72-27cs1)
*For office u~~ onl~ ,
*CASE NO. ~" '~ ~" f .... ~
*REVIEW BY P.C. ,
APPLICATION FOR AMENDMENT TO THE
CHESTERFIELD COUNTY ZONING ORDINANCE
T~he fol!owin$ information is to be _typed or ,printed
A) NAME OF APPLICANT:
C) TELEPHONE NO.:
D) NAME OF PRESENT OWNER OF PROPERTY ON WHICH THIS REQUEST 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 DISTRIC~/~/~/~/~.~7/ B) TAX MAP NO.
C) SEC. NO. ----- D) SUBDIVISION NO. --- E) BLOCK NO.
F) LOT OR PARCEL NO. -~I-TG) STREET ADDRESS/_/~,V~/~o/ ,
-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)
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:
7) STATE ANY EXISTING USE PERMIT OR VARIANCE ORANTED 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.
TAX MAP NO.:-~ SEC. NO.: SUBDIVISION NO.:
~oc~ ~o.: ~o~ o~ ~^~c~ ~o.: ~/-
TAX MAP NO.: SEC. NO.:,, SUBDIVISION NO.:
~oc~ ~o.: ~o~ o~ ~c~ N~o.: 3/--/ , ,,
TAX MAP NO.: ~ SEC. NO.: SUBDIVISION NO.:
BLOCK NO.: LOT OR PARCEL NO.: ~-~ /
D) PROPERTY OWNER' S NAME: ,,~// ,~'~ ;/-/'. ,,("~/.D' ~
TAX MAP NO.: SEC. NO.: SUBDIVISION NO.:
BLOCK NO.: LOT OR PARCEL NO.: ~ 2--- --'vz[..~ ~ '--./,
(P6GE 3)
/~~
TAX MAP NO.: ~ SEC. NO.: (~DIVISION NO.:
BLOCK NO.: LO~ OR PARCEL NO.:
TAX MAP NO.:~~ ,SEC. NO.: ~~SION NO.:
B OCK
G)
TAX MAP NO.: _.~~SEC. NO.: SUBDIVISION NO.:
BLOCK NO.:
LOT OR PARCEL NO.: ....... ,~-'~
H) PROPERTY OWNER' S NAME:
MAILING ADDRESS:
TAX MAP NO.:
SUBDIVISION NO.:
SEC. NO.:
BLOCK NO.:
LOT OR PARCEL NO.:
I)
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)
/
THE APPLICANT HEREWITH DEPOSITS THE SUM OF TWENTY DOLLARS
($20.00) ATTACHED TO THIS APPLICATION, TO PAY THE COST OF
ADVERTISING NOTIOE OF THE HEARING OF SAID 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.
(Same na/~e-as used in item l-A,
page 1. )
SUBSCRIBED AND SWORN TO BEFORE ME THIS .'g4 DAY OF .
(PAGE 5)
TO: THE BOARD OF SUPERVISORS OF r~ ~ ~ -, ,,
~H~STERF I~LD COUNTY, VIRGINIA
AND~0R~C~ OTHER BOARD OR BOARDS, COM~v!ISSION OR ~O~I~SIO~S,
E~'~LO~~ OR EKPLOYEE~ OF SAID BOARD OF SUPERVISORS
The undersigned, being adjacent landowners and/or residents in
the ~icinity of the intersection of Old ~undred Road and Otterdale
Road, do by their sign~,ng this instrument wish to and do protest
th~, request to re-z~one from agriculture to R-2 the property owned
bYk~~i ~4~Y_at or near the aforementioned- ~ntersection
located in Nidlothian Distrzct, Chesterfield County, Virginia.
TO~ THE BOARD OF SUPERVISORS OF CHESTI~/~IELD COUNTY, VIROINIA
~WD~OR SUCH 0~ BO~D Oa BO~S, CO~ISSION OR CO~ISSIO~,
~F~E OR ~PLO~S OF SAID BO~D OF SUPR~VISORS
The undersigned, bei~ adJac~ht landownoms and/or reslden~a in
the vicinity of the ~mtemsection of 01d Hundred Road and Ot~erdale
Roa~ do by their si~ this ~atr~t wi~ to ~d do p~o~eat
the re.est to me-zone f~om agriculture to R-2 the p~operty o~ed
~__ _
located in Mtdlothi~ District, Chesterfield Co~ty~ Vl~glnta~