HomeMy WebLinkAboutVA197100006 Application 1971-06-02 ..a
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AppAptAccitien for Variance
TO: THE BOARD OF ZONING APPEALS OF ALBEMARLE COUNTY,VIRGINIA
The undersigned applicant—(is) (are) the owner__of the following described property:
A PLAT OF THIS PROPERTY MUST BE ATTACHED HERETO AND MADE A
PART OF THIS APPLICATION.
GIVE LOCATION BY REFERENCE TO NEAREST ROAD INTERSECTION.
DIMENSIONS OF SITE MUST BE GIVEN.
In /1 fail/UAV/9 Magisterial District
The petitioner_request—that the said Board doth grant:
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The applicant—make__this request because:
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The person_-_and (his) (her) (their) address__._owning and/or occupying adjacent pro-
perty to the property sought to be affected (are) (is): (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 within 100 feet
• of the intersection of any two or more roads or highways, at or within one hundred feet of
the intersection of the rights-of-way of any two railroads, give names of property owners at
all corners of any such intersection).
Name Lot or tract Mailing Address
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I/we hereby depose and say that all of the above statements and the statements contained
in any exhibits transmitted are true.
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Applicant `r-max a ,
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Telephone Number f �� �'
Subscribed and sw before me this_day of 19 ,
My commission expires 9
"»�,,� Notary
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