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72-5CS1) 2) 3) *Fpr efflce u~e *REVIEW BY P. C. APPLICATION FOR AMEND~NT TO THE CHESTERFIELD COUNTY ZONING ORDINANCE T~h$, .followiq$ information is_to be ~typed L0r~ printed A) NAME OF APPLICANT: W~c~4~A=~ ~/V~/~W~~7- ~ ~ MA~ ADDreSS: 2C ,.,/~,~R~ ~ ~ . ~i~.~, ~. c) ~~o~ ~o.: ~ 7 ~ - ~ ~~ .... D) NA~ OFpRES~NT OWNER OF PROPERTY O~ WHIC~ THIS ~Q~ST WILL 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.) LOCATION OF PROPERTY IN QUESTION (Following information to be obtained by the applicant from the Office of the County Assessor) A) MAgiSTERIAL DISTRICT~,'J~,~, ~) T^X MAP NO. 17 C) No. ~/.~ D) S~DIVIS~O~ ~o. --- E) ~LOC~ ~0. SEC. F) LOT OR PARCEL NO. II 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 4) THE PETITIONER REQUESTS THAT THE ZONING ORDINANCE BE AMENDED TO ~0LASSIFY 'THIS P~OPERTY FROM ~,~1~~ TO g-Y ~ ~-~ / NO./NA~ ..... NO /NA~ C-~_~~ (/,~,/~/. ~o ~ ~ · 5) STATE THE ~ASON FOR THIS ~QUEST: U -/ '- ' - ~ /~~ - 6) 1) 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 0RANTED 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. I I" y ,,V. . ':, ..... ! TAX MAP NO.: /~ SEC. NO : /~.- SUBDIVISION NO : BLOCK NO.: LOT OR PARCEL NO.: / B) PROPERTY OWNER'S NAME: j-~?.,,~.~... ~.,,,,, ,,~,',,c,',~,'_ _ .. MAILING ADDRESS: · ^x /? BLOCK NO.: SEC. NO.: .... ~ SUBDIVISION NO.: LOT OR PARCEL NO.: / c) D) PROPERTY OWNER'S NAME:~'~C/,~,{,/~z~/ ~F3 TAX MAP NO.: /"~. ._ SEC. NO.: ! SUBDIVISION NO.: BLOCK NO.: LOT OR PARCEL NO.: TAX MAP NO.: /__7._ SEC. NO.: / SUBDIVISION NO.: BLOCK NO.: LOT OR PARCEL NO.: (PAGE 3) BLOCK NO.: LOT OR PARCEL NO.: , PROPERTY OWNER'S NA~: <~L,~~ ~ TAX MAP NO. :,,~ SEC. NO. :~ / SUBDIVISION NO.: BLOCK NO.: LOT OR PARCEL NO.: H) I) J) PROPERTY OWNER'S NAME: MAILING ADDRESS: · ~× ~ ~o.: .... /7 BLOCK NO.: SEC. NO.: / SUBDIVISION NO.: LOT OR PARCEL NO.: ~-- TAX ~P NO.: /~ SEC NO : / SUBDI~SION NO · BLOCK NO.::: LOT OR PARCEL ~0.: ~ TAX MAP NO. :_~SEC. NO. :,,, / SUBDIVISION NO.: BLOCK NO. :._ ,LOT OR PARCEL NO.: ~ TAX MAP NO. :__ ~ SEC. NO.: ~/C~, SUBDIVISION NO.: BLOCK NO.: LOT OR PARCEL NO.: (PAGE 4) 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. MAILING ADDRESS: TAX MAP NO.: .~ SEC. NO.: /~ SUBDIVISION NO.: BLOCK NO.: LOT OR PARCEL NO.: .... j~ B) PROPERTY OWNER'S NAME: ,,~/~/~/~ t~, ',~,,,~-.,Xo~/ MAILING ADDRESS: // ~.,,, SEC. NO.: SUBDIVISION NO.: TAX MAP NO.: BLOCK NO.: LOT OR PARCEL NO.: C) PROPERTY OWNER'S NAME:, , D) / MAILING ADDRESS: /~7~k~/ ~~t~l)_¢ -'~,'/~ TAX MAP NO.: ~ SEC. NO.: /._~ SUBDIVISION NO.: BLOCK NO.: LOT OR PARCEL NO.: /3 MAILING ADDRESS: //c~L/~ ~~ TAX MAP NO.: ~__ SEC. NO.: /3 , SUBDIVISION NO.: BLOCK NO.: LOT OR PARCEL NO.: (PAGE 3) E) F) PROPERTY OWNER'S NAME:_ ~.~,',/,//~--~ ~ . ,c/ .... TAX MAP NO.: ~ SEC. NO.: //~ SUBDIVISION NO.: ! BLOCK NO.: LOT OR PARCEL NO.: TAX MAP NO.: BLOCK NO.: LOT OR PARCEL NO.: ~-/ a) TAX MAP NO.: ./7 SEC. NO.: ~ SUBDIVISION NO.: BLOCK NO.: LOT OR PARCEL NO.: TAX MAP NO.: /7 SEC. NO.: .q SUBDIVISION NO.: BLOCK NO.: LOT OR PARCEL NO.: /.~- / /3 / . ' J) BLOCK NO.' LOT OR PARCEL NO.: [ ,/O PROPERTY OWNER'S NAME: ... ~.k . MAILING ADDRESS:. / ~)~-/ TAX MAP NO.: ; ~7 SEC. NO.: BLOCK NO.: SUBDIVISION NO.: LOT OR PARCEL NO.: I & (PAGE 4) lo) 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 S~ID BOARD TO ACT ON THIS REQUEST. CHECK OR MONEY ORDER MUST BE MADE PAYABLE TO: TREASURER~ COUNTY OF CHESTERFIELD. I/WE HEREBY DEPOSE AND SAY THAT ALL OF THE ABOVE STATEMENTS AND THE STATEMENTS CONTAINED IN ANY EXHIBITS TRANSMITTED ARE TRUE. ATURE OF' APPLICANT ' e name as used in item l-A, page 1. ) SUBSCRIBED AND SWORN TO BEFORE ME THIS .... ,~, DAY OF ~~ 19 ~/. NOTARY ~ - (PAGE 5) / / / ,- / 9,/10 / / / 15 17-1 / / / / / /- 17-5 Dislrict Rt.6q