HomeMy WebLinkAboutACSA199900001 Application 1998-11-16 .
APPLICATION TO AMEND THE �°�� County of Albemarle
Department of Planning and Community Development
SERVICE AUTHORITY Q=m 401 McIntire Road
JURISDICTIONAL AREAS t Charlottesville 296-58 •VA 2290�2-45�96() •
APPLICANT Name: 6OCo OIL • Lc_) , — c n N i A i I/( Ry r'1'Jorv7 6-u
Signature: rn Phone: o2.% (;3Ly
Address: 9 a Li H/i2K►s m
C14 R1.OTTESVILLE1 VAS-- cio3
CO-APPLICANT Name (or agent, if any):
Signature: Phone:
Address:
JURISDICTIONAL AREA DESIGNATION REQUESTED:
❑ Water and Sewer El Water Only
❑ Water Only to Existing Structure(s) 0 Limited Service (Describe in Justification
below)
PROPERTY LOCATION (Address) RT. a. 60 a . A i S HAD w ELL
Tax Map(s)/Parcel Number(s): - 1
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CURRENT SERVICE AREA DESIGNATION (If any):
❑ Water and Sewer 0 Water Only •
❑ Water Onlyto Existing Structures 0 Limited Service
JUSTIFICATION FOR QUEST: - VA -
c ifil L-t L-1-Vra
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Crr, 4-
For Staff Use Only
DATE SUBMITTED: DATE$130 FEE PAID: r•
PROPERTY IS LOCATED (Check Appropriate): t\( e(ci t
❑ Inside or ❑Outside a Growth Area? 0 Adjacent to SAJA?
❑ Inside or ❑Outside a Water-Supply Watershed? 0 Adjacent to a Growth Area?
Location and distance of water/sewer line proposed to provide service
REQUEST FOR AMENDMENT ADOPTED: ❑ Yes 0 No Date of Action
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LOCO, INC_
T/A GOCO OIL CO.and GOCO FOOD MARTS
HARRY MONTAGUE
924 HARRIS STREET
P O.BOX 258
CHARLOTTESVILLE,VA.22902
(804)296-6344
$ .
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