HomeMy WebLinkAboutLOD202200015 Application 2022-09-12FOR OFFICE USE ONLY ''�,, ��yJ�
Fee Atnooat $ p�j
Date Paid qF�T y who? Receipt # 116 k#J!gI O By:�
Application for
Official Letter of Determination
A fficial Letter of Determination of Parcel of Record and/or Development Rights = $123.76
Official Letter $119 + Technology Surcharge $4.76
A separate fee is required for each parcel shown on the tax map.
(1 parcel is $119 + $4.76 = $123.76, 2 parcels are $238 + $9.52 = $247.52, etc.)
❑ All other Official Letters of Determinations (including but not limited to Use, Zoning, Nonconformity, Parking,
Floodplain, Vested Rights, Area & Bulk Regulations, De minimis) _ $123.76
Official Letter $119 + Technology Surcharge $4.76
❑Certification that notice of this application has been provided to the property owner if the owner is different from applicant.
Project Name:
Taxmapandparcel(s): 02800--00-00^02310b _ Zoning:
Contact Person (Who should we-caall/wrrite concerning this project?): a+/r Wa, 6UG�sIr�� _
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Address _) %i90 Flaw w�t� �l� City 6Y 2rb "$&d State V A Zip
Daytime Phone (ImM) !94 tO/ 19Fax # l ) E-mail
Owner of Record
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Address lGR'D kwwo e�'— City az tOflestI State
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Daytime Phone Fax # C E-mails
Applicant (Who is the Contact person representing?): �<:/»l A —
Address
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Fax # (__)
City
E-mail
State Zip
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County of Albemarle Department of Community Developmeft
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
Official Letter of Determination Application Revised 7/l/2021 Page I of 2
Submittal Requirements
Parcel of Record and/or Development Rights
Tax Map Page
V\Provide evidence showing when the parcel/parcels was/were created. This will include the
following;
The last instrument of record in the Clerk's Office of the Circuit Court of Albemarle
County, Virginia on or prior to December 10, 1980.
Include deeds that provide a plat or metes and bounds description of the property.
(Highlight or underline references to the subject property).
All plats and deeds of record after December 10, 1980, UP UNTIL THE PRESENT DATE.
(Highlight or underline references to the subject property).
f Cover letter stating the assumed number of parcels and development rights, with
// explanation of same.
Any other pertinent information.
fee is reauired for each separate parcel shown on the tax
All other Determinations
❑ Cover letter stating what is being requested. Provide all necessary information for the
consideration of this decision including
❑ Tax Map Page if request is regarding a specific property.
❑ If the request is regardin2 a nonconforming use, structure, or lot then von must
provide enoueh probative material evidence to prove the nonconformity.
❑ Provide justification for the request and any other pertinent information.
❑ Fee as noted above.
Please refer to the Albemarle County Land Use Law Handbook for more information
nonconformities.
Determination may take un to ninetv (90) days from submittal
/)
tgnature of Owner Date
-e,u�L 43 4 W b/I� Print Name f Daytime phone number of Signatory
Official Letter of Determination Application Revised 7/l/2021 Page 2 of 2