAREST ROAD INTERSECTION DIMENSIONS OF SITE (PAGE 1) 4) THE PETITIONER REQUESTS THAT THE ZONING ORDINANCE BE AMENDED TO RECLASSIFY THIS PROPERTY FROM ~-I-Aqr,cu~ur~ TO N0~./N~ME ........ 5) STATE T}{E REASON FOR THIS REQUEST: ..7-/~ .... ~..-F~O~/'~¢- /$ _ ..... .~ ~ c s s ~. ,, ,e ~ .. . /,./. cs r3,o ~ ,e. 1"o.... ~ £ c 9 ~ o ,~ . ..To~/2/ ~/Tr...o.,~.3 O 1= ... Tr-f~ J',%,"/~ ...... NO./NAME 6) STATE HOW THIS REQUEST WILL NOT BE MATERIALLY DETRIMENTAL TO THE ADJACENT PROPERTY OWNERS OR THE SURROUNDING NEIGHBORHOOD: ...1-'o /f ~ ..... A ..... ~:/P~?,'/~ ~- ........ P ~-.v~,-.o.e~~'./ 7' .. 7) STATE ANY EXISTING USE PERMIT OR VARIANCE GRANTED PREVIOUSLY ON THE PARCEL IN QUESTION: 8) EXISTING LAND USE: /::9 .."< (PAGE 2) 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 O~ 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: MAILING ADDRESS: .~ . TAX MAP NO.: ~ SEC. NO.: ~ SUBDIVISION NO.: BLOCK NO.: PARCEL NO.: ~7_- B) TAX NAP NO.: ~5~ SEC. NO.: ~ S~DIVISION NO.: ~ '-'" BLOCK NO.: . ~ LOT c) PROPERTY OWNER'S NAME: /-/%C,v' ,Z~.,..~ /_/Z.Z./~.../~, NAILING ADDRESS: ~70 O ..... ,t/,.. ~ ,.,.,,z..-& ~../o ~"r; /'~,'¢ T~X MAP NO.: ~.~-O SEC. NO.: I+ SUBDIVISION NO.: BLOCK NO.: ~ PARCEL NO.: ~-- D) PROPERTY OWNER'S NAME: MAILING ADDRESS: TAX MAP NO.: SEC. NO.: SUBDIVISION NO.: BLOCK NO.: LOT OR PARCEL NO.: (PAGE 3) E) PROPERTY OWNER'S NAME: MAILING ADDRESS: TAX MAP NO.: SEC. NO.: SUBDIVISION NO.: BLOCK NO.: LOT OR PARCEL NO.: F) PROPERTY OWNER' S NAME: MAILING ADDRESS: TAX MAP NO.: SEC. NO.: SUBDIVISION NO.: BLOCK NO.: LOT OR PARCEL NO.: G) PROPERTY OWNER' S NAME: H) MAILING ADDRESS: TAX MAP NO.: SEC. NO.: SUBDIVISION NO.: BLOCK NO.: PROPERTY OWNER'S NAME: MAILING ADDRESS: LOT OR PARCEL NO.: 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.: J) OWNER'S NAME: MAILING ADDRESS: TAX MAP NO.: BLOCK NO.: · LOT OR PARCEL NO.: SEC. NO.: SUBDIVISION NO.: LOT OR PARCEL NO.: (PAGE 4) zo) THE ~PPLICANT HEREWITH DEPOSITS THE SUM OF TWENTY DOLLARS ($20.00) ATTACHED TO THIS APPLICATION, TO PAY THE COST OF ADVERTISING NOTICE 0F 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. ~ i%SIGNATURE OF"~PPLICANT ~/ ? (Same name as used in item l-A, page 1. ) SUBSCRIBED AND SWORN TO BEFORE ME THIS_~DAY (PACE 5)