HomeMy WebLinkAboutSUB202100020 Application 2021-02-08 ! l)T tN
Community Developm entDepartmeu
'' irs . Albemarle Col., .1.y clntire Road Ctarat#esvitte,VA22902-4596
1` � �Ml
Joice:(434)296-5832 Fax: (434)972-4126
Planning Application
PARCEL / OWNER INFORMATION
IMP 07300-00-00-004A1 Owner(s): BROADER HORIZONS LLC
Application# SUB202100020
PROPERTY INFORMATION
Legal Description I ACREAGE A2
Magisterial Dist. Samuel Miller v Land Use Primary Unassigned f 1 V
Current AFD Not in A/F District Current Zoning Primer. Rural Areas CI
APPLICATION INFORMATION
Street Address Entered By
Application Type 'v� ;]enni r Smith
A•pP" Subdivision Plat
_.� i 2 elzazi
Project BROADER HORIZONS, LLC - BLA - DIGITAL
Received Date 1 02/08/21 1 Received Date Final Submittal Date 02/22/21 Total Fees I 215
Closing File Date I I Submittal Date Final Total Paid 215
Revision Number
Comments
Legal Ad
SUB APPLICATION(s)
Type I Sub Applicatio Comment
Boundary Line Adjustment 02/15/21 ,•
APPLICANT / CONTACT INFORMATION
ContactType Name Address I m City State i Zip Phone PhoneCell
Oro reriAppiiczrt BROADER HORIZONS LLC 620 W00DBROOK DRIVE CHARLOTTESVILL 22901
Primary Contact GWEN LACY-ROGER W. RAY&ASSOC.. 663 BERKMAR COURT CHARLOTTESVILL 22901 4342933195 i
Signature of Contractor or Authorized Agent Date
Page 1 COUNTY OF ALBEMARLE
APPLICATION FOR BOUNDARY LINE ADJUSTMENT PLAT
Boundary Line Adjustment = $215
(Provide 5 copies of plat)
Project Name Broader Horizons, LLC 13186C
Tax map and parcels 73-4A1 and 73-4D
Zoning RA
Physical Street Address (if assigned): Broad Axe Road
Applicant Broader Horizons, LLC
Street Address 620 Woodbrook Drive, Suite 6
City Charlottesville State VA Zip Code 22901
Phone Number
Email v.yekim@gmail.com
Owner of Record Same as applicant
Street Address
City State Zip Code
Phone Number
Email
Contact (who should we contact about this project): Gwen Lacy at Roger W. Ray&Assoc., Inc.
Street Address 663 Berkmar Court
City Charlottesville State VA Zip Code 22901
Phone Number 434-293-3195
Email Gwen@raysurveying.com info@raysurveying.com Brian@raysurveying.com
County of Albemarle
Department of Community Development
401 McIntire Road Charlottesville,VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
• •vis-I: 1/1/2015
Paget COUNTY OF ALBEMARLE
APPLICATION FOR BOUNDARY LINE ADJUSTMENT PLAT
Owner/Applicant Must Read and Sign
The plat application process includes providing the County with all the information required in Chapter 14
Subdivision of Land of the Albemarle County Code.
The foregoing information is complete and correct to the best of my knowledge. I have read and understand the
provisions of Chapter 14 Subdivision of Land of the Albemarle County Code.
By signing this application I am consenting to written comments, letters and or notifications regarding this
application being provided to me or my designated contact via fax and or email. This consent does not preclude
such written communication from also being sent via first class mail.
Digitally signed by Gwen Lacy
Gwen Lacy DN:cn=Gwen Lacy,o=Roger W Ray Assoc Inc,
ou,email=gwen@raysurveying.com,c=US
Date:2020.12.09 08:34:29-05'00' December 9, 2020
Signature of Owner, Contract Purchaser, Agent Date
Gwen Lacy 434-293-3195
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONLY SUB# 2D20— GO Fee Amount$ — Date Pai . 4 f
By who? Receipt# k# By: J + ] ����
vt -4: 1/1/2015