HomeMy WebLinkAboutSP197000040 Action LetterMOBILE HOME
Datt ZONING PERMIT Map Parcel
S PL 4 n. Albemarle County, Virginia
Number
Location: 7*04•> CL. 1% U [(%*
This permit is issued under Article 2- 1 -23A.
"A property owner residing on the premises
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.
19 , 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 th? issuance of this permit.
Year:
Manufacturer:
Signature of -Owner
Size: Signature of App 1 icant
Address J
Health D t, Approv
for Sa y Fac" i
ApprovedVnn
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Date n