HomeMy WebLinkAboutSUB200900060 Application 2009-04-14 Application for Review of
Boundary Line Adjustment & Easement Plats '
I I
❑ Boundary Line Adjustment=$95 I N Easement= $95
(3 folded copies of plat) (3 folded copies of plat)
❑ Groundwater Assessment
(Required if a less than 21 acre lot is created from a 21 acre or greater lot)
$250 + $25 per new lot of less than 21 acre=
Project Name: �7orcan pvnen-I Corp'
Tax map and parcel: S-CE- ' - A I Magisterial District: w41-k TTA�I Zoning:_ I
Physical Street Address(if assigned):Location of property(landmarks,intersections,or other): S-zi-2 6;,t_ L s�-q 0 a h �1 br1 f —
Contact Person(Who should weeRcall/write concerning this project?): TD✓t Vv1 • RG` (ASPIC•• I `�'h ilr&�A��(,(nnl VCth
Address 11 t - I b I Q e1 S 1 IMP e- 1 (� r 6 I A J k \ / 03
Q��� T City l.�Q � State �jV�- � �jZtp �Z
Daytime Phone( ) g3-3q 5' Fax#( ) 7q'3-q 2 v2 E-mail an i-kra y z Q ear- kl ie.on
Owner of Record 11 a t1"I Inbu I J h Pryt r4ies LLG
Address KO L C: S 1' City C1k V1 lit- State VA Zip 7)'4 2
Daytime Phone( ) Fax#( ) E-mail Applicant(Who is the Contact person representing?): 3-t)roc&t-, sbiaV'Q, o r1.Qv1� Cb rip. tip b N V C,4 Moi r
Address U ?DOA 7 City Cr1))Z�{" State V A Zip ?-a61►3?-
Daytime Phone( ) O 2J- 22-67- Fax#( ) E-mail
Owner/Applicant Must Read and Sign
The plat application process includes providing all the information required in Chapter 14 Subdivision of Land of
the Albemarle County Code.
The foregoing information is complete and correct to the best of my knowledge. I have read and understand the
provisions of Chapter 14 Subdivision of Land of the Albemarle County Code.
(24-&K.),01414-L'a------ Al°
Signature Iof O r, C__`_ Purchaser, Agent Date
k
l Uhn�Vun 2`1 31c15
Print Name I Daytime phone number of Signatory
FOR OFFICE USE ONLY SUB# /3
Fee Amount$'5•0 o Date Paid 4'14.0 9 By who? Cro ter r Receipt# /TL.).' Ck# /C.)q.5i By:
Me4c o to
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
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