HomeMy WebLinkAboutVA197100025 Application 1971-12-15 (2) . A -71 -a
Appkci fur Vco
TO: THE BOARD OF ZONING APPEALS OF ALBEMARLE COUNTY, VIRGINIA
The undersigned applicant___(is) (are) the osvner__of the following described property:
A PLAT OF TniiS 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.
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In Lt4/1)-01fi C SUIL_LL Magisterial District (01 „.
The petitioner____regL!est__that the said Board cloth grant:
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The appiicant___makeV_this request because:
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revieX Or C'ot{fis . - _
404
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 thry 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 I-Cehways, 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 ail of the above statements and tie statements contained
in any exhibits transmitted are true.-
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i Applicant l
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Mailing address (,t()Mt-
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Telephone Number• egyi
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Sub5:ribod and sworn to before me this_day of 19_
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My commission expires •39
Notary___