70-10U
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':Forof~ice ."i.i~e~ :
*CASE NO. 70-~/() u I:
* *
*REVIEW BY P. C. *
* *
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d'"0' ~ . -v.w A.PPLICATION TO THE BOARD OF SUPERVISORS
6't1L~~~
The followln~ information is to be typed or printed
J
1) A) NAME OF APPLICANT: Po~.4 /J/.. L€o'nbrE.;e(.r;:::if
B) MAILING ADDRESS: i;l.jO( OI/$'ft6-R~ ,('h-.fs:t€-~,VA.
1~3'-;l77?
C)
TELEPHONE NO.:
D)
NAME OF PRESENT OWNER OF PROPERTY ON WHICH THIS REQUEST WILL
OCCUR: ,c: F +- D./TJ, J...e/m.~e~6r€~ -.
MAILING ADDRESS: 1;2 <{c:'t. ~ lei S-4G-e~{?/~,e~ 1/;;.,
'"
7'TR-d. 7 7f
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--------.:
E)
F)
TELEPHONE NO.:
,
..
* * * * * * * * I * *
2) IF THE APPLICANT IS NOT THE OWNER OF THE PROPERTY IN QUESTION,
EXPLAIN: (Copy of pending contract or option agreement shall
be attached hereto and made a part of this application.)
* *.* * * * * * * * *
3) LOCATION OF PROPERTY IN QUESTION
(Following information to be obtained from the
Office of the County Asse~sor)
A) MAGISTERIAL DISTRICT 0~/?X.LLda-- B) TAX MAP No.//~-4
",,},.' C} SEC. NO. D) SUBDIVISION NO. E) BLOCK NO.
F) LOT OR PARCEL NO. ..d' _ G) STREET ADDRESS /~-%d/ ~VJ;L~
A PLAT OF THIS PROPERTY SHALL BE ATTACHED HERETO AND MADE A P~~ ~
OF THIS APPLICATION SHOWING 'THE FOLLOWING:
LOCATION BY REFERENCE TO NEAREST ROAD INTERSECTION
DIMENSIONS OF SITE
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(PAGE 1)
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4)
EXPLAIN FULLY THE TYPE OF USE PERMIT REQUESTED:
P;;.i?flJ/'-f S~ SBAJ C4.tJL t.V~Rk ()AJ
..s- /J1 ;l9L L-
CA~ R~P#/A!.S
{) A) L. /i'AJLJ
..
/AJ
,
€>< J 5T/Attd
~LL/.?'R?E'
,Lc; c '9 If! LJ
* * * * * * * * * * *
5) STATE THE REASON FOR THIS REQUEST:
~
-r;; ".IJ 1-/;[/;' t;XT.R4
#oL1iJy,
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JA/CO;7)t
~A1D Co 1IJf;,4/'-l/~~
* * * * * * * * * * *
6) STATE HOW THIS REQUEST WILL NOT BE MATERIAL~Y DETRIMENTAL TO
THE ADJACENT PROPERTY OWNERS OR THE SURROUNDING NEIGHBORHOOD:
7AE EX /s7/A/:r: r-h~c-I-~'R~ AN) su.ere"t.{(V..DIN~$.
W t. '(/ I!E:PJA;.IV As rllev A-~;:r /f"ouJ. .:J:s-l
/
:"5tu'n~(),J(;L w/// /J~ /'p -liE jUllcl/~fr t'<f(~re-~c1
t>;:::' /1- b~(:.vlr Emn~.
,
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7) - STATE ANY EXISTING USE PERMIT OR VARIANCE GRANTED PREVIOUSLY ON
THE PARCEL IN QUESTION:
* * * * * * * * * * *
8) A) EXISTING LAND USE:
,4/!J V +AIW~.
/
..
L~tfJ'- . ~.:Jr bE/AI? u5Fa A/L
B) EXISTING ZONING:
~;'-LA'-~~d4? L/
(PAGE. 2)
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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 0 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.
A)
PROPERTY OWNER'S NAME~ ~~' ~~ .
MAILING ADDRESS: 9.d. · -6'/ ~ _' - - ~ ~-
T AX MAP No.:L / t-./I- SEe. NO.: SUBDIVISION NO.:
I
BLOCK NO. : LOT OR PARCEL NO.: '3
B) PROPERTY OWNER'S NAME: A
I
MAILING ADDRESS: ~
T AX MAP NO.: l.1.!.r::.;ftEC. NO. : SUBDIVISION NO.:
BLOCK NO.: LOT OR PARCEL NO. : "2
"---"
c) PROPERTY OvlNER I S NAME:
MAILING ADDRESS:
TAX r4AP SUBDIVISION NO. :
BLOCK NO. : LOT OR PARCEL NO..:
D) PROPERTY OWNER'S NAME:
cV?-
MAILING ADDRESS: ~J
T AX MAP NO ~ I It../ 1/ SEe. NO.: __ SUBDIVISION NO.:
BLOCK NO.: LOT OR PARCEL NO.: '3
(PAGE 3)
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E) PROPERTY OWNER'S tJAME : -q}?-
MAILING ADDRESS: --~
TAX MAP NO. : SUBDIVISION NO.:
BLOCK NO. : LOT OR PARCEL NO. : ;3
F) PROPERTY OWNER'S NAME:
6/~ --
MAILING ADDRESS:
TAX fv1AP NO. J Ib "-;1 SEC. r~ O. : SUBDIVISION NO.:
BLOCK NO.: LOT OR PARCEL NO.: -.3
G) PROPERTY O\\TNER I S NAME:
MAILING ADDRESS:
TAX MAP NO. : SEC. NO. : SUBDIVISION NO. :
BLOCK NO. : LOT OR PARCEL NO.:
H) PROPERTY OWNER'S NAME:
MAILING ADDRESS:
TAX MAP NO. : SEC. NO. : SUBDIVISION NO. :
BLOCK NO. : LOT OR PARCEL NO.:
I) PROPERTY OWNER'S NAME:
MAILING ADDRESS:
TAX MAP NO. : SEC. NO. : SUBDIVISION NO.:
BLOCK NO.: LOT OR PARCEL NO.:
J) PROPERTY OWNER'S NAME:
MAILING ADDRESS:
TAX MAP NO. : SEC. NO. : SUBDIVISION NO. =
BLOCK NO. : LOT OR P A.RCEL NO. :
(PAGE 4)
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10) THE APPLICANT HEREWITH DEPOSITS THE" SUM OF TWENTY DOLLARS
($20.00) ATTACHED TO THIS APPLICATION, TO PAY THE COST OF
ADVERTISING NOTICE OF THE HEARI~lG OF SA.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.
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1970
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~0'2,('( 0'11, ~U/')~-J:LL'd~0 ,-
SIGNATURE OF A PLICANT v
(Same name as used in item I-A,
page 1.)
~j.. ,
SUBSCRIBED AND S\'/ORN TO BEFORE ME THIS I f""~l)AY OF · 4.
MY COMMISSION EXPIR~ak?7 17 1920.
(PAGE 5)