72-112C
: it * if * Of * .* ;0; ~F;I~E * U;E *O~L; * * e* * ~ * ,* r~ :J- * *:
*Boa.rd of Supervisors Case No. 7 - I A. *
*Board of Zoning Appeals Fee Receipt No. (');J,3'"'7.]Y' *
*Planning Commission *
*Deferred to Deferred to Deferred to *
* * * * * * * * * * * * * * * * * * * * * * * * * * * * ~ * * *
APPLICATION TO THE CHESTERFIELD COUNTY BOARD OF SUPERVISORS OR
BOARD OF ZONING APPEALS
THE F 0 L L 01..1 I ;,~ IS I N FOR r'll f;l T I 0 f.; S H A, L l '3 E T Y f' E D 0 R r RId TED fd';] D C 0 f~1 P LET E 0 I 1\] F U L L
1.
2 . A)
B)
C)
D)
E)
F)
G)
H)
I)
3.
* * * * * * * * * * *
EXPLAIN FULLY THE REQUEST DESIRED
A)REZONING FROM /!,/t/,:!'t7A-!-VlC.r1A ( )
NAME NO~
B) USE PERr4IT
TO amP7e~/)rL
rJ Al\1 E
(C~1,)
NO.
C )VARIAf~CE
ORDINANCE SECTION
* * * * * * * * * * *
NAr,m OF APPLICANT: :;:;;;-;???/N .JJ. ~ d~~ z.,v, ~vtA..f#fJ1-'-
r"~~ILING ADDRESS: ~ 0 .t!4I>~ ~/ s-: ~ d~ Vs u..-
'I ELEPII0NE NO.: ~c. Jot. ~?- "7 C _
NA~1E OF PR. El'IT O\~r~ER OF PROPERTY 01~ \iHICH THIS REQ.UEST WILL
OCCUR : #~d-S #. ~ a~.L>
~'1AILING ADDRESS: ~A?7 e- ~
TELEPHONE NO. : ~;<6 - I k '2-0 --
NAME OF PERSON TO BE NOTIFIED IF OTHER THAN APPLICANT AND/OR
PROPERTY 01vl~ER;
ADDRESS:
TELEPHONE l'JO.:
* * * * * * * * * * *
IF THE APPLICANT IS NOT THE OWNER OF THE PROPERTY IN QUESTION,
EXPLAIN: (Copy of pendin~ contract or option agreement shall
be attached hereto and made a part of this application.)
* * * * * * * * * * *
4. LOCATION OF PROPERTY IN QUESTION
(Following information to be obtained from the
Office of the County Assessor)
A) r\1AGISTERIAL DISTRICT 13PYklt/d4 B)TAX MAP NO. 1.t'/9-1/( j)
C) SEe a NO, '- D) SUBDIVISION lJO. _ E )BLOCK NO. ___
F) LOT OR PARCEL NO. ~ G)STREET ADDRESS~ ~ /3~X'IS?~ U~
H) SOURCE OF TITLE FOR ALL PROPERTIES INVOLVED DEED BOOK ~/~ ~~
PAGE /j /:1 --- 3'R~
1"\ PL^T OF THIS PROPERTY St!/'.LL BE .i\TTJ\CHED HERETO f,NO r'11f,OE A. rf,RT OF THIS
APPLICJ\TIOi\J SHO~'Jlt!G THE LOCrlTIO~'l BY REFERENCE TO NEt1REST RO/\D I~.~TERSECT
ION f\ NOT If E DIn ENS I 0 r)J 5 () F SIT E .
* * * * * * * * * * *
1
S. STATE THE REASONeR THIS REQUEST: ?/??s~A. ~;/~//~ /s .2.a I D v'c,,<-_
(lP/?7~~~ /;r-e
* * * * * * * * * * *
6. STATE HOW THIS REQUEST WILL NOT BE MATERIALLY DETRIMENTAL TO THE
~ACENT PROPERTY OWNERS OR THE SURRO?NDING NEIGHBORHOOD:
7>~ ~ ~d'___~...1' ~ k ~
f/QJ.LJO~ ...k ~~ vP~-" t2.;; 6-~~ :,..
* * * * * * * * * * *
7~ STATE ANY EXISTING USE PERMIT OR VARIANCE GRANTED PREVIOUSLY ON
THE PARCEL IN QUESTION:
8.
A)
B)
C)
D)
* * * * * * * * * * *
EXISTING LAND USEe S): ~~ VIoL- ~-t';~ A
EXISTING STRUCTURES (S ) : of ~ TYPE: ~ ..,.. 6?~~- "'-
USE: ~ 'IT ~2.._ ~~ r .r
EXISTING ZONING: A-
TOTAL ACREAGE OF THE REQUEST: . ~~~__~ -'.2... a~-;!!d _
* * * * * * * * * * *
9. GIVE Nfu~ES 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 OF THE INTERSECTION OF ANY TWO OR
i\10RE ROADS OR 1110111v AYS, AT OR \^IITHIN O~IE HUNDRED FEET OF TIlE
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. (Followin~ information MUST BE
obtained by tIle applica11t from the office of the County Assessor.)
