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.4. <br /> <br />BOARD OF ..,JPERVISORS <br /> CHESTE,<FIEL. COUNTY <br /> CHESTERFIELD- VA. <br /> <br />~or Of~'~Ce Use Only: <br /> <br /> No. <br /> <br />Zoning <br /> <br /> E ~" <br /> <br /> (~ollowin8 information i6% e or <br /> <br />(~us'~ b'~- OCher"&" bcEupaht of' the MOb-i"lE Mo~e) <br />Address of &pplic~ ~,, _~,,, ~, ~'~ ~ Telephone~ <br /> Mailing address where mobile ho~ will be located ........ <br /> <br />.Magisterial Distric~/~/~- Tax Map <br /> S~d. Name ,__ , , ,, Lot or P~cel : Blk. ,,. ,,Sec. <br /> <br />A map of this property must be attached to this application, <br />This map must be to scale. <br /> <br /> Name of~/os~o~ner of prope~ty~.//~~/~,~/fen which mobile home will be parked ," <br />-'('If th& Epplican~ i's fief ~de 'o~r 6f the pro, ertl' in-'q~s~i0n, ' <br /> explain. ) ,,, , <br /> <br />5. If mobile home will remain unoccupied, explain <br /> <br />6. Time requested for mobile home to remain at site (use permit <br /> granted for a maximum of two years only. ) m'~h~'hs ..L~ _. years <br /> <br />Size and type of mobile home to be parked on the above noted <br />property. Make~.~ f,p~g ! Model Fq, <br /> <br />Length _:.¢~ .... No. of Bedrooms <br />Source of water supply ~// <br />Method of sewage disposal %6D~..d <br /> <br />No. of Bathrooms <br /> <br />Information obtainable from the office of the County Assessor. <br />( Room 2lB ) <br /> <br /> <br />