HomeMy WebLinkAboutSUB201300187 Application 2013-12-19 Albemarle Cocfty Community Development Department
u? 401 McIntire Road Charlottesville,VA 22902-4596
u U Voice:(434)296-5832 Fax:(434)972-4126
Planning Application
PARCEL/ OWNER INFORMATION
TMPI 04700-00-00-05700 I Owner(s):
LEVIEN, JENNIFER
Application # SUB201300187
PROPERTY INFORMATION
Legal Description ACREAGE LANDS END
Magisterial Dist. Rivanna 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 3307 BURNT MILL RD CHARLOTTESVILLE, 22911 Entered By
Judy Martin
Application Type Subdivision Plat 112/19/2013 1
Project (Jennifer Levien - BLA
Received Date 12/17/13 Received Date Final Submittal Date 12/30/13 Total Fees 200
Closing File Date Submittal Date Final Total Paid 200
Revision Number
Comments
Legal Ad
SUB APPLICATION(s)
Sub As'lipati Comment
Boundary Lima Adjulstment o www .www wwww
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'APPLICANT/ CONTACT INFORMATION
ContactType; Name ( Address CltyState Zip ; Phone P.. e,11
hvn�r/Applicant . `LEVIEN JENNIFER B4 CL JS LRI CHARGIM FALLS; 44033 67
Primary Contact ED CAMPBELL/ROUDABUCH, GALE &AS 914 MONTICELLO ROAD CHARLOTTESVILL 22902 4349770205
Applicant EMILY TAYLOR 3307 BURNT MILL ROAD CHARLOTTESVILL 22911 5712173877
Signature of Contractor or Authorized Agent Date
Apication for Review of
Boundary Line Adjustment, Easement Plat & Special Lots ,411$® :
XBoundary Line Adjustment=$200 ❑ Easement plat(s)without a deed=$490
0 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)
Project Name:
Tax map and parcel: 1 ( I PUV 5 1 t 1-7 Magisterial District: \\\)C\(}, \UL Zoning: v.A.
Physical Street Address(if assigned): 3 501 66\u(1.--T 1 1 t k ES.)
Location of property(landmarks,intersections,or other): C-) 5 qst37 c J\ ^ (GAT
Contact Person(Who should we call/write concerning this project?): L� �r>� Q u� 'i ��i1 I(('�� 1 (� `( �-� jia
Address q(4- \\alp\ /c�,1'V, _. LThC7 City ''( 11 'U I,J State‘.)r Zip (,ricb
Daytime Phone( ° I f""Cwt) Fax#(A-3 L(�,"J L E-mail de (?.0 F d\,(k1-5\1
Owner of Record 1()Ckr UA)
Address 3 1>1 ')t h?I t 1 t i��� S A� City CAM P\0 r JJ i(,A) State A/1 " Zip I(-CM
Phone ` - `J1C`1- Fax#( — ) E-mail
Applicant(Who is the Contact person representing?): a`i\t Li T lkr-C
�
Address 336i ,V 11 ,1 i(n City CWO 0 ,, U State U( i . Zip MI(
Daytime Phone(51O Z - •3117 Fax#( - ) E-mail f�n\h 6A-4C t
ja■ocr~;.ru -,
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.t-e7 17-i3
?tbOit\'Signature of Owne Con a urchaser,Agent Date
O Cc\ p\ Q (L 'sq-) c?"17-C7o
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONLY SUB.# '71'' -1M
Fee Amount$ 2-06*" Date Paid PO 3 By who?En ;1,I 1 [.1"V(V) Receipt#93%51 Ck# 'l 2
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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