HomeMy WebLinkAboutSUB201300013 Affidavit 2013-02-05 ......, ,.....
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COUNTY OF ALBEMARLE
Department of Community Development
401 McIntire Road, Room 227
Charlottesville, Virginia 22902 -4596
Phone (434) 296 -5832 Fax (434) 972 -4126
AFFIDAVIT
Verifying Family Relationship of Grantor to Grantee
I, C:1:::).1.._ a. '"..... c ,e , (property owner /Grantor) hereby certify that the subdivision of Tax Map Parcel
is a family subdivision in accordanc with Sections 14 -208. 14 -211, and 14 -212 of the Albemarle County Subdivision Ordinance.
and that the table below outlines the ionship of each Grantee to the Grantor. I acknowledge that I have read and understand Sections
14 -208, 14-211. and 14 -212 of the Albemarle County Subdivision Ordinance which is attached to this affidavit.
Grantee(s) Relationship to grantor Parcel /Lot
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Property Owner /Grantor
P Date
COMMONWEALTH O VIRGINIA y
CITY /COUNTY OF V: ) l . V i /1 RCt�il!I t 1
The foregoing instrument was acknowledged before me this day of 1 ' � , � ` � , 2 by , V 1,0 3 cLkV It �‘-Arn r.
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My Commission Expires: ') �� ' / s *�� '
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