HomeMy WebLinkAboutSUB200800316 Application 2008-12-16 vF At Community Development Department
County of i .,,,emarle 401 I\ Road Charlottesville,VA 22902-4596
Voice:(434)296-5832 Fax:(434)972-4126
Planning Application 1
PARCEL/OWNER INFORMATION
TMP 056A2-01-00-01200 Owner(s): TABOR PRESBYTERIAN CHURCH
Application# SUB200800316
PROPERTY INFORMATION
Legal Description ACREAGE
Magisterial Dist. Whitehall Land Use Primary Semi-public
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 5804 TABOR ST CROZET 22932-
Entered By:Lisa Jordan on 12/17/2008
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 Ha
Closing File Date Revision Number
Comments:
Legal Ad Per Zoning Ordinance
SUB APPLICATION(s)
Type Sub Application Date Comments:
Boundary Line Adjustment 12/17/2008
Easement Plat 12/17/2008
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 TABOR PRESBYTERIAN CHURCH Phone # ( ) -
Street Address P 0 BOX 446 Fax # ( ) -
City/State CROZET VA Zip code 22932-
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
App !ation for Review of
Boundary Line Adjustment & Easement Plats
❑✓ Boundary Line Adjustment=)9 ✓❑ Easement= NA
gpifii 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 + $25 per new lot of less than 21 acre=
•
Project Name: CROZET STREETSCAPE PROJECT PHASE 2
Tax map and parcel: 56A2-01-00-012 Magisterial District: WHITEHALL DCD
Zoning:
Physical Street Address(if assigned): 5804 TABOR STREET
Location of property(landmarks,intersections,or other):
PROPERTY ON THE NORTHEAST CORNER OF THE
CROZET AVENUE-TABOR STREET INTERSECTION
Contact Person(Who should we call/write concerning this project?): JACK KELSEY, TRANSPORTATION ENGINEER
Address OFFICE OF FACILITIES DEVELOPMEN y State Zip
Daytime Phone( )
EXT. 3376 Fax#( ) E-mail jkelsey@albemarle.org
Owner of Record
Address City State Zip
Daytime Phone( ) Fax#( ) E-mail
Applicant(Who is the Contact person representing9): COUNTY OF ALBEMARLE
Address OFFICE OF FACILITIES DEVELOPMEN 'ty State Zip
Daytime Phone( ) EXT. 3376 Fax#( ) E-mail jkelsey@albemarle.org
Owner/Applicant Must Read and Sign
The plat application process includes providing all the information required in Chapter 14 Subdivision of Land of
the Albemarle County Code.
The foregoing information is complete and correct to the best of my knowledge. I have read and understand the
provisions of Chapter 14 Subdivision of Land of the Albemarle County Code.
Signature of Owner, Contract Purchaser,Agent Date
JACK KELSEY, TRANSPORTATION ENGINEER EXT. 3376
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONLY SUB# 0 S - 3,Co
Fee Amount$ Date Paid By who? Receipt# Ck# By:
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434) 972-4126
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