HomeMy WebLinkAboutSUB202200144 Application 2022-08-30 Page 1 COUNTY OF ALBEMARLE
APPLICATION FOR BOUNDARY LINE ADJUSTMENT PLAT
Boundary Line Adjustment =$215
(Provide 5 copies of plat)
Project Name —Re vas- P247444 A
Tax map and parcels TM 4101 • P. Coe y 6,2 4.
Zoning i ,
Physical Street Address(if assigned): 38,3z TJ10i?•s J.1)L,r,, (, ,
Applicant /tidy t;0,6C - , _ ✓ , c.-c rvc7
Street Address 7b , f 1 r• <4-,
City C v y e State V 2 Zip Code )2
Phone Number 4'2,4 2 3 7 2 0
Email 0(0(2 I be411g4✓ r✓'ey1it. g O ryl2; (• rn i)'►
Owner of Record YlIowi, - (rrPn 4-411( I 2,r„✓ .,1 i<��
Street Address 3 P,;? j y , Z n i Lo,N
City ),c,W- I 1rC(.L(I State \4 Zip Code 22dl Lj3
Phone Number
Email
Contact (who should we contact about this project): A 0 c(.7 6 fa
tic
Street Address
City State Zip Code
Phone Number
Email
County of Albemarle
Department of Community Development
401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434) 972-4126
`e is-s: 1/1/2015
Sto22
Paget 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.
ar‘dy °V2 2 1
Signature of O ,Contract Purchaser,Agent Date
kick/ �=\Y-)-p' 4--q4- 29 3 . 7-,-)37
Print Name Daytime phone number of Signatory
•
FOR OFFICE USE ONLY SUB# Fee Amount S Date Paid
By who? Receipt# Ck# B>:
- - — lKeNised:l 1!112015