HomeMy WebLinkAboutSUB202100192 Agreements 2022-02-0945ug2ozlooi42
FAMILY SUBDIVISION AFFIDAVIT
COUNTY OF ALBEMARLE
AFFIDAVIT
Verifyine Family Relationship of Grantor to Grantee
I, Joycelyn A. Thacker . (property owner/Grantor) hereby certify that the subdivision of Tax Map
115 Parcel 6B is a family subdivision in accordance with Sections 14-208, 14-211, and 14-212 of the Albemarle
County Subdivision Ordinance, and that the table below outlines the relationship of each Grantee to the Grantor. I
acknowledge that I have read and understand Sections 14-208, 14-211, and 14-212 of the Albemarle County Subdivision
Ordinance which is attached to this affidavit.
Grantee(s)
Relationship to grantor
Parcel/Lot
Ryan Hicks
grandson
Lot 1
1
grandson
Lot 2
Property Owner/Grantor
Date
COMMONWEALTH �RGINA
CITY/COUNTY OF jRGI I
The foregoing instrument was acknowledged before me this 6-41day of , 2t}Xby
.Grantor.
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My Commission Expires:
.t1h6onwealth of Virga,a
Notary Public
Commission No. 102489
Cow"on Expirm 1013112023
See 14-106 Definitions
Family subdivision. The term "family subdivision' means the single division of property for the purpose of
sale or gift to a member of the immediate family of the owner of the property.
Member of the immediate family. The term "member of the immediate family" means the natural or legally
defined off -spring, grandchild, grandparent, or parent of the owner of property.
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APPLICATION FOR FAMILY DIVISION
Grantee Information:
Grantor (owner of existing parcel being divided): 1Joycelyn A. Thacker
New Parcel Description
Lot 1
Lot 2
Grantee (person receiving new parcel)
Ryan Hicks
Owner/Applicant Must Read and Sign
Relationship to Grantor
grandson
grandson
The plat application 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. I have read and understand the
provisions of Chapter 14 Subdivision of Land of the Albemarle County Code. By signing this application I am
consenting to written comments, letters and or notifications regarding this application being provided to me or
my designated contact via fax and or email unless otherwise noted in writing by the applicant. This consent does
not preclude such written communication from also being sent via first class mail
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Signat of Owner, Contract Purchaser, Agent
David Jordan
Print Name
August 10, 2021
Date
434-973-0513
Daytime phone number of Signatory
FOR OFFICE USE ONLY SUB #
By who?
Receipt #
s Date