HomeMy WebLinkAboutSP197000041 Action LetterHARD COPY
FILE A.,,,- D CV
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CO-J.-S'FLICT
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Sv O MOBILE HOME
Datdf ZONING PERMIT
S,O' -�9� Albemarle County, Virginia
Number
Map 13'q it Parcel jJ
Location • 206 o,�
This permit is issued under Article 2- 1 -23A.
"A property owner residing on the ,remises
in a permanent home wishes to place a mobile home on
this property in order to maintain his or her immediate
family or full -time agricultural employee. Immediate
family shall be defined as lineal relatives of the
applicant and his or her brother or sister.
I, , AS OWNER OF THE SUBJECT
PROPERTY SWEAR THAT THE APPLICANT IS A LINEAL RELATIVE OF
MINE. (Mother, Father, Daughter, Son, sister, or brother.)
Signature of Owner
This permit is issued under Article 2- 1 -23B.
"Due to the destruction of a permanent home an
emergency exists. A permit can be issued in this
event not to exceed 12 months. Applicant understands
that this permit is valid for a 12 -month period only
and the mobile home must be removed 12 months from
the date of the issuance of this permit.
Year:
Manufacturer:
Size:
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Signature of-Owner
Signature of Appcah
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Approved
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