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SUB201800051 Application 2018-03-12
Albemarle COUI?�'� Community Development Department 13 , +.=. 4©1 M1 re Road Charlottesville.V;�22942-4596 ••(434)296-5832 Fax•(434)972-4126 �, ►- >:�' Planning Application PARCEL/OWNER INFORMATION TMP 046133-00-00-000AD Owner(s): FOREST LAKES COMMUNITY ASSOCIATION Application# SUB201800051 PROPERTY INFORMATION Legal Description I FOREST LAKES OPEN SPACE PH-I w. Magisterial Dist.[Rivanna LJ Land Use Primer, Residential -- Single-family (incl. modular homes v I Current AFD Not in A/F District Ell Current Zoning Primary,R4 Residential • APPLICATION INFORMATION Street Address Entered By Application Type Subdivision Plat Judy Martin ' 13/1,3/2018 Project Hollymeade Dam Spillway Improvement- Easement Received Date 03/12/18 Received Date 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 AAPPLICANT / CONTACT INFORMATION ContactType Name mess CityState Zip Phone PhoneCell ignature of Contractor or Authorized Agent Date Page I 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-A 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 Paget 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 wri en comm cation from also being sent via first class mail. 3/12/18 yid Si ture 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# Ck# By: