HomeMy WebLinkAboutLOD202100007 Application 2021-06-02FOR OFFICE USE ONLY LOD #
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Fee Amount $_I a- Date Paid 'By who? r' �11 etpt _`RN I Ck#_34� By,_r_-.,
Application for
Official Letter of Determination
® Official Letter of Determination of Parcel of Record and/or Development Rights = $108
A separate fee is required for each parcel shown on the tax map. (1 parcel is $108, 2 parcels are $216, etc.)
❑ Ali 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 the owner is different from applicant.
Project Name: William G. Swanson Revocable Living Trust of 2006
Tax map and parcel(s): 00580-00-00-099A1 Zoning: RA
Contact Person (Who should we call/write concerning this project?): Kirk Hughes, L.S.
Address 220 East High Street
Daytime Phone 434 296-6942 Fax # (_)
City Charlottesville
Owner of Record William G. Swanson Revocable Living Trust of 2006
Address 2012 10th Street, Suite 7
Daytime Phone (_) Fax #
State Virginia Zip 22902
E-mail kirk@khals.net
City Menominee
E-mail
State MI Zip 49858
Applicant (Who is the Contact person representing?): William G. Swanson Revocable Living Trust of 2006
Address 2012 10th Street, Suite 7 City Menominee
Daytime Phone (___)
Fax # (�
E-mail
State MI Zip 49858
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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