70-11U
'0 *' * * * * <<. * * * if * * *' * * * l- f
'jVtp (' e *For office US~ .
t:...~ ~ 0 f" * - - .
~~~ *CASE NO. 70 -II u *
~? .;? * .
IX *REVIEW BY P. c. *
* *
* ;I * * * * * * * * * * * * * * * *
APPLICATION TO THE BOARD OF SUPERVISORS
The following information is to be typed or printed
1) A) NAME OF APPLICAN~. Zu. O. ~~,f)
B) MAILING ADDRESS: ,/')L.,( 0 \'y~'U(,JA:>-Y- Ra/-
C) TELEPHONE NO. : \')-~ to - ""7.S:t 9
D) NAME OF PRESENT OWNER OF PROPERTY ON WHICH THIS REQUEST WILL
OCCUR:
E) MAILING ADDRESS:
F) TELEPHONE NO.:
'-29/YJ ~
* * * * * * * . * * * .
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 Assessor)
A) MAGISTERIAL DISTRICT '-rY(~~
B" TAX MAP NO. //3 ()
C) SEC. NO. D) SUBDIVISION NO. E)
F) .LOT OR PARCEL NO.~-~ G) STREET ADDRESS
BLOCK NOo___q(/1
~,~
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)
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~) EXPLAIN FULLY THE TYPE OF USE PERMIT REQUESTED:
~QAA~ ;tv A-~ ~/t:l/h-LL~~
* * * * * * * * * * *
5) STATE THE REASON FOR THIS REQUEST:~ --<..a ~
') ~ f.-<-O r ~ ~UAL.a'
* * * * * * * * * * *
6) STATE HOW THIS REQUEST WILL NOT BE MATERIALLY DETRIMENTAL TO
THE ADJACENT PROPERTY OWNERS OR THE SURROUNDING NEIGHBORHOOD:
~/L-e/L/ (~J~ ~
~ ../.,: (!L ~ .LA *~
~
'---v? t<.A ~ ~
* * * * * * * * * * *
7) STATE ANY EXISTING USE PERMIT OR VARI.ANCE GRANTED PREVIOUSLY ON
THE .PARCEL IN QUESTION:
* * * * * * * * * * *
8} A) EXISTING LAND USE: ~~~
B) EXISTING ZONING:
aLl&. (~~<<A1. ~
/
(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. 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: ~.( A./ '=./ KA rr A
MAILING ADDRESS: :2 ^)( ..z/ t? t:J - ,,(' h ..5- - ;Ods?
T AX MAP NO.: /1 ~ SEe. NO.:
SUBDIVISION NO.:
BLOCK NO.:
LOT OR PARCEL NO.=
/y
B) PROPERTY OWNER'S NAtlli: ;I.4-;t:,~ I d.. ~ / /l"{ /v
MAILING ADDRESS: 6&/ ~ ~n. s- ~ -/q,
TAX MAP NO.: ~ SEC. NO. ~ ~ SUBDIVISION NO.:
BLOCK NO.:
LOT OR PARCEL NO. :
s-.J- ~.
-;-J
C ) PROPERTY OWNER 1 S NAME: -# /u. / A-y /1 ;eJ
MAILING ADDRESS: 7-;L'/? Y#~i6.R(/ /0/.
/
TAX filA? NO.: 17 t3. SEe. NO.: ~ SUBDIVISION NO. :
BLOCK NO.: LOT OR PARCEL NO.: r5""-sL
D) PROPERTY OWNER'S NAME: ((:d..4~d V ~L6
MAILING ADDRESS: ~--4rVc4,.z:;- ~ c/ /rt - Pc-I.?'
TAX MAP NO.: /7~ SEC. 1'10. :_--- SUBDIVISION NO.:
BLOCK NO.:
LOT OR PARCEL NO. :
~-I
(PAGE 3)
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E) PROPERTY OWNER'S NAME:
MAILING ADDRESS:
TAX MAP NO. : SEC. NO. : SUBDIVISION NO. :
BLOCK NO. : LOT OR PARCEL NO.:
F) PROPERTY OWNERtS NAME:
MAILING ADDRESS:
TAX MAP NO. : SEC. I~ O. : SUBDIVISION NO.:
--
BLOCK NO.: LOT OR PARCEL NO.:
G) PROPERTY O\vNER' 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. : SlJBDIVISION NO. :
BLOCK NO.: LOT OR PARCEL NO.:
(PAGE ~)
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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~IG 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.
19_
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SUBSCRIBED AND S\'lORN TO BEFORE ME THIS 26t1-.DAY OF ;j-J. 1971.'l ·
MY COMMISSION EXPIRES m~ .3 19 70. ~1t4.:c 2/. ~Jt..:v
NOTARY
Jw~~.~
Of,7 Uk IJl. -z/ <<-U'8t--...
(PAGE 5)