A) PROPERTY OWNER'S NArm: ;;MC!~ i" ;..0; _T,
~1AILING ADDRESS: ;(J~ -; /3;;- (..J-7.J' O"/tUJ/' A I L~ ~
TAX MAP NO.: /~9-7 (I) SUBD. NAf1E: _
L8l:( or.. PARCEL: (~ BLOCK: ---.. SECTION:
B) PROPERTY Ot4NER'S NAME: ~ie.sfe1Je I) (!Oi//I7fy (i3,,~ Af.-.rL.#Jl
MAILING AD.DRE~SS: r v ---7
TAX MAP NO.: / /;/?- / / (I) SUBD. NAfVIE: -
LOT or PARCEL: 5,..,.. c:L BLO CK : _ SECT ION: ___
C) PROPERTY molNER'S NAI"1E: A1.~o s~ #A~ ~
fvlAILING ADDRESS:;f?~ Ae; /.6 -m_l" . ! III L(rl ~
TAX HAP NO.: /~:?- 7. / t) SUDD. NAriE: /?~ ~<<) . iZ-~f3Y-
~OT OJ>- PARCEL: ,5-_ it. BLOCK: ;--- SECTION: _ - /heJk/
D) PROPERTY O\<JNER'S N~r1E: ~i'/()IJ ' '1f,~f1IP. ~
MAILING ADDRESS: tIlP:x----- -6'% ~~_ ~ VA ~ 3f3)L
'fAX f1AP NO. L~ 7- 1/ (I) SUED. NAME:
LOT --or PARCEL: / BLOCK: ___ SECTION: ---.
2
e e
PROPERTY OWNER'S NAME:~~ I~~~
j\1AILING ADDRESS: -f~/1 ~J ~
TAX !\lAP NO.: /19-7 SUBD. 'NAME: (I)
LOT or PARCEL: ~ BLOCK: SECTION:
F) PROPERTY OWNER'S NAME:
r\1AILIl~G ADDRESS:
TAX r'IAP r~o. :
LOT or PARCEL:
G) PROPERTY OWNER'S NPME:
MAILING ADDRESS:
TAX ~1AP NO.:
LOT or P P..RCEL :
II) PROPERTY OWNER'S 1'IAf1E:
1\~AILING P_DDRESS:
TAX f\-lAP NO. :
LOT or PARCEL:
I) PROPERTY OWNER'S NAME:
r\1AILING ADDRESS:
T AX MAP 1\)"0. :
LOT or PARCEL:
J ) PROPERTY OlrJNER is' -~1f~ :
lt1AILll\jG ADDRESS:
T AX MAP NO. :
LOT or PARCEL:
K) PROPERTY OWNER' S NAlJ1.r~:
MAILlr~G ADDRESS:
TAX r~1AP NO 0 :
LOT or PARCEL:
L) PROPERTY OWNER'S NAME:
~lAILING ADDRESS:
TAX MAP NO.
LOT or PARCEL:
M) PROPERTY OWNER'S NAME:
r-1AILING ADDRESS:
TAX .NIAP NO. :
LOT or PARCEL:
N) PROPERTY OWNER'S NAME:
IVIAILING ADDRESS:
TAX r~~AP I~O I :
LOT Ol~ PARCEL:
E)
SUBD. NA~1E:
BLOCK: SECTION:
SUBD It NJUVIE:
BLOCK: SECTION:
SUED. NAr1E:
BLOCK: SECTION:
SUBD. NAT\~E:
BLOCK: SECTION:
SUBD. NAME:
BLOCK: SECTION:
S UBD . I.i AI'JIE :
BLOCK: SECTION:
S'UBD. Nl\r\~E:
BLOCK: SECTION:
SUBD. NAf!J:E:
BLOCK: SECTION:
SUBD. NAI\~E:
BLOCK: SECTION:
FOR ADDITIONAL SPACE US~ 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) r/WE HEREBY DEPOSE AND SAY THAT ALL OF THE ABOVE STATE~1ENTS. AND
THE STATEMENTS CONTAINED IN ANY EXHIBITS TRANSMITTED ARE TRUE~
~/7
197V
SIGNATURE OF AGENT
(Name of person other than, but
acting for the applicant, filling
out all or a part of this aooli-
cation). . l.
I7tO?Z~tf? ~~
SIGNATURE OF APPLICANT
(Same name 8.S us ed in i tern 2-A,
pa.p.~e 1)
SUBSCRIBED AND SWORN TO
THI S / 9
I~
DAY OF
/?7& 19
~.1;4J 197:L/
MY COMMISSION EXPIRES
~?~ 'A/;cjd-
~JOTARY
4