72-46c1)
a)
3)
A)
B)
c)
D)
E)
F)
IF 5
EXPI
be
(~
MAG/
SUB£
STR~
A PI
OF 5
*~or office use only *
*CASE NO. _ *
*REVIEW BY P.C. *
APPLICATION FOR AMENDMENT TO THE
CHESTERFIELD COUNTY ZONING ORDINANCE
The followin~ ,information %~. to be typ~ pr P~inted
NAME OF APPLICANT._~,~,~/
MAILING ADDRESS:
TELEPHONE NO.: y_~
NAME OF PRESENT OWNER OF PROPERTY ON WHICH THIS REQUEST WILL
MAILING ADDRESS: ... ~? ~ ~f- /y~,~/~;~,~,~
TELEPHONE NO.: ~ ~_~- - ~ ~ ~//
HE APPLICANT IS NOT THE OWNER OF THE PROPERTY IN QUESTION,
AIN: (Copy of pending contract or option agreement shall
ttached hereto and made a part of this application.)
/ /
LOCATION OF PROPERTY IN QUESTION
ollowing information to be obtained by the applicant
from the Office of the County Assessor)
STERIAL DISTRICT.,~/~/& . TAX ~[AP NO. ~a--d--(C~
NAME,~//~ ./-/¢~,~i~ LOT or PARCEL ~ BLK... SEC.
~T OF THIS PROPERTY SHALL BE ATTACHED HERETO AND ~ADE A PART
~IS APPLICATION SHOWING THE FOLLOWING:
LOCATION BY REFERENCE TO NEAREST ROAD INTERSECTION
DIMENSIONS OF SITE
(PAGE 1)
4)
5)
6)
7)
8)
9)
THE
REC
PRO
STA9
AD J;
STAT
THE
EXIS
TOTAl
PETITIONER REQUESTS THAT THE ZONING ORDINANCE BE AMENDED TO
,ASSIFY THIS PROPERTY FROM
NO./NAME NO./NAME
OSED TYPE OF LAND USE: ~r~/~ .y-Tcy~ ~oM~Y~¢,~z
E HOW THIS REQUEST WILL NOT BE MATERIALLY DETRIMENTAL TO THE
CENT PROPERTY OWNERS OR THE SURROUNDING NEIGHBORHOOD:
ANY EXISTING USE PERi'IT OR VARIANCE GRANTED PREVIOUSLY ON
?ARCEL IN QUESTION:
~ING LAND
(PAGE 2)
F;
SI
MC
OF
CC
ob
A)
B)
C)
D)
VE NAMES OF ALL OWNERS ADJACENT, ACROSS THE ROAD OR HIGHWAY AND
CING THE PROPERTY AND ANY OWNERS ACROSS ANY RAILROAD RIGHT-OF-
Y FROM SUCH PROPERTY. IN THE EVENT THE PROPERTY AFFECTED IS
rUATED AT OR WITHIN 100 FEET OF THE INTERSECTION OF ANY TWO OR
RE ROADS OR HIGHWAYS, AT OR WITHIN ONE HUNDRED FEET OF THE
PERSECTION OF ANY ROAD OR HIGHWAY WITH A RAILROAD RIGHT-OF-WAY
AT OR WITHIN ONE HUNDRED FEET OF THE INTERSECTION OF THE RIGHTS-
-WAY OF ANY TWO RAILROADS, GIVE NAMES OF PROPERTY OWNERS AT ALL
RNERS OF ANY SUCH INTERSECTION. (Following information must be
~ained by the applicant from the office of the County Assessor.)
PROPERTY OWNER'S NAME
MAILING ADDRESS:
TAX MAP NO. ~__ :fJ'l
LOT or PARCEL ~__ ~
SUBD. NAME
BLOCK .....Z~ SECTION
PROPERTY OWNER'S NAME:
MAILING
LOT or PARCEL
BLOCK SECTION
PROPERTY OWNER' S NA,~E: _//~;'~ ,~,~,~. ~ ~.
TAX MAP NO. ~Z ,-J---~.,2 SUBD. NAME
LOT or PARCEL
BLOCK SECTION
PROPERTY OWNER'S N~ME: ~-~// ~/ a.~,d,
MAILING ADDRESS: ~,_~, ~,~.
TAX MAP NO. ~_.~-~7
LOT or PARCEL .... ~--.~
SUBD. NAME
BLOCK SECTION
(P^ E 3)
E)
F)
a)
H)
I)
J)
PROPERTY OWNER' S NAME .: ./~.~- .~, /~'Z' ~¢g~'/,j.~,.
TAX MAP NO.~Z_j.: ~// SUBD. NAME
LOT or PARCEL ~-.Z.
BLOCK SECTION
PROPERTY OWNER'S NAME:
~ILING ADDRESS:
~AX MAP NO.
LOT or PARCEL
SUBD. NAME
BLOCK
SECTION
PROPERTY OWNER'S NDME:
4~ILING ADDRESS:
VAX MAP NO.
iOT or PARCEL
SUBD. NAME
BLOCK
SECTION
~ROPERTY OWNER'S N~ME:
JAILING ADDRESS:
~X MAP NO.
,OT or PARCEL
SUBD. NAME
BLOCK
SECTION
'ROPERTY OWNER'S N~.ME:
[AILING ADDRESS:
~AX MAP NO.
OT or PARCEL
SUBD. NAME
BLOCK
SECTION
ROPERTY OWNER'S N~ME:
AILING ADDRESS:
AX MAP NO.
10T or PARCEL
SUBD. NAME
BLOCK
SECTION
(PAGE 4)
10 )
OF
FE
11)
SUBSCR]
MY COM~
APPLICANT HEREWITH DEPOSITS THE FEE REQUIRED BY THE BOARD
SUPERVISORS TO PAY THE COST OF THE NOTICE ADVERTISING THE
~RING OF SAID BOARD TO ACT ON THIS REQUEST. A LIST OF THE
~(S) IS AVAILABLE IN THE PLANNING DEPARTMENT, ROOM 307.
CH ~CK OR MO~EY ORDER MUST BE WADE W.~.YABLE
TR..E~SURER~ COUNTY OF CHESTERFIELD.
I/~E HEREBY DEPOSE AND SAY THefT ALL OF THE ABOVE STATEMENTS AND
TB ~ STATEMENTS CONTAINED IN ANY EXHIBITS TRANSMITTED ARE TRUE.
~_ ~ -- i9~
'' SiGNA'TURE OF ~C~iNT
(Same name as used
B~D AND SWO~ TO ~0~ ~ ~HIS~ D~Y O~ ~~ ~.
IssION ~XP~ES L~~ al
Ave.