HomeMy WebLinkAboutSUB202100205 Application 2021-12-09APPLICATION FOR 13OUNDARY LINE ADJUSTMENT PLAT
Boundary Line Adjustment = $246.48
$237 + $9.48 Technology surcharge
Pr9ject Name T
Tax map and parcels —M
n- 3� F 3G Al
F, Pcal Street Address (if assigned): C, 3
40
Applicant b,
Street Address �z Zip Code ^ Z
City C +Ile _state
Phone Number 4 4' 2Q - �
Owner of Record
G34� :I 22G3Z
Street Address _Zip Code
City__ ��✓o�'� _State V�
Ph Number
Phone
„may:
(who should we contact about this project):
County of Albemarle
Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
/1/2015
Panel
CnUNTY
a
APPLICATION FOR BOUNDARY LINE ADJUSTMENT PLAT
Owner/Applicant Must Read and Sign
The plat application process includes providing the County with all the information required in Chapter 14
5;:bdivis�' ❑ of Land of the Albemarle County Code.
The for," ,ing information is complete and correct to the best of my knowledge. I have read and understand the
pro\ ,r . of Chapter 14 Subdivision of Land of the Albemarle County Code.
F -:ing this application I am consenting to written comments, letters and or notifications regarding this
;,i ,ation being provided to me or my designated contact via fax and or email. This consent does not preclude
written communication from also being sent via first class mail.
Signature of Owner, Contract Purchaser, Agent
Print Name
i 1 /29 / zi
Date
2�3, 7f� �0-
Daytime phone number of Signatory
Sec. 14"y,08.1 Boundary line adjustments.
The fAbwing sections shall apply to each boundary line adjustment, when applicable:
A .General: Sections 14-100 through 14-108.
USE ONLY SUB# dVdl -'mil ±D Fee Amount$6
Fi I��'lUC1C� Receipt#.
Paid
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