HomeMy WebLinkAboutSUB201800221 Application Easement Plat 2018-12-03 Page 1
COUNTY OF ALB ARLE
APPLICATION FOR EASEMENT PLAT
Easement plat(s) without a deed = $527
Easement plat(s)with a deed = $817
X Easement plat(s) required with a site planEP i p ZOlo°aoCS'
Easement plat(s) amending a previously approved easement plat(s) =$215
(Provide 5 copies of plat)
Project Name WOOLEN MILLS LIGHT INDUSTRIAL PARK
Tax map and parcels 77-40B
ZoningCO
Physical Street Address(if assigned):
Y
Applicant b2-00 t` JTrJL '-"COTeeW L L C-
Street Address 8° S OLL)iG 41/A;, (AO t C
City Ci-b0kLLQTTT-T 1//L L E State / IQ Zip Code Zi 0 Z
Phone Number
Email / /3o$(3 cow)C fl ST, Are'r
Owner of Record S,nm e( 4s 40y3L)c n>
Street Address
City State Zip Code
Phone Number
Email
Contact (who should we contact about this project):TIM MILLER
Street Address440 PREMIER CIR., SUITE 200
City CHARLOTTESVILLE State VA Zip Code22911
Phone Number434-882-0121
EmailTMILLER@MERIDIANWBE.COM
County of Albemarle
Department of Community Development
401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434) 972-4126
f,
Paget COUNTY OF ALB ARLE
APPLICATION FOR EASEMENT PLAT
Owner/Applicant Must Read and Sign
The plat application process includes providing the County with all the information required in Chapter 14
Subdivision of Land of the Albemarle County Code.
The foregoing information is complete and correct to the best of my knowledge. I have read and understand the
provisions of Chapter 14 Subdivision of Land of the Albemarle County Code.
By signing this application I am consenting to written comments, letters and or notifications regarding this
application being provided to me or my designated contact via fax and or email. This consent does not preclude
such written communication from also being sent via first class mail.
/ /y/e
Signature of Owner, Contract Purchaser Agen Date
T 01 dray ..M/ c ram, y?y -6-1-t,I
Print Name Daytime phone number of Signatory
Fee Received
c, o0
c
RECEIVED Received D,ate
19-4 1
DEC 0 3 2018
COMMUNITY Received By
DEVELOPMENT IkK✓
FOR OFFICE USE ONLY SUB# 20l: - t Fee Amount$ 2-IS- Date Paid 12
By who? Receipt# Ck# By: JP
.l... 0 . 5re... : .