91SR0201MOBILE HOME REPORT
The Board of Supervisors of the County of Chesterfield, on Wednesday June 26~
1991, beginning at 5:00 p.m. in the County Board Room at Chesterfield County
Administration Building, Chesterfield, Virginia, will take under'consideration
the granting a Mobile Home Permit on the parcels of land described herein.
It shall be the policy of the Board of Supervisors that approval of a mobile
home permit to park a mobile home on a parcel of land shall be subject to com-
pliance with the following Standard Conditions:
1. The applicant shall be the owner and occupant of the mobile home.
No lot or parcel may be rented or leased for use as a mobile home
site, nor shall any mobile home be used for rental property. Only
one (1) mobile home shall be permitted to be parked on an individual
lot or parcel.
The minimum lot size, yard setbacks, required front yard, and other
zoning requirements of the applicable zoning district shall be
complied with, except that no mobile home shall be located closer
than 20 feet to any existing residence.
No additional permanent-type living space may be added onto a mobile
home. All mobile homes shall be skirted but shall not be placed on
a permanent foundation.
e
Where public (County) water and/or sewer are available, they shall
be used.
Upon being granted a Mobile Home Permit', the applicant shall then
obtain the necessary permits from the Office of the Building Offi-
cial. This shall be done prior to the installation or relocation of
the mobile home.
Any violation of the above conditions shall be grounds for revoca-
tion of the Mobile Home Permit.
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32_..
A copy of this application is on file at the Planning Depamtment, Development
Review Division, Chesterfield County Administration Building, Room 203,
Chesterfield, Virginia, for public examination between the hours of g:30 a.m.
and 3:00 p.m. of each regular business day.
Zoning ~istrator
3 M}{R/PC/JUNE26Z
ZONING DISCLOSURE AFFIDAVIT
I am the applicant for the land use amendment on parcel number
requesting i
2. With the exception of governmental
companies owning recorded easements over
entities and public service
the proper}y (the "Subject
Property") which is the subject of the land use amendment application referred
to in Paragraph 1, the following is a list of the names and addresses of all
persons owning any legal or equitable interest in the Subject Property as a
title owner, lessee, easement owner, contract purchaser, assignee, optionee,
licensee or noteholder, including trustees, beneficiaries of trusts, general
partners, limited partners and all other natural or artificial persons:
Name Address
Type of Ownership Interest
I, ~-J--~),,~.~a- '~Z~uc-~-xI , do hereby swear or affirm that to
!
the best of my knowledge and belief, the following information is true:
3. The following is a list of the names and addresses of all natural or
artificial persons owning an interest in any corporation, partnership, joint
venture, trust or other artificial person disclosed in Paragraph 2 (other than
those listed in Paragraph 6 or Paragraph 7 below) which has a total of ten or
fewer shareholders, partners, beneficiaries or owners:
Name Address
Name of Artificial Person
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4. The following is a list of the names and addresses of all natural or
artificial persons owning 10% or more of any class of stock issued by a
corporation or an interest of 10% or more in any partnership, joint venture,
trust or other artificial person disclosed in Paragraph 2 (other than those
listed in Paragraph 6 or 7 below): ,.*~q
Name Address
Name of Corporation
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5. If any of the persons disclosed in Paragraphs S or 4 above is a
corporation, partnership, joint venture, trust or other artificial person, the
following is a list of all members of the Board of Supervisors of Chesterfield
County, the Chesterfield County Planning Commission or their immediate
households owning_ .a.n_y__ interest in the Subject Property as a title owner,
easement owner, contract purchaser, lessee, assignee, optionee or licensee,
either individually or by ownership of an interest in a corporation, trust,
partnership, joint venture or other artificial person owning any such interest:
Name of Household Name of Supervisor
Member or Commissioner
Description of Ownership
Interest
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6. I hereby certify that the following corporations disclosed in
Paragraph 2 are regularly traded on a stock exchange or in the over the
counter market or have more than 100 shareholders:
7. I hereby certify that after the exercise of due diligence, I have
been unable to learn the identifies of the owners of the following corporations,
partnerships, joint ventures, trusts or other artificial persons disclosed in
Paragraph 2:
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8. If any of the persons disclosed in Paragraphs 3 or 4 above is a
corporation, partnership, joint venture, trust or other artificial person, I
hereby certify that no member of the Board of Supervisors of Chesterfield
County, the Chesterfield County Planning Commission or their immediate
households, other than those Supervisors, Commissioners or household members
named in Paragraph 5 above, owns any interest in the Subject Property as a
title owner, easement owner, contract purchaser, lessee, assignee, optionee or
licensee, either individually or by ownership of an interst in a corporation,
trust, partnership, joint venture or other artificial person owning any such
interest.
9. Prior to every public hearing in connection with the land use
amendment application referred to in Paragraph 1 above, I will file a revised
Zoning Disclosure Affidavit if there has been any change in the information set
forth above.
WITNESS the following signature:
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STATE OF VIRGINIA
COUNTY OF CHESTERFIELD, to-wit:
This day
personally appeared before me,
, a Notary Public in and for the County and
State aforesaid, and swore or affirmed that the matters stated in the foregoing
Zoning Disclosure Affidavit are true to the best of his knowledge and belief.
Given under my hand this ~c~ day of ~?,fi_,~__ , , , 19c~1 .
Public
My Commission Expires:.?'~_
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