Laserfiche WebLink
BOARD O[ 3UPERVISORS <br /> CHESTERFIELD COUNTY, <br /> CHESTERFIELD, VA. <br /> <br />For O£'~e Use Only: <br /> <br />Case 1~)o. i .... '11.~ ..... <br />Zoning ~'3 <br /> <br />APPLICATION FOR <br /> <br />A USE PERMIT <br /> <br /> ¢o MOBILe HOM . <br /> N~,W. AND RENEWAL) <br />,,~~(Following information is to be typed or printed) <br /> <br /> .~, _~,,.~.~ ~,~:~' ( u'M '~b be ow~er & ~c~¢ahtp of th'e Mobile' Ho~e') <br /> ~ ' Tee hone I- <br /> <br /> '.~Mailing address where mobile ho~ will be located ......... <br /> <br /> ............................ <br /> 'Magisterial Dlst.ict ...... ~~~A :~-Tax Map Ne. .........~/ ')~ <br /> <br /> Name ,, Lot or Parcel/~'~ Blk. .Sec. <br /> <br />A ma~ of this property must be attached to this application. <br />This map must be to scale. <br /> <br /> Name of owner of property on which mobile home will be parked ..... <br /> <br />'(If th~'" applicant is not the oWh~r Of the pr'0pert'y"tn~ques~lon' ' ~ '" <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 /> <br /> granted for a maximum of two years only.) <br /> ~ m0nths '~/~ years <br /> <br />Size and type of mobile home to be parked on the above noted <br /> <br /> - LW"6'" Width <br />property. Make--Model Co~or vJ~,-,r~ ,_ ,, ~ <br />Length ..,4~/ No. of Bedrooms ~_~ No. of Bathrooms _,_. I <br /> I <br />Source of water supply .......... ."--'~c~LtO~ .... <br />Method of sewage disposal ~.,~'"F"~, C.... ~'¢",,~ ~ <br /> <br />Information obtainable from the office of the County Assessor. <br />(Room 213) <br /> <br /> <br />