HomeMy WebLinkAboutSUB201900083 Application 2019-05-17 �- Community DevelopmentDepartmeit
( 11 Albemarle �OUI 401 �ireRoad Charlottesville,VA22902-4596
e:(434)296-5832 Fax:(434)972-4126
Planning Application
PARCEL) OWNER INFORMATION
THP 046B3-00-OC-04200 Owner(s): STALLINGS,THOMAS M OR SHERRY M
Application# SUB201900083
PROPERTY INFORMATION
Legal Description IFOREST LAKES C 42 PH-I
Magisterial Dist. Rivanna Land Use Primer. Residential -- Single-family (incl. modular homes
Current AFD Not in A/F District Current Zoning Primar, R4 Residential
APPLICATION INFORMATION
Street Address 1882 AMBERFIELD DR CHARLOTTESVILLE,22911 i Entered 19.;
Jennifer Pritch •-••
Application Type Subdivision Plat !" 1 5l20/2019
Project Barrick Brocato - Stallings - BLA
Received Date 05/17/19 Received Date Final Submittal Date 05/20/19 Total Fees
Closing File Date Submittal Date Final Total Paid
Revision Number
Comments
Legal Ad
SUB APPLICATION(s)
Type Sub Applicatio Comnert
Boundary Line Adjustment • 05/20/19
(APPLICANT / CONTACT INFORMATION
ContactType Name Address j CityState Zip Phone PhoneCell
Owner/ pOi:emt STALLINGS,THOMAS M OR SHERRY M 1882 AMBERFIELD DRIVE CHARLOTTESVILL !22911
Date
Signature of Contractor or Authorized Agent
Pagel COUNTY OF ALBEMARLE
APPLICATION FOR BOUNDARY LINE ADJUSTMENT PLAT
Boundary Line Adjustment = $215
(Provide 5 copies of plat)
Project Name 1 rrvz- -( ( `r43 —C -e-VWPSS (3-011kikA C.,Y\D-` Ac!iwi "
Tax map and parcels 1 ' `{ t c\\3
Zoning — t3 j�C, -- Coln
Physical Street Address(if assigned): Z y \$rq 4 c 9.r_ Z ZSZ
Applicant f414112ri 12--1 t 170M
Street Address
\$" (A V`9 trlidd Wyv
City `" �" '� State 9
v Zip Code ZZ 11
Phone Number 91 q4t0 .r 931 a°(.o —OS6y
Email J1ran-1b0,,(o(cI_C,Svlraf1- cpw‘
Owner of Recorde�1" �1
Street Address k gez , �-Not.-Arrut rAni.
City Ulr lr "'k-0 v State Z 2-Q
Zip Code
Phone Number
Email Contact (who should we contact about project): ' Orrrt k- -tom CrOV Y` tN c4
Street Address `$ I ft Oe4fQ
City CQ,0A.011'11fi State vV r Zip Code 22 1\
Phone Number \3 • 6k U L kA Z' `{3`( G\A6 •o 511
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Email 6r-Op.A VIOvrrvc� Vyb '` ,�/►"
County of Albemarle
Department of Community Development
401 Mclntire Road Charlottesville, VA 22902 Voice: (434)296-5832 Fax: (434)972-4126
S +: 1/1/2015
•
Page 2 COUNTY OF ALBEMARLE
APPLICATION FOR BOUNDARY LINE ADJUSTMENT 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.
Signature of Owner, Contract Purchaser,Agent Date
ti\l`A4Z71 L134 6\0(3 (3 k o
Print Name Daytime phone number of Signatory
Fee Received
RECEIVED IS c5
MAY 1 1 2019 Received Date
COMMUNITY 17111
DEVELOPMENT Received By
FOR OFFICE USE ONLY SUB#
0�6 Fee Amount S a�� tad Date Paid 5.� (7 1ci
� �
B)who? ` l Receipt# 1 14 U 1D CWi `1214:110 B>,: JP
..,
:� ,,_ .t. w :.. ... -,.. •vise': 1/1/2015