HomeMy WebLinkAboutVA197100005 Application 1971-06-17 il -1i �5
App ca b V for Vi. rk ce
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)c agisterial 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
•
•
•
• I/we hereby depose and say that all of the above statements and the statements contained
in any exhibits transmitted are true.
19_
Applicant
Mailing address'c
•
Telephone Number i b ...s ,"
Subscribed and sworn to before me this_day of 19
My commission expires 19
Notary
•
APPLICANT'S LIST OF
ADJACENT OR ABUTTING PROPERTY OWNERS
The Planning Department will list all Map and Parcel Numbers of
Adjacent or Abutting Property Owners.
Applicant is to then take this form to the Real Estate Office
where personnel in that office will aid applicant in listing property
owners and addresses of all Map and Parcel Numbers given below.
Real Estate Office is to return blue copy to Planning Department.
Map Parcel Name Address
f ycc igeow ,, ,«' ✓E 5r/e. - ,3r /, 4P a 2 920
{E3 144/re; 1-47"TX/4}✓f/7iLv/mp -47.4 s-5/1) 2292a
fj ,e 40(wie e EIivv y — 47 4frei✓ 2 2 99 Z 0
/04 9 Li-; /1t7 417 Z?*1
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Zd � Ent? - 4 .4/, . 'f ,a .2 9 24
* Note - This form is for REZONING, SPECIAL PERMITS, VARIANCES,
CONDITIONAL USE PERMITS
Application Number VA
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