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SUB200000086 Application 2000-05-26
• OFFICE SE ON oSU[3# TMP licatu®u� For Review Of �. SuuMivisio n Plat 'gip ][D][D y�i.0-r 7 ;N © Preliminary Plat ❑ Final Plat El Two-lot subdivision as described in section 14-232(BX1)or if all lots front on an e�¢e li re_et-$75 5 DRAW � ❑ Resubdivision(section 14-239) t(vim \NrE❑ Condominium Plat-$80 I ❑ Vacation(section 14-240)_ $13 N 5 copies of Plat are required for above MAY 26 2000 ❑ 1 to 91ots- $285 Per Zon�ce�a� AND ❑ 10 to 19 lots- $440 s ct I 111 LOPMENT ❑ 20 or more lots- $530 If subject to Planning Conunission Review_ SiObu 16 copies of Plat are required for first submittal of above-7 copies required for a revision Other matters subject to Planning Commission review: O Waiver,variation or substitution of subdivision requirements($140):Attach written justification O Relief of conditions of prior approval($140):Prior File Name/Number Other matters subject to Administrative review: ❑ Reinstatement of review($50) ❑ Extension of plat approval($35)-Must be submitted at least Five(5)days prior to expiration of plat. ❑ Request to defer action on plat to an indefinite date($60) O Bonding inspection for plat($45) Other matters subject to Board of Supervisors review: O Appeal to Board of Supervisors($190):Prior File Name/Number Project Name: -= . Tax map and parcel: Y A-e ` 4 Contact Person(Who should we call/write concerning this protect?): Firm —i— Oc,t-k12:i)„ Address 1° F'lvfl J v V t Cityr'clAi2tO H t.S U i 11 k State IA- Zip ��2 Daytime Phone( Lt ) l 3-A 2- Fax# 9 7-7-s-0 C'3 E-mail cr set- CO Cc^•'-- Owner of Record r., �'fi"t try Lw) 1 Address • City State Zip Daytime Phone( ) Fax# F-mail Applicant(Who is the Contact person representing?): T/ _ Sd�, Address P-`; 0,)g City State Zip Daytime Phone(5° ) —c ct 0,6 Fax# E-mail OFFICE USE ONLY ff ��(� tee amount S -15 Date Paid SIabIWCheck s 535 By Who?'-^`i',,'--\(71/4-4'"°rItecelpt t `� By: H County of Albemarle Department of Planning & Community Development 401 McIntire Road •3 Charlottesville, VA 22902 Voice: 296-5823 :• Fax 972-4035 9/14/98 Page 1 of 2 Property Information: Does the owner of this property own(or have any ownership interest in)any abutting property? If yes, please list those tax map and parcel numbers Physical Street Address(if assigned) Location of property(landmarks,intersections,or other) Magisterial District: al I le.( Zoning: Comprehensive Plan Land Use Designation: Proposed use(s)of property: Acreage Information: Total parcel acreage: Acreage in new lots: #of new lots: Acreage in open space: Acreage in roads: Comments/Attachments: Owner/Applicant Must Read and Sign The Subdivision Plat application process process includes providing the Planning Commission 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. 1 have read and understand the provisions of Chapter 14 Subdivision of Land of the Albemarle County Code. Signature of Owner, Contract Purchaser, Agent Date Printed Name Daytime phone number of Signatory 9/14/98 Page 2 of 2 P r F f c • Ltr► v pli'lam