HomeMy WebLinkAboutSUB202200090 Application 2022-05-06•111; rtr-t•
APPLICATION FOR EASEMENT PLAT
Easement plat(s) without a deed = $603.20 $580+23.20 Technology surcharge
Easement plat(s) with a deed = $934.96 $899 + $35.96 Technology surcharge
Easement plat(s) required with a site plan = $246.48 $237+$9.48 Technology surcharge
Easement plat(s) amending a previously approved easement plat(s) = $246.48 $237 + $9.48
Technology surcharge
(Provide 5 copies of plat)
Project Name Discount Tire
Tax map and parcels 06100-00-00-120JO
Zoning Highway Commercial
Physical Street Address (if assigned): 1636 Seminole Trail, Charlottesville, VA 22901
Applicant Halle Properties, LLC c/o Discount Tire
Street Address 20225 N. Scottsdale Road
City Scottsdale State AZ _Zip Code 85255
Phone Number 480-606-6838
Email Bill.Shrum@discounttire.com
Owner of Record Mimosa LLC Attn: Frank Brickhead
Street Address C/O Duffy Brickhead P.O. Box 7652
City Charlottesville State VA Zip Code 22906
Phone Number
Email
Contact (who should we contact about this project): Ryan Yauger, P.E.
Street Address 9100 Arboretum Parkway, Suite 360
City Richmond State VA _Zip Code 23236
Phone Number (804) 893-8200
Email ryauger@bohlereng.com
County of Albemarle
Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
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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 written communication from also being sent via first class mail.
5/47 /2022.
Signature ofIpwner, Contract Purchaser, Agent Date
Matthew Johnson, Agent
Print Name
See. 14-208.2 Easement plats.
480-606-5758
Daytime phone number of Signatory
The following sections shall apply to each easement plat, when applicable:
A. General: Sections 14-100 through 14-108.
FOR OFFICE USE ONLY SUB # Fee Amount B Date Paid
By who? Receipt# CW
Ifs