HomeMy WebLinkAboutSUB200300018 Application Easement Plat 2003-01-21 RECEIVED IN
OFFICE USE ONLY PLANNING JAN 21,2003
SUB# Ob'/0 I /J TMP
Application For Review of a Subdivision Plat
❑ Preliminary Plat ZIFinal Plat
❑ Two-lot subdivision as described in section 14-239(B)(1)or if all lots fronton an existing public street=$95
Resubdivision(section 14-239)=$75
❑ Condominium Plat=$100
❑ Vacation(section 14-240)_$170
5 copies of Plat are required for above
❑ 1 to 9 lots=$360 ❑ If subject to Planning Commission Review=S720
❑ 10 to 19 lots=$550 ❑ If subject to Planning Commission Review=$1,100
❑ 20 or more lots=$670 ❑ If subject to Planning Commission Review=$1,330
16 copies of Plat are required for first submittal of above-7 copies required for a revision
Other matters subject to Planning Commission review:
❑ Waiver,variation or substitution of subdivision requirements($180):Attach written justification
❑ Relief of conditions of prior approval($180):Prior File Name/Number
Other matters subject to Administrative review:
❑ Reinstatement of review($65)
❑ Extension of plat approval($45)-Must be submitted at least Five(5)days prior to expiration of plat.
❑ Request to defer action on plat to an indefinite date($75)
❑ Bonding inspection for plate ($60)
Other matters subject to Board of Supervisors review:
❑ Appeal to Board of Supervisors($240):Prior File Name/Number
Project Name: C) YZJzi 1 G-� / G.)
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Tax map and parcel: "S" /
Contact Person(Who should we call/write concerning thisis project?). ././//r�/ ,7/L.L
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Address r't' fo p /76 p3 City C1 V//L Le" State l� Zip ZZ 0 I
Daytime Phone( ) 7 9% -/5 l ( Fax# p �`8 B C.3 E-mail A
Owner of Record
Address p City State Zip
Daytime Phone( ) 7/ -Q I81 Fax# E-mail
Applicant(Who is the Contact person representing?): ,S,N m AS 0 t '
Address City State Zip
Daytime Phone( ) Fax# E-mail
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OPPICE US�_,`NLY J J , / PJ ' C
Fee amount S '�� (lte IZ/ �eck# By Who? t�/ Receipt# y:
County of Albemarle Department of Planning& Community Development
401 McIntire Road ❖ Charlottesville,VA 22902 ❖ Voice: 296-5823 ❖ Fax: 972-4035
7/31/02 Page 1 of 2
Property Information:
Does the owner of this property own(or have any ownership interest in)any abutting property? If yes,please list
those tax map and parcel numbers
Physical Street Address(if assigned)
Location of property(landmarks,intersections,or other)
Magisterial District: Zoning:
Comprehensive Plan Land Use Designation:
Proposed use(s)of property:
Acreage Information:
Total parcel acreage: Acreage in new lots:
#of new lots:
Acreage in open space:
Acreage in roads:
Comments/Attachments:
Owner/Applicant Must Read and Sign
The Subdivision Plat application process process includes providing the Planning Commission 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.
Signature of Owner, Contract Purchaser,Agent Date
Printed Name Daytime phone number of Signatory
7/31/02 Page 2 of 2