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HomeMy WebLinkAboutSUB201300013 Application 2013-02-05 ;14.... Albemarle Cot ty Community Development Department '�'� 40r clntire Road Charlottesville, VA 22902 -4596 a, • - - Planning Application Voice : (434) 296 -5832 Fax : (434) 972 -4126 'PARCEL / OWNER INFORMATION TMPI 08500- 00- 00 -018C0 Owner(s): KENNEDY, DIANA M Application # SUB201300013 PROPERTY INFORMATION Legal Description ACREAGE PARCEL A Magisterial Dist. Samuel Miller Land Use Primary Residential -- Single family (incl. modular homes) Current AFD Not in A/F District Current Zoning Primary Rural Areas (APPLICATION INFORMATION Street Address 6719 ELLYDIA LN AFTON, 22920 Entered By Todd Shifflett Application Type Subdivision Plat 102/05/2013 Project (Diana Kennedy - Rural Received Date 01/14/13 Received Date Final I Submittal Date 02/11/13 Total Fees 1020 Closing File Date Submittal Date Final Total Paid 1020 Revision Number Comments FEES AND SIGNATURE ON APPLICATION WERE RECEIVED ON 2/5/13. TSHIFFLETT Legal Ad SUB APPLICATION(s) Type Sub Applicati Comment Rural: Division • ' . . ' . W..,. W.,. W,.....,..... W.. �._... W...... ��w...-... W.,,.,._,. �W........ W_ �_....-.. W�_:..: wW.; W. -. E• 'APPLICANT / CONTACT INFORMATION ContactType l Name 1 Address CityState Zip 1 Phone PhoneCeil1 Owner /Appocant . '3 K£NN EDY,. DIANA M i........,_:...,:.. ` ' Y j67i9ELLD _ .:. IA LANE . 1J1F1'c3N WA 22920 Pr con * STUART T. BIRCKHEAD (CLAYTON HOME 3820 S MAIN ST. __.._.. -0R Prima Contact . . HARRISONBU RG 22801 5404346961 Signature of Contractor or Authorized Agent Date Application for Review of .tcs 1� I ® iW4 Family Subdivisions ' ° a r ; ; The term "family subdivision" means the single division of property for the purpose of sale or gift to a member of the immediate family of the owner of the property. Eligible members of the immediate family are natural or legally defined offspring, grandchild, grandparent. or parent of the owner of property to be divided. ❑ Family Division = $690 (3 copies of plat) Tier 2 Groundwater Review = $330 (Required for all plats showing lots less than 21 acres) Tier 3 Groundwater Review = $510 (Required for all plats showine lots where at least 3 lots are 5 acres or less) ❑ Tier 4 Groundwater Review = $1,100 Project Name: Tax map and parcel: '5 5 / 5 ( Zoning: Physical Street Address (if assigned): Cry e7 / C a' y 1^A \ G( ka N e- 1,4401Q V r u e)- % �/ 02 Z Location of property (landmarks, intersections, or other): Contact Person (Who should we call /write concerning this project ?): 6 �LGi. ( 1 1 / p I r --� J< 1 e 4 a, Address 0 S , ►`O\ N T ' City PTA i\i b 2State Zip R ( 00 / Daytime Phone ("' . i11,31-/ ( /F C f 'Fax #'4 L ag /03 E- mail ,(' 43 l' i . -)�1/\ �Cd �. 6d.,06 , e 1 ] Owner of Record � ; C / t CA ✓�. t )"..1..., I.) t°-dy / Address (.n / / / (,t G(1 Gi �C4 Ne.._ City N State V Zip a / d 0 Daytime Phon '41.3 .3t %Fax # ( ) E -mail Applicant (Who is the Contact person representing ?): C 1 t41 N 1 r✓(. S Address 3 V c s , rnct ii..) 4- City) +ti`s tS J b State V C l Zip a,g-w 1 Daytime PhonsVfQ if,3 / ( (.0 ( Fax # ( ) E -mail FOR OFFICE USE ONLY SUB # Fee Amount $ Date Paid By who? Receipt # Ck# By: County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 8/01/2011 Page 1 of 9 Acreage Information: // > Total parcel acreage: 1.1 C7 0 �- Acreage in new lots: ' Ce # of new lots: Comments /Attachments: Grantee Information (Family Division Only): Grantor (owner of existing parcel being divided): N ew Parcel Description Grantee (Person receiving new parcel) Relationship to Grantor 0. ge v t rJ Ke ti pct S + lv Owner /Applicant Must Read and Sign The plat application process includes providing 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. Signature of Owner, Contract Purc ier, Agent Date D ► 0..,r10 �. � 4 3 4 Z 3 4 i Print Name Daytime phone number of Signatory 8/1/2011 Page 2 of 9 Appliration for Review of :6 " i .,, Rural Subdivisions' ' nn:rs The term "rural subdivision" means a type of subdivision that is located in the rural areas which results in two or more lots for the purpose of transfer of ownership or building development, such that: ❑ Each lot created is at least five (5) acres in area; and ❑ Each lot created has at least two hundred fifty (250) feet of frontage on a public street which is part of the primary system or secondary system of state highways. Rural Division = $690 (3 copies of plat) Tier 2 Groundwater Review = $330 (Required for all plats showing lots less than 21 acres) Tier 3 Groundwater Review = $510 (Required for all plats showing lots where at least 3 lots are 5 acres or less) ❑ Tier 4 Groundwater Review = $1,100 Project Name: �j Tax map and parcel: ( )g 'CO` V igoo Zoning: 11 Physical Street Address (if assigned): (h1 q v"( 1o. ‘or,e Location of property (landmarks, intersections, or other): Contact Person (Who should we call /write concerning this project ?): ,...,..- vICA / ' e1 ?,(ill eQ'(' (l re f 1 Address 3'3.20 L C� J 5 f ` c` - 3i-- - City 1 A u►,1c3 State" © ` Zip (rg n SC ) 1 Daytime Phone (S i r% - / (s� / 6 / Fax # ( ) E -mail S i t° t�CJ- F/ cli (I O • `U " Owner of Record t ' ; Q N c" PA ' k e- N 0 ea 1 / 4 -1 _ c �/ cl 16 r V � fi t"? �. Address 6 71 c t F 1 t yt c1 u 1- Gfv - Cit .1' State (''` Zip Daytime Phone ( ) I Fax # ( ) E -mail Applicant (Who is the Contact person representing ?): SG r'hL° a S `1 �y t tJ-kre �e -- Address City State Zip Daytime Phone ( ) Fax # ( ) E -mail FOR OFFICE USE ONLY SUB # J\. Cw Fee Amount $ 1 O Date Paid � By who? t. MM 6�1 j . C � l t teceipt # D O -7 C1i ( 7,1 By: V i5 County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 Revised 06/28/12 Page 1 of 5 Acreage Information: Name / e in new lots: 0 0 Acreage ' g Total parcel acreage: (,- � � g # of new lots: Comments /Attachments: Grantee Information (Family Division Only): Grantor (owner of existing parcel being divided): New Parcel Description Grantee (Person receiving new parcel) Relationship to Grantor Owner /Applicant Must Read and Sign The plat application process includes providing 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. Siktlatu of Owner, Contract Purchaser, Agent Date 7 w44//c <zit) _/-/ L/' 96/ 'rint Name Daytime phone number of Signatory Revised 06/28/12 Page 2 of 5