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Home My WebLink AboutSUB201800052 Application 2018-03-12 Community Development Department 401 1 511t ° re Road Charlottesville,VA22902-4596 'r, Albemarle Cour'-; .(434)296-5832 Fax.(434)972-4126 Planning Application (PARCEL/ OWNER INFORMATION TNIP 046B3-00-00-000A2 Owner(s), FOREST LAKES COMMUNITY ASSOCIATION Application# SUB2 01 800 052 PROPERTY INFORMATION Legal Description I FOREST LAKES COMMONAREA Magisterial Dist. Rivanna Land Use Pnmar; Open Current AFD Not in A/F District Current Zoning Primary R4 Residential APPLICATION INFORMATION Street Address Entered By Judy Martin E Application Type Subdivision Plat ' 1 3/13/2016 Project Hollymeade Dam Spillway Improvement- Easement Received Date 03/12/18 F.ecei.ed Data Final Submittal Date 03/26/18 Total Fees Closing File Date Submittal Date Final Total Paid Revision Number Comments Legal Ad SUB APPLICATION(s) _ Type Sub Applicatio Comment Easement Plat 03/26/18 APPLICANT / CONTACT INFORMATION ContactType l Name ! Address CityState Zip Phone PhoneCell Signature of Contractor or Authorized Agent Date Page, COUNTY OF ALBEMARLE APPLICATION FOR EASEMENT PLAT Easement plat(s)without a deed=$527 Easement plat(s)with a deed= $817 Easement plat(s) required with a site plan= $215 Easement plat(s) amending a previously approved easement plat(s) =$215 (Provide 5 copies of plat) Project Name Hollymead Dam Spillway Improvements Tax map and parcels 46B3-A2 Zoning R-4 Physical Street Address(if assigned): NA-Lake Hollymead (Timberwood Parkway @ dam) Applicant County of Albemarle (FES/PMD) Street Address 401 McIntire Road - FES/PMD-County of Albemarle City Charlottesville State VA Zip Code 22902 Phone Number (434)906-1506 (c); or 434.872-4501 -x4 (desk); or-x3069 (internal/County) Email janderson2@albemarle.org Owner of Record Forest Lakes Community Association (Attn.Julia Stinnie) Street Address 1828 Pavilion Circle City Charlottesville State VA Zip Code 22911 Phone Number 434-973-4596 Email manager@forestlakes.net Contact (who should we contact about this project): John E.Anderson, PE/PMD-Albemarle County Street Address 401 McIntire Road - FES/PMD-County of Albemarle City Charlottesville State VA Zip Code 22902 Phone Number (434)906-1506 (c); or 434.872-4501 -x4(desk); or-x3069 (internal/County) Email janderson2@albemarle.org County of Albemarle Department of Community Development 401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434) 972-4126 Page 2 COUNTY OF ALBEMARLE APPLICATION FOR EASEMENT 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. 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. This consent does not preclude such - en communi ation from also being sent via first class mail. P � n f� 3/12/18 A111 Si of Owner, Contract Purchaser,Agent Date John Anderson, Sr. Project Manager, PMD/Albemarle (434)906-1506-work cell [or, -x3069] Print Name Daytime phone number of Signatory FOR OFFICE USE ONLY SUB# Fee Amount S Date Paid By who? Receipt# CIO By: