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Home My WebLink AboutSUB201600135 Application 2016-06-27 . ; Community Development Departn G :7 Albemarle �U17 ty 401 Mdntire Road Charlottesville,VA 22902-4! Voice:(434)296-5832 Fax:(434)972-4 Planning Application PARCEL / OWNER INFORMATION TMP 05500-00-00-078A0 Owner(s): SHIFFLETT, MARY L LIFE ESTATE Application # SUB201600135 PROPERTY INFORMATION Legal Description ACREAGE Magisterial Dist. White Hall v j Land Use Primer. Residential -- Single-family (incl. modular homes) Current AFD Not in A/F District Current Zoning Primary R1 Residential [APPLICATION INFORMATION Street Address 6203 JARMANS GAP RD CROZET, 22932 Enterea _ _ _ Judy Martin Application Type Subdivision Plat 6/28/2016 Project Jarmans Gap Road - Easement Received Date 06/27/16 Received Date Final Submittal Date 07/05/16 Total Fees 2 Closing File Date Submittal Date Final Total Paid 2 Revision Number Comments Legal Ad WITH DR AW N Per Zoning Ordinance SUB APPLICATION(s) Type Sub Application j Comment Easement Plat 07/05/16 APPLICANT / CONTACT INFORMATION ContactType i Name Address T CityState Zip I Phone PhoneCt Owner.'Applicant SHIFFLETT, MARY L LIFE ESTATE 6203 JARMANS GAP RD CROZET VA 22932 Primary Contact SCOTT COLLINS - COLLINS ENGINEERIN 200 GARRETT ST., STE. K PCHARLOTTESVILL 22902 4342933719 Signature of Contractor or Authorized Agent Date Community Development Departn � ., Albemarle un y 401 McIntire Road Charlottesville,VA 22902-4l Voice:(434)296-5832 Fax:(434)972-4 - Planning Application [PARCEL / OWNER INFORMATION TNP 05500-00-00-078A0 0.. ier(s): SHIFFLETT, MARY L LIFE ESTATE Application # SUB201600135 PROPERTY INFORMATION Legal Description ACREAGE Magisterial Di==-t. White Hall Land Use Primer; Residential -- Single-family (incl. modular homes) CLrrert FD Not in A/F District [j Current Zoning Primary R1 Residential 'APPLICATION INFORMATION Street Address 6203 JARMANS GAP RD CROZET, 22932 Entered Judy Martin, Application Type Subdivision Plat ' 6/28J2oi Project Jarmans Gap Road - Easement Received Date 06/27/16 Received Date Final Submittal Date 07/05/16 Total Fees 2 Closing File Date Submittal Date Final Total Paid 2 Revision Number Comments Legal Ad SUB APPLICATION(s) Type Sub Application Comment Easement Plat 07/05/16 APPLICANT / CONTACT INFORMATION ContactType Name Address CityState 1 Zip j Phone I PhoneC Owner/Applicant SHIFFLETT, MARY L LIFE ESTATE 6203 JARMANS GAP RD CROZET VA 22932 Primary Contact SCOTT COLLINS - COLLINS ENGINEERIN 200 GARRETT ST., STE. K CHARLOTTESVILL 22902 4342933719 Signature of Contractor or Authorized.Agent Date Pagel COUNTY OF ALBEMARLE APPLICATION FOR EASEMENT PLAT Easement plat(s) without a deed = $527 Easement plat(s) with a deed =$817 Easement plat(s) required with a site plan 215 Easement plat(s) amending a previously approved easement plat(s) = $215 (Provide 5 copies of plat) Project Name JARMANS GAP ROAD Tax map and parcels 55-78A Zoning R-1 Physical Street Address(if assigned): BIRMINGHAM DRIVE Applicant OLD TRAIL CREEKSIDE IV, LLC Street Address 800 EAST JEFFERSON ST City CHARLOTTESVILLE State VA Zip Code 22902 Phone Number Email Owner of Record OLD TRAIL CREEKSIDE IV, LLC Street Address 800 EAST JEFFERSON ST City CHARLOTTESVILLE State VA Zip Code 22902 Phone Number Email Contact (who should we contact about this project): SCOTT COLLINS -COLLINS ENGINEERING Street Address 200 GARRETT STREET, SUITE K City CHARLOTTESVILLE State VA Zip Code 22902 Phone Number 434-293-3719 Email sett@collinc-engineering_com County of Albemarle Department of Community Development 401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434) 972-4126 Paget COUNTY OF ALBEMARLE APPLICATION FOR EASEMENT 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 come unication from also being sent via first class mail. I Signature of Owner,Contract Purchaser,Agent Date s o l `i" 1-c 43 4- 29� 37r 1 Print Name Daytime phone number of Signatory FOR 0 USE ONLY SUB# Fee Amount S •05 Date Paid rim By who? � L� I/11 .= Receipt# 105[D 2_ CI 3 l Of) By: i Z•