HomeMy WebLinkAboutVA196900012 Application 1969-11-13 a 1 —
Application for Variance " ;, A
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 l2-1, 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
I/we hereby depose and say that all of the above statements and the statements contained
in any exhibits transmitted are true.
19
Applicant, 11 (
Mailing address iif,t 7 ecy I
Telephone Number 2 2 3-
Subscribed and sworn to before me this_day of 19
My commission expires 19
Notary