HomeMy WebLinkAboutSUB201300184 Affidavit Family Division Plat 2013-12-05 of A
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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
1, /1 06,4,--/- k Awl Oft Rol y v }I//;chk(property owner/Grantor)hereby certify that the subdivision of Tax
Map 79 Parcel 17 is a family subdivision in accordance with Sections 14-208, 14-211, and 14-212 of the
Albemarle County Subdivision Ordinance, and that the table below outlines the relationship 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
5/45-A it) ,k. /n:di; d cLJ.Jh +Q-r--
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Property weer/Grantor Signature Date
COMMO ALTH OF VIRGINIA
CI /COUNT OF A\'CxrcLv )�
The foregoing instrument was acknowledged before me this day oibez.,Eyv / , 20 13
b ._ .a ' • \ Grantor.
�� BLYTHE WHITE
0 i t NOTARY PUBLIC
�D' OMMMONWEELP EXPIRES APR.30,
My Co.' II ission Expires: l �MMIINBSIIONNsr�APR.30,
Notary Public
2/28/08 Page 1 of 3
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File: Original to Subdivision file SUB