HomeMy WebLinkAboutLOD202100012 Application 2021-06-290')R OFFICE USE ONLY LOD #
Fee Amount $ Date Paid By who? Receipt # Ck# By:
Application for
Official Letter of Determination
0 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.)
❑ All other Official Letters of Determinations (including but not limited to Use, Zoning, Nonconformity, Parking,
Floodplain, Vested Rights, Area & Bulk Regulations, De minimis) = $108
E]Certification that notice of this application has been provided to the property owner if the owner is different from applicant.
Project Name: Charles B. Stevens and Erica J. Stevens
Tax map and parcel(s): 65 Zoning: 31 B
Contact Person (Who should we call/write concerning this project?): Brian Ray / Roger W. Ray & Assoc., Inc.
Address 663 Berkmar Ct.
City Charlottesville
State VA Zip 22901
Daytime Phone 434 293-3195 Fax # 434 293-4202 E-mail brian@raysurveying.com
Owner of Record Charles B. Stevens and Erica J. Stevens
Address 233 Bridlespur Farm City Keswick
Daytime Phone to'S) -(oOJ,Z. Fax # (__)
Applicant (Who is the Contact person representing?):
State VA Zip 22947
E-mail cbstevens6@gmail.com
B. Stevens and Erica J. Stevens
Address 233 Bridlespur Farm City Keswick
Daytime Phone ( 3) 727 -60022- Fax # L_j
State VA Zip 22947
E-mail cbstevens6@gamil.com
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
9/7/2018 Page 1 of 2
Submittal Requirements
Parcel of Record and/or Development Rights
e Tax Map Page
® Provide evidence showing when the parcel/parcels was/were created. This will include the
following;
0 The last instrument of record in the Clerk's Office of the Circuit Court of Albemarle
County, Virginia on or prior to December 10, 1980.
® Include deeds that provide a plat or metes and bounds description of the property.
(Highlight or underline references to the subject property).
0 All plats and deeds of record after December 10, 1980, UP UNTIL THE PRESENT DATE.
(Highlight or underline references to the subject property).
0 Cover letter stating the assumed number of parcels and development rights, with
explanation of same.
0 Any other pertinent information.
® A fee is reauired for each separate parcel shown on the tax man.
All other Determinations
❑ Cover letter stating what is being requested. Provide all necessary information for the
consideration of this decision including
❑ Tax Map Page if request is regarding a specific property.
❑ If the request is regarding a nonconforming use, structure, or lot then you must
provide enough probative material evidence to prove the nonconformity.
❑ Provide justification for the request and any other pertinent information.
❑ Fee as noted above.
Please refer to thelbemarle County Land Use Law Handbook for more information
regardine zonine deter orations and nonconformities. htto://www.albemarle.org/LandUsel,aw
Signature of Owne
us ErtC�v2HS
Print Name
2- 2DZ i
Date Sfit-topl -q $3'
-L3 '�z 602 Z
Daytime phone number of Signatory
Page 2 of 2