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LZC201900038 Application 2019-12-19
FOR OFFICE USE ONLY n i Fee Amount S.9f Date Paicj� By who? �i f`w�f�t /✓t �!y . J�'Lceipt #���oZ�lj ckg IT2 Z B) .� Application for " Letter of Zoning Compliance [Letter of Zoning Compliance = $199 Date of Application: /Z//-' Tax map and parcel 4 q8 r 45 — d u-i �Zoning: R-4 Acreage: � �Crt'S Total 71 , 61, r .9(Each Parcel) Physical Street Address (if assigned): 7 + 15 Q� ( )ck j ry1 1l `!/ 1 ;Z7 4/ 1 Location of property (landmarks, intersections, or other): / >zl Z—zr(/��l7tc'_/� Contact Person (Who should we calUwrite concerning this project?): 1l(�t GJ &p (Jt 1 t i Address --� _ / City _CJJ ll©& State _ Zip Z"5' qQ � Daytime Phone ( �06�j� Fax # �) E-mail.,nit. , > > .camYis�cc_rc►�lE c ( ,4-t Owner of Record Address 7—`f b ©lQ QJ �r1, U _�--- -City � tff�(�t/ State I/if Zip z-Z,905 Daytime Phone (__J Fax # (_) E-mail Applicant (Who is the Contact person representing?): Address City Daytime Phone Fax # (_) W_ 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 State ` Zip * "NOTE — The Letter of Zoning Compliance will be processed within thirty (30) days of receipt of a complete application Signat of Appl' Date County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 Revised 2/12/2018 Page 1 of I