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~ DUN [ Y <br /> .r't E.:~ I"gRFI ELD~, 'VA. <br /> <br /> * FOR OFFICE USE ONLY , <br /> * Board of Supervisors <br /> ~ Case No .... <br /> * Board of Zoning Appeals Fee Receipt <br /> <br /> APPLICATION TO THE CHESTERFIELD COUNTY BOARD OF SUPERVISORS OR <br /> BOARD OF ZONING APPEALS <br /> T~ FOLLOWING INFORMATION SHALL BE TYPED OR PRINTED AND COMPLETED IN FULL <br /> <br />1. EXPLAIN FULLY THE REQUEST DESIRED <br /> A) REZONING: From Agricultural ( ) To R-15 ( ) <br /> Type of use(sy proposed: Residential o~e.f~l~house <br /> <br />A) NAME OF APPLICANT: ~OADM/X~R ¢~PORATIO~ OR ASSIGNS <br />B) MAILING ADDRESS: ~',.Z <br /> <br /> D) NAME OF ~ C TELEHONE NO.': 233-9823 <br /> RESENT OWNER OF PR~cH THIS REQUEST WILL <br /> OCCUR: See Supplemental attached and ~,'. a i?~ . ~ i;:tion <br />E)MAILIN~ ADDRESS: <br /> F) 'TELEphONE NO.: <br />G) NAME OF PERSON TO BE NOTIFIED IF OTHER THAN APPLICANT ~ND/oR <br /> PROPERTY OWNER: <br />H) ADDRESS: <br /> <br /> I TELEPHONE NO.: <br /> <br />IF THE APPLICANT IS NOT THE OWNER OF THE PROPERTY IN QUESTION, <br />EXPLAIN: (A Cop~ of pending contract or option agreement shall <br />b__e attached h~reto and made a part of this application. ) -- <br /> <br /> Photostat of two contracts attach, ad hereto <br /> <br />^) <br />c) <br />F) <br /> <br /> LOCATION OF PROPERTY IN QUESTION <br /> (Following information shall be obtained from the <br /> Office of the County Assessor, Room 213) <br /> <br />Parcel ~1 - 26 <br />MAGISTERIAL DISTRICT Midlothian B) TAX MAP NO. Parcel #2 - 26 <br />SEC, NO,Both #8 D)"' SUBDIVISION NOo -- E)- BLOCK NO. - .... <br />LOT OR P~l-3, ~2-4 G) STREE~ .. ,, _ <br />SOURCE OF TITLE F0~R ALL PROPERTIES INVOLVED DE~D BOOK 'Parcel'~l'' 407 <br />PAGE Parcel #1 - 421 __ . .... <br /> -~arce~ ~2 - 6~u-' Parcel ~2 ~ 1068 <br /> <br /> <br />