HomeMy WebLinkAboutSUB202000072 Affidavit 2020-01-21 �oF
1'IRGDO
COUNTY OF ALBEMARLE
Department of Community Development
401 McIntire Road,North Wing
Charlottesville,Virginia 22902-4596
Phone(434)296-5832 Fax(434)972-4126
AFFIDAVIT
rr Verifying Family Relationship of Grantor to Grantee
I, L611 - it C -fe S , (property owner/Grantor)hereby certify that the subdivision of Tax
Map 613 Parcel I is a family subdivision in accordance with Sections 14-208, 14-211, and 14-212 of the
Albemarle County Subdivision Ordinance, and that the table below outlines the relationship of each Grantee to the
Grantor. I acknowledge that I have read and understand Sections 14-208, 14-211, and 14-212 of the Albemarle
County Subdivision Ordinance which is attached to this affidavit.
Grantee(s) Relationship to grantor Parcel/Lot
u0.Pt extte S So n LcT 1
Oel.-te S U514er—i n— I Ui) ben— 1
Wig . O '
V �Q: NOTARY •••S�i
Property Owner/Grantor Date :- r PUBUC :S
REG.47667435 :
MY COMMISSION ;
i ': EXPIRES I Z
.4. •.•• 04/30/2023 .'
COMMONWEALTH F VIRGINIA '•,�oN'•••........••'�,Q�$`
CITY/COUNTY OF /I be m a r it I%, Ai TH1����‘‘
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The foregoing instrument was acknowledged before me this 2/9-day of 74n,,arN , 20/0 by
Lina(c, g 4-e c Grantor. J
My Commission Expires: 0 W 130/da a 3 /7471/4 otary Public
1
File: Original to Subdivision file SUB-