HomeMy WebLinkAboutARB201900135 Ownership Document 2019-11-11cm
CM
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form must accompany zoning applications (Home Occupation, Zoning Clearance, Zoning
Administrator Determinations or Appeals, Sign Permits, Building Permits) if the application is not the
owner.
I certify that notice of the application, Associa _
[County application name and number]
was provided to HOLLYMEAD PROFFESSIONAL CENTER L L C __ the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number (Parcel ID #046B2-01-00-002D0) by delivering a copy of the application in the
manner identified below:
Hand delivering a copy of the application to
[Name of the record owner if the record owner is a
person; if the owner of record is an entity, identify the recipient of the record and the recipient's
title or office for that entity]
on
Date
X Mailing a copy of the application to HOLLYMEAD PROFFESSIONAL CENTER L L C _
[Name of the record owner if the record owner is a person;
if the owner of record is an entity, identify the recipient of the record and the recipient's title or
office for that entity]
on 11/11/2019
Date
to the following address:
P O BOX 8147, Charlottesville, VA 22906
[address; written notice mailed to the owner at the last known address of the owner as shown on
the current real estate tax assessment books or current real estate tax assessment records satisfies
this requirement].
Signature of Applicant
Ed Brown
Print Applicant Name
11/11/2019
Date