HomeMy WebLinkAboutLZC201900010 Application 2019-05-10FOR OFFICE USE ONLY
Fee Amount $ a Date Paid
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Application for
Letter of Zoning Compliance ..yiirnnr.
Z Letter of Zoning Compliance = $199
LZC# d,2 6620e,'2 l G
Date of Application: 5/9/17
Tax map and parcel: Parcel ID: 07800-00-00-055A1
Zoning: Planned Residential development
Acreage: Total
(Each Parcel)
Physical Street Address (if assigned): 1550 Pantops Mountain Place
Location of property (landmarks, intersections, or other):
Commonwealth Senior Living at Charlottesville
Contact Person (Who should we call/write concerning this project?): Alex Kinser
Address 510 E Memorial Rd STE A-1
Cit Oklahoma City
Y State OK
Zip 73114
Daytime Phone 214-949-3869 Fax #
E-mail akinser@emgcorp.com
Owner of Record
Address
City State
Zip
Daytime Phone (_) Fax #
E-mail
Applicant (Who is the Contact person representing?): Dennis Dechow
Address 14390 Clay Terrace Boulevard Suite 205
City Carmel State IN
Zip 46032
Daytime Phone Fax #
E-mail
Submittal Requirements
1) Approved/Recorded plat/plan. (If Applicable)
2) Sample letter stating information lending institution or other party needs.
3) DMV Form for automobile dealers
Digitally signed by Alex Kinser
Alex Kinser DN: cn=Alex Kinser, o=EMG Corp, ou,
email=akinser@emgcorp.com, c=US
Date: 2019.05.09 12:53:07-05'00'
Signature of Applicant
5/9/17
Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
Revised 11/1/2015 Page 1 of 1