HomeMy WebLinkAboutSUB200800305 Application 2008-12-16 °` �, Community Development Department
1 County of emarle 401 Mc,iriure Road Charlottesville,VA 22902-4596
Voice•(434)296-5832 Fax.(434)972-4126
,«-sir Planning Application 1
PARCEL/OWNER INFORMATION
TMP 056A2-01-00-01800 Owner(s): COUNTY OF ALBEMARLE C/O FINANCE ADMINISTRATION RM 149
Application# SUB200800305
PROPERTY INFORMATION
Legal Description ACREAGE
Magisterial Dist. Whitehall Land Use Primary Residential--Single-family(incl. modular homes)
Current AFD Not in A/F District Current Zoning Primary Downtown Crozet District
APPLICATION INFORMATION
House # Street Name Apt/Suite City State Zip
Street Address 1171 CROZET AVE CROZET 122932- J
Entered By:Lisa Jordan on 12/16/2008
Application Type Subdivision Plat
Project: Crozet Streetscape Project Phase 2 6,410.00
Received Date 12/16/2008 Received Date Final Total Fees
Submittal Date 12/22/2008 Submittal Date Final Total Paid
Closing File Date Revision Number
Comments:
Legal Ad
SUB APPLICATION(s)
Type Sub Application Date Comments:
Boundary Line Adjustment 12/16/2008
APPLICANT/ CONTACT INFORMATION
Primary Contact
Name Jack Kelsey Transportation Engineer Phone # (434) 296-5832 3376
Street Address Office of Facilities Development COB Fax # ( ) -
City/State Charlottesville VA zip Code 22902-0000
E-mail jkelsey@albemarle.org Cellular# ( ) -
Owner/Applicant
Name COUNTY OF ALBEMARLE C/O FINANCE ADMINISTRATION RM 149 Phone# ( ) -
Street Address 401 MCINTIRE RD Fax # ( ) -
City/State CHARLOTTESVILLE VA zip Code 22902-
E-mail Cellular# ( ) -
Applicant
Name Albemarle County Phone # (434) 296-5832 3376
Street Address Office of Facilities Development COB Fax # ( ) -
City/State Charlottesville VA Zip Code 22902-0000
E-mail jkelsey@albemarle.org Cellular# ( ) -
Signature of Contractor or Authorized Agent Date
Apy - !ation for Review of
Boundary Line Adjustment & Easement Plats '` '
0 Boundary Line Adjustment= ❑ Easement= NA
(3 folded copies of plat) (3 folded copies of plat)
❑ Groundwater Assessment
(Required if a less than 21 acre lot is created from a 21 acre or greater lot)
$250+$25 per new lot of less than 21 acre=
Project Name: CROZET STREETSCAPE PROJECT PHASE 2
Tax map and parcel: 56A2-01-00-018 Magisterial District: WHITEHALL DCD
Zoning:
Physical Street Address(if assigned):
1171 CROZET AVENUE
Location of property(landmarks,intersections,or other):
PROPERTY ON THE EAST SIDE OF CROZET AVENUE
AND 100'NORTH OF JARMANS GAP ROAD
Contact Person(Who should we call/write concerning this project?): JACK KELSEY, TRANSPORTATION ENGINEER
Address OFFICE OF FACILITIES DEVELOPMEI y State Zip
Daytime Phone( ) EXT. 3376 Fax#( ) E-mail jkelsey@albemarle.org
Owner of Record
Address City State Zip
Daytime Phone( ) _ Fax#( ) E-mail
Applicant(Who is the Contact person representing?): COUNTY OF ALBEMARLE
Address OFFICE OF FACILITIES DEVELOPMEI,'ty State Zip
Daytime Phone( ) EXT. 3376 Fax#( ) E-mail jkelsey@albemarle.org
Owner/Applicant Must Read and Sign
The plat application process includes providing 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. I have read and understand the
provisions of Chapter 14 Subdivision of Land of the Albemarle County Code.
Signature of Owner, Contract Purchaser,Agent Date
JACK KELSEY, TRANSPORTATION ENGINEER EXT. 3376
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONLY SUB# a)5 ((��
Fee Amount S Date Paid By who? Receipt# Ck# By ((9
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434) 972-4126
11//19/07 Page 1 of 1