HomeMy WebLinkAboutLOD202200004 Application 2022-04-06FOR OFFICE USE ONLY LOD #
Fee Amour[ $ ate Paid By who? An I�i 1Q.1�. Receipt #la u u Ck#��Q By I)
Application for .,, ..„
Official Letter of Determination
[irbfricisi Letter of Determination of Parcel of Record and/or Development Rights = $123.76
Official Letter $119 + Technology Surcharge $4.76
A separate fee is required for each parcel shown on the tax map.
(1 parcel is $119 + $4.76 = $123.76, 2 parcels are $238 + $9.52 = $247.52, etc.)
❑ All other Official Letters of Determinations (including but not limited to Use, Zoning, Nonconformity, Parking,
Floodplain, Vested Rights, Area & Bulk Regulations, De minimis) = $123.76
Official Letter $119 + Technology Surcharge $4.76
❑Certification that notice of this application has been provided to the property owner if the owner is different from applicant.
Project Name: kol rl e, r c e 1 cY e to r m /'n A,ri 0 r)n
t0 Tax map and parcel(s): 2 — 3S Zoning: /7
Contact Person (Who should we call/write concerning this project?): }} f1 n LZ Lan 'e
Address 3 Slor i t PTJ City 0h%Y- 7I—lesyJ)eState Vd Zip 2291/
Daytime Phone '1( !�O — I z� 7 Fax # (_) E-mail 0.n n cltnRYI e (oi 4 rA od C o M
Owner of Record S C1111 e- Cus 0.b o d e
Address City
Daytime Phone (_) Fax # (—)
Applicant (Who is the Contact person representing?): G WJ n e,`
Address
Daytime Phone (__)
City
E-mail
E-mail
State Zip
State Zip
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
Official Letter of Determination Application Revised 7/l/2021 Page 1 of
Submittal Requirements
Parcel of Record and/or Development Rights
❑ Tax Map Page
❑ Provide evidence showing when the parcel/parcels was/were created. This will include the
following;
❑ The last instrument of record in the Clerk's Office of the Circuit Court of Albemarle
County, Virginia on or prior to December 10, 1980.
❑ Include deeds that provide a plat or metes and bounds description of the property.
(Highlight or underline references to the subject property).
❑ All plats and deeds of record after December 10, 1980, UP UNTIL THE PRESENT DATE.
(Highlight or underline references to the subject property).
❑ Cover letter stating the assumed number of parcels and development rights, with
explanation of same.
❑ Any other pertinent information.
❑ A fee is required for each separate parcel shown on the tax map.
All other Determinations
❑ Cover letter stating what is being requested. Provide all necessary information for the
consideration of this decision including
❑ Tax Map Page if request is regarding a specific property.
❑ If the request is regardine a nonconformine use, structure, or lot then you must
provide enoueh probative material evidence to prove the nonconformity.
❑ Provide justification for the request and any other pertinent information.
❑ Fee as noted above.
Please refer to the Albemarle County Land Use Law Handbook for more information
regarding zoning determinations and nonconformities. http://www.albemarle.orVjLandUseLaw
Determination may take up to ninety (90) days from submittal
Signature
,1
Print Name
JJ-r z�2-
Date
y3y 962-
Daytime phone number of Signatory
Official Letter of Determination Application Revised 7/l/2021 Page 2 of 2