72-97C
.
: * * * * * * 111 ;O~ ~F;I~E*U;E*O~L; * * tIr * * * * *
*Boa.rd of Supervisors Case No. ~ '"
*Board of Zcning Appeals Fee Receio No.
*Planning Commission v
*Deferred to Deferred to Deferred
* * * * * * * * * * * * * * * * * * * . * * * * * * *
APPLICATION '1'0 THE CHESTERFIELD COUNTY BOARD OF SUPERVISORS OR .. .~. '..~
BOARD OF ZONI~G APPEALS
THE F 0 L L 0 H I ~ ~~ GIN FOR ;'(11\ T IOn s ~. ~ r.. L L gET Y rED 0 R P R I:.! TED A {"IJ D CO f.1 P LET E D I f-~ F U L L
1.
2 . A)
B)
C)
D)
E)
F)
G)
H)
I)
3.
* * * * * * * * * * *
EXPLAIN' FULLY rrHE RE0.UE~T DE,SIRED ,\
A)REZONING FROI'1 ,I"-f- (~')
NAI;'iE to.
B ) USE PERf JIlT
c
TO rO.fANJ€r-LIiL.
NAJ\1E
(e-X)
NO.
C )VARIA[~CE
ORDINANCE SECTION
NAME OF APPLICANT:
MAILING ADDRESS: · ~ J- i) 2-3y
rr~ELEPI-IONE NO _ :
NAME OF PRESENT OWNER OF REQUEST WILL
OCCUR : ~
I\.1AILING ADDRESS:
TELEPHOl~B~ NO.: c:? 70--tJ/c2~
NAME OF PERSON TO BE NOTIFIED IF OTHER THAN APPLICANT AND/OR
PROPERTY OhTl~ER:
ADDRESS:
TELEPHONE }\]O.:
* * * * * * * * * * *
IF THE APPLICANT IS NOT THE OWNER OF THE PROPERTY IN QUESTION,
EXPLAIN: (COpy of pending contract or option a~reement shall
be attached hereto and made a part of this appl~cation.)
* * * * * * * * * * *
~. LOCATION OF PROPERTY IN QUESTION
(Following information to be obtained from the
Off1 ce of the County Assessor) _ / )
A) I\1AGISTERIAL DISTRICT f)jJL! '. B)'I'AX Tv'fAP NO. 7q-lb L/
C) SECa NO. D)SUBDIVISION NO. E)BLOCK NO.
F) LOT OR PARCEL NO. ~~t~ G)STREET ADDRESS
H) SOURCE OR TITLE FO ALL PROPERTIES INVOLVED DEED BOOKb0d~/~3~/7
PAGE $a,l... ;).I/{ p;p ;t5J, BtJd.!:'l-i.f6LJ-tP ~l. I I
to PL^T OF HilS PROPERT? SHI',LL BE iHTJ\CHEO HERETO A;'H) f1;'\OE A PJ\RT OF THIS
APPlICf\TIOt'J SI10Hli.!G THE LOCr.Trn:! BY REFERENCE TO NEP,REST ROI'.D Il'lTERSECT
ION 1\ i~J 0 T U E D I f~~ ENS ION S f) F SIT E .
* * * * * * * * * * *
1
5. STATE THE REASON.R THIS REQUEST: ~.,~ (1/ jJ~ ~;t-
* * * * * * * * * * *
6.
DETRIMENTAL TO THE
IGHBORHGOD:
* * * * * * * * * * *
7. STATE ANY EXISTING USE PERMIT OR VARIANCE GRANTED PREVIOUSLY ON
THE PARCEL IN QUESTION:
* * * * * * * * * ,* *
8. A) EXISTING LAND USE(S):
B) EXISTING STRUCTURES(S): TYPE:
USE:
C) EXISTING ZONING:
D ) TOT AL A CREAG E OF TliE RE:QUES T : ~7L( IJ. Ci' e.s
* * * * * * * * * * *
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 1HITHIN 100 FEET OF 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 RIGH~S-
OF-WAY OF ANY TWO RAILROADS) GIVE NAMES OF PROPERTY OWNERS AT ALL
CORNERS OF ANY SUCH INTERSECTION. (Followln~ information MUST BE
oot ained by tile app Ii c ant from t he office of t11e County As:se8Sor.)
A) PROPERTY miNER'S NAr1E: Sf y\ 'f/JI'y, S" V~ (. I.
I\3AILING ADDRESS: ~ff.F' ;J;; 1\ )~ '7--") ~' 91 ~ /14rL-tY sl- ~ 17:. G {, () -l -.
TAX MAP NO.; '7 q -/ J q/ -t [7rT)..~' SUBD. NAf'1E:.
LOT or PARCEL: ~~ BLOCK: SECTION:
B) PROPERTY Qlo1N:R'S NAME: CO(.k~fl JC.ft(/~tfl/.r;~ lei
HAILING ADDRESS: CJ Q ':A..~ (~ ~ I () J L. ,
TAX r.IIAP 1\10.: q ~~ --3 rSUBD It NAf4E:
LOT or PARCEL: 9 BLOCK: SECTION:
C) PROPERTY mINER'S NAIv1E: St'JIC (~(: Sd"-~ h '0
MAILING ADDRESS:'% 41...f!,. F. ::1C)/i "cj.y~
TAX MAP NO. : ~o - 1 SUBD. NAME:
LOT or PARCEL: I~' BLOCK: SECTION:
D) PROPERTY OWN~R~S~~.1E: Ud-/~ M"//;~HI I:!-
MAILING ADDR...:.S.,: I ~o. /3vy- S'f &'"l!: ~ c../1?\,.. .~J J U~,
rrAX r1AP NO. If 9 -I ~ SUBD. NA~1E:
LOT or PARCEL: / BLOCK: SECTION:
2
e
E) PROPERTY OWNER'S NAME:
l\lAI LING ADDRESS:
'rAX ~lAP NO.:
LOT or PARCEL:
e,
SUBD. NAl\1E:
BLOCK: SECTION:
F) PROPERTY OWNER'S NAME:
r\1AILII~G ADDRESS:
TAX r'~AP r~o.:
LOT or PARCEL:
G) PROPERTY OWNER'S NAME:
MAILll~G ADDRESS:
T AX i\~AP r~o.:
LOT or P JtRCEL :
11 ) PRO PERTY OWNER' S ~J Af1E :
MAILING JtDDRESS:
lJ.1AX IYlAP NO. :
LOT or PARCEL:
I) PROPERTY OWNER'S NAME:
fJIAILING ADDRESS:
TAX MAP I~O.:
LOT or PARCEL:
J) PROPERTY OWNER i IS . .-~1F~:
IV1AILING ADDRESS:
TAX fv1AP NO. :
LOT or PARCEL:
K) PROPERTY OWNER'S NAME:
~1AILIi~G ADDRESS:
IJ.'AX rllAP NO e :
LOT or PARCEL:
L) PROPERTY OWNER'S NAME:
fJIAI LING ADDRESS:
TAX MAP NO.
LOT or PARCEL:
M) PROPERTY OWNER'S NAME:
fJIAILING ADDRESS:
TAX r~AP NO. :
LOT or PARCEL:
N) PROPERTY OWNER'S NAME:
I\llAILING ADDRESS:
TAX fy1AP r~o. :
LOT 01) P [tRCEL:
SUBD~ NA~1E:
BLOCK: SECTION:
SUBD It NAr.1E:
BLOCK: SECTION:
SUBD. NAfIlE:
BLOCK: SECTION:
SUBD. NAry1E:
BLOCK: SECTION:
SUBD. NAME:
BLOCK: SECTION:
S UBD. L AI/IE :
BLOCK: SECTION:
S'UBD 9 11JAJ\1E:
BLOCK: SECTION:
SUBD. NAr/jE:
BLOCK: SECTION:
SUBD.. NAIvIE:
BLOCK: SECTION:
FOR ADDITIONAL SPACE usg THE BACK OF PAGES 3 & 4
3
e
e
10) THE APPLICANT HEREWITH DEPOSITS~THE FEE REQUIRED. A SCHEDULE IS
AVAILABLE IN THE PLANNING DEPARTMENT, ROOM 307.
11) CHECK OR MONEY ORDER MUST BE MADE PAYABLE TO:
TREASURER, COUNTY OF CHESTERFIELD.
12) I/WE HEREBY DEPOSE AND SAY THAT ALL OF THE ABOVE STATEMENTS AND
THE STATEMENTS CONTAINED IN ANY EXHIBITS TRANSMITTED ARE TRUE.
.tltf"~:r r; ~
197 7-
~~~~~~
SIGNATURE 0 APPLICANT
(S8.me name 8.S us ed In i tern 2-A,
pa,~.e 1)
SIGNArrU' . O~ AGENT
(Name of person other than, but
acting for the applicant~ filling
out all or a oart of this anoli-
cation). . ~
SUBSCRIBED AND SWORN TO BEFORE ME THIS ~~Ya DAY OF
MY COMMISSION EXPIRES ~~ ~
197 ~.
ahO J ~ .
t-rOT ABLY
4