HomeMy WebLinkAboutSUB202100192 Affidavit 2022-02-03 5v€ZoZl o01 qz
Page COUNTY OF ALBEMARLE
FAMILY SUBDIVISION AFFIDAVIT
1�IRGISV"'
COUNTY OF ALBEMARLE
AFFIDAVIT
Verifying Family Relationship of Grantor to Grantee
1, 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
ac1( /6 grandson Lot 2
, ..._:6
.,),A,„1„,- . g Ra
Property Owner/Grantor Date
COMMONWEALTH RF�V RGIN IA
CITY/COUNTY OF (�/
The foregoing instrument was acknowledged before me thisr�/dday of 4111,i _ ,2Q'by
30kivl r'{kGrantor.
My Commission Expires: /0 9/r; wow;li, r.J...mg.,..,rN�„v.
. i, 14r:' ',Pu'It' onwealth of VirginIa
VI Notary Public
'' Commission No.102489
My Commission Expires 10/31/2023
Sec 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.
Revised 7/1/2021
_, . . .
S v82.o1I0o19Z
Paget COUNTY OF ALBEMARLE
APPLICATION FOR FAMILY DIVISION
Grantee Information:
Grantor(owner of existing parcel being divided): jJoycelyn A. Thacker
New Parcel Description Grantee (person receiving new parcel) Relationship to Grantor
Lot 1 Ryan Hicks grandson
Lot 2 m(9el /q ? . grandson
Owner/Applicant Must Read and Sign
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
/ August 10, 2021
Signat of Owner, Contract Purchaser,Agent Date
David Jordan 434-973-0513
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONLY SUB# Fee Amount$ Date Paid
By who? Receipt# Ck# By:
Revised 7/1/2021