HomeMy WebLinkAboutLOD202000003 Application 2020-04-23F'OR OFFICE IJSE ONIhLong
Fee Anot GIs D,te Paid B, Who? Receipt# C." Fe
Application for
Official Letter of Determination
❑ Official Letter of Determination of Parcel of Record and/or Development Rights = $108
All other Official Letters of Determinations (including but not limited to Use, Zoning, Nonconformity, Parking,
Floodplain, Vested Rights, Area & Bulk Regulations, De minimis) =$108
::]Certification that notice of this application has been provided to the property owner, if owner is different from applicant.
Project Mine:
Fas map and p.....ts): 32-49B; 32-49F; 32-491, 32-49J Zoning: Residential; Rural
Contact Person(Whoshould —callhvrileconce ping the project?). Bradyn Fairclough
Address 440 Monticello Avenue Suite 2200 City Norfolk State VA Zip 23510
Daytin,c Phone (_) 7576285596 Fax u () 7576285566 f mn,l bfairclough@-wilsay.com
ot,-tier of Record Dickerson Ridge LLC
Acldieas 690 Berkmar Circle City Charlottesville start VA __.zip 22901
Daytime Phone 4349780118 E-mail _
A pplica lit (Who is the Contact person representing?) Bradyn Fairclough
Address 440 Monticello Avenue, Suite 2200 cih Norfolk State VA 7,) 23510
Daytin,c Phone (_� 7576285596 Pax a (__j 7576285566 I mad bfairelough@wilsay.com
Parcel of Record and/or Development Rights y
❑ Fax Map Page
❑ Last lnstrun,cat of record in the Clerk's Office ofthe Circuit Court
of Albemarle County. Virginia on or prior to December 10. 1980
that includes a plat or metes and bounds description of the properly.
(Highlight or underline releiences to the subject propert)).
❑ All pla(s and deeds of retort( after Deecrnber 10, 1980. UP UN Fit,
THR PRF.SF.NT DATE. (I-IighIight or underline references to the
subject property).
❑ Any other pertinent inf)rmation.
❑ Cover letter stating the assumed auin bar ol purceIs and
development I ghls. with cxp l anatioit ofsaInc.
❑ A fee is i eaaired lot each .seoni ate narcel shown on the tes man.
Please refer to the Albemarle County
Ail- vmim. determinations and uoov
Signature of Owner
Print Name Daytime phone number of Signatory
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
11/1/2015 Page 1 of I
All other Determinations
W Cover letter stating what is being requested. Provide all
necessary intormation for tl,e consideration ofthis
decision including
Tax Map Page if request is regarding specific
property.
❑ If the request is regarding a nonconforming use.
sti ucture. of lot then you must provide enough
probative material evidence to prove the
noncon l orm itv.
❑ Provide justification for the request and any
other pertinent information.
(�1 Fee as noted above.
ary ❑andhook for more information
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4/21 /20
Date