HomeMy WebLinkAboutSUB202100215 Application 2021-12-30Albemarle Cour" `y
Planning Application
Community DevelopmentD,
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1oice: r4341245-5822 Fax i434j
IMPI 05400-00-00-06200 I Owner(s):IGAYLE, THEODORE B; ELTZABTH E GAYLE & MCGINNIS LEATHEI
Application # SUB202100215
Legal Description 1 ACREAGE
Magisterial Dist. White Hall J
Current AFD Not in A/F District '++l
Land Use PnmaN Residential -- Single-family (incl. modular home-<
Current Zoning primary Rural Areas
Street Address L7471 GREENWOOD STATION RD GREEN -WOOD, 22443
Application Type Subdivision Plat
Project LOT A TMP 54-62 & 61A - BLA
Receired pate 112/16/21 Received Dale Final j ! 5ubmittal Date 12/
Closing File Date I 5ubmittal Date Final
Revision NumberE�j
Comments t—
Legal Ad
3oundary Line Adjustment 12/27/21
Entered By
Jennifer Smith
1 I Total Fees 246.48,
Total Paid I 246.481
PPLICANT / CONTACT INFORMATION--��
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Cortta tre Name
-+•=*14. 1•. 'Gd LE 'ti-=ie_ ,oreselle PF
C EELCaBTH_C-iLE 7343 GREE❑ ��nc �r-rir l
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-=w : LNDt G... f - OLD LBEN-.RLE 700 E HIGH ST _H�.RLO7TESVILL 22502 43429375SO
as
Signature of Contractor or Authorized Agent Date
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APPLICATION FOR BOUNDARY LINE ADJUSTMENT PLAT
Boundary Line Adjustment = $246.48
$237 + $9AS Technology surcharge
Tax map and parcels ` -M 54- G% ` 61 A
Physical Street Address (if assigned): % /441 GL,+- ujaLa Sr "2 0r- 1d �� ,fir• r� �fz
Applicant ,\nr�
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Street Address
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City
Phone Number 3 µ
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State
753Ci
Zip Code
Email Q I ( i
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Owner of Record —r"eu
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Street Address
City
State
Zip Code
Phone Number
Email
Contact (who should we contact about this project):
Address
Street
City
State
Zip Code
Phone Number
Email
County of Albemarle
Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
3
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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
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.
ro anon to or my designated contact via fax and or email. This consent does not preclude
By signing this application I am consenting to written comments, letters and or notifications regarding this
application being p sent via first class mail.
such written communication from also being
Signature of Owner, Contract Purchaser, Agent
An.
Print Name
Date y 2
L 2�cla- 5-3 —
Daytime phone number of Signatory
Sec. 14-208.1 Boundary line adjustments. applicable:
The following sections shall apply to each boundary line adjustment, when
A. General: Sections 14-100 through 14-108. Date Paid
Fee Amount $
FOR OFFICE USE ONLY SUB # �^ �J� Ca{
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