HomeMy WebLinkAboutSUB201300164 Application 2013-11-11 Albemarle Cou y Community Development Department
401 NU ntire Road Charlottesville,VA 22902-4596
'1 Planning Application Voice:(434)296-5832 Fax:(434)972-4126
'PARCEL/ OWNER INFORMATION
TMPI 04200-00-00-058A0 Owner(s): STRICKLER, BETTY L, TRUSTEE OF THE BETTY L
Application # SUB201300164 STRICKLER REVOCABLE TRUST
PROPERTY INFORMATION
Legal Description ACREAGE B WHIPPOORWILL HOLLOW
Magisterial Dist. White Hall 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 2415 FROG ROCK LN CHARLOTTESVILLE, 22901 Entered By
Todd Shifflett
Application Type Subdivision Plat 11/11/2013
Project 'Strickler- BLA
Received Date 11/08/13 Received Date Final Submittal Date 11/11/13 Total Fees 200
Closing File Date Submittal Date Final Total Paid 200
Revision Number
Comments
Legal Ad
SUB APPLICATION(#)
Type ) Sub Applicati I , .Comment j
8oundawy Line AdjusttnealE ,11.111 1 I
'APPLICANT / CONTACT INFORMATION
ContactType Name Address CItXState Zip Phone PhoneCell
owner/A{iplicant STRICKLER,BETTY t.TRUSTEE OFTE 2415 FROG ROCK LN CHAPLOi fESlliLL 2901
Primary Contact EDWARD D.CAMPBELL-ROUDABUSH, 914 MONTICELLO ROAD CHARLOTTESVILL 22902 4349770202
Applicant BROCK STRICKLER 2405 FROG ROCK LANE CHARLOTTESVILL 22901 4349735583
Date
Signature of Contractor or Authorized Agent
App1 cation for Review of
Boundary Line Adjustment, Easement Plat & Special Lots
'wort
❑ Boundary Line Adjustment=$200 ❑ Easement plat(s)without a deed=$490 ❑ Special Lot=$88
(3 copies of plat) ❑ Easement plat(s)with a deed=$760 (3 copies of plat)
❑ Easement plat(s)required with a site plan=$200
❑ Easement plat(s)amending a previously approved easement plat(s)=$200
(3 copies of plat)
t� !v� ti
Project Name: J�� �� ..1p I � 1 ..q,
Tax map and parcel: 11444- — 5 f l ��j `i�1 Zoning: �,l I l ,,
Physical Street Address(if assigned): 2`V J �1 z$03 f if //
Location of property(landmarks,intersections,or other): - b 43 f V3, )U Mf(,, ",(A,(n )
Contact Person(Who should we call/write concerning this project?): � 9, Gip p\A 4 Address Qt( 0 11�1�\ flc) \� City C\t IV t51\1 State Ut- Zip (7}.5 "Z'
Daytime Phone(43"1) _6 � Fax#ri ) �'((�" .,ZzU E-mail de `f& C��Abi'.CCYY'
Owner of Record CA i L , C%\64k-Or
Address Li( 5 CA_, O City CYah (: i() State .\)`) Zip MO
Daytime Phone(1/41-3(-) C ' Fax#( ) E-mail
Applicant(Who is the Contact person representing?): cock. 576("k L)
�
Address 740-5 r� [ ( ( p City CV U)6'" State Vr1. Zip C.-C.It-"
Daytime Phone(1/41-3$ 9-73`5`13 Fax#( ) E-mail
C1 \
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
prov..•: s of Chapter 14 Subdivision of Land of the Albemarle County Code.
). it—oY13
Signature of Owner,Contract 'urchaser, gen Date
Ed0t0 1) Cat(Y k‘ 47 4 1 91-1- OT -c>
Print Name Daytime hone number of Signatory
P g rY
FOR OFFICE USE ONLY SUB#
Fee Amount •) Date Paidlt- -13 By whoZ,il j tr aif @kler Receipt# 1,3-4-31 Ck#gii By: t714'
County of Albemarle
Department of Community Development
401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434)972-4126
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