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72-23CS1) *For office use only * ....... E BY P. C. ~'PPLICATION FOR A~ND~NT TO THE COUNTY ZONING ORDINANCE T_he followin$ information is to be typed or printed ~ . ',~." ~j-~,,-~.,- ~,,.~ ..... C) TELEPHONE NO. :~ W~$. -f,~'""'~ ,, D~ ~^~ o~ ~.S~N~ OW~.~ O~ ~0~,~ O~ W~I~H ~H-~S ~S~ W~LL occuR: E) MAILING ADDRESS: F) 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.) 3) LOCATION OF PROPERTY IN QUESTION (Following information to be obtained by the applicant from the Office of the County Assessor) A) MAGISTERIAL DISTRIOT~/~,~_ B) TAX MAP C) SEC, NO. D) SUBDIVISION NO. E) 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./NAME NO j?NAME STATE THE REASON FOR THIS REQUEST: 6) STATE HOW THIS REQUEST WILL NOT BE MATERIALLY DETRIMENTAL TO THE ADJACENT PROPERTY OWNERS OR THE SURROUNDING NEIGHBORHOOD: THE PARCEL IN QUESTION: STATE ANY EXISTING USE PERMIT 0R VARIANCE GRANTED PREVIOUSLY ON 135 (PAGE 2) (82-5)(2) (;82-5) (5) B ELLEWOOD MANOR '-36 37 KATHER I NE 'R. TONEY m . · 2o3'1 ARV ~ N DR~ VE 2.32:?4 ARTHUR A AND EMHA L..CHAPMAN 9.3'72 RUSSELL ROAD 2..3234 ELLEN d. IV~DISON 9366 RUSSELL ROAD 2.32.34 38 CLARENCE J. AND MARY E. BRANSK! ~ .39-- 9354 RUSSELL RD 23234 4o DONALD K. GILBERT .SR ~F~48 RUSSELL ROAD 41 BLAND, ROBERT L. AND HELEN C. 9.342. RUSSELL ROAD 232:?4 42 CHILDRESS, RONALD P. & SHIRLEY A. 9.336 RUSSELL'ROAD 2-32-34 43 PITTMAN, WALTER R. & ETHEL L. 93-3o RUSSELL ROAD 2.32.34 44 LOT 8-A MCGEE, TOMMY P. & CLETA NELL 9.324 RUSSELL ROAD 23234 BURGE, LOUISE FRANCES E) F) G) H) I) 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.: 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.: PROPERTY OWNER'S NAME: MAILING ADDRESS: TAX MAP NO.: BLOCK NO.: SEC. NO.: SUBDIVISION NO.: LOT OR PARCEL NO.: J) PROPERTY OWNER'S NAME: MAILING ADDRESS: TAX MAP NO.: BLOCK NO.: SEC. NO,: SUBDIVISION NO.: LOT OR PARCEL NO.: (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 SAID BOARD TO ACT ON THIS REQUEST. CHECK OR MONEY ORDER MUST BE MADE PAYABLE TO: TREASU~ER~ 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. SIGNATURE OF APPLICANT (Same name aa used in item i-A, page 1. ) SUBSCRIBED AND SWORN TO BEFORE ME TttIS S DAY OF /3zr-r_ 19 7/ / - (PAGE 5)