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HomeMy WebLinkAboutSP197100108 Action LetterS P E L U E PE R Mof g ek No.Q -I cis ` Date: Proposed Use: Present Zoning: - Acreage: QJJ Tax Map: ��_,Parcel:la-A General Location: I /We C� r,r,,x t _ HEREBY PETITION THE Albemarle County Board of Supervisors for a Special Permi to locate the above mentioned use on prope.rty owned by (Y-, Address I /We acknowledge the fact that all adjacent property owners, including those across any street are to be notified by registered or certified mail not less than ten (10) days prior to the first public hearing date and evidence of having accomplished this is to be submitted to the Zoning Administrator's office no later than five (5) days prior to the first public hearing date. Applicant or representative must be present at both public hearings. Fee Paid: �J (� 9, Land wner s tci q_nature r, Sign Posted By: pplicant 17s .5i �gnature ress am Planning Commission Public Hearing: 7'• 30 Date Time Action Board of Supervisors Public Hearing ao_'%7 Date Time Action Requirements to be attached to Petition: 1. Site or plat plan-of proposed use. 2. Highway approval for road entrances. 3. Approval of Health Department for septic systems. 4. 'Deed restrictions if applicable. Approved By;. - Zoning Administrator Date: