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Home My WebLink AboutACSA199500001 Application 1994-06-20 Jo- le- afae-- V(AfrAg- , ' Pe-g-4-ze, orfaL&jo . i(1411 0-0)/tel dat44-e-- tA)-4- m'e'66 re,j 01- ) 7 oy,„" ot, ifAA fit3a a-tarfl" d 57,0/e-k ?szei (4,:„ xerJ, d yam✓ 6, .---� 0)4-- .1 ;.r.4 ,e„, 47,e41 4_- &tia 0(A-LeA- a-11 c/a& ofz- 514-74 f°Y 2A4Q1aeti 61'-' 51-3- o�- -t� eAkie 01/uu C .}1 v� z a gag eov- eaa vau PL J/Lti (tel RECEIVED Nii,„: JUN 2 D 1991 Planning Dept. APPLICATION TO AMEND THE ��,,°F��ALskif County of Albemarle li i t 9,p Department of Planning and Community Development SERVICE AUTHORITY we-II:VI 401 McIntire Road 4. Charlottesville,VA 22902-4596 JURISDICTIONAL AREAS r7Rcilw• 804 296-5823 APPLICANT Na : "' ro=S 7 Signature: Cti ; /1 Phone: Address: FT I). 4 e x ,4 C ro`7-< <e JJ& A CO-APPLICANT Name (or agent, if any): )1 e / d m Signature: Q� �� Fho e:(d 7--1 Pci8 VA Address: g 7, I L3 d X ,S�9 z/ C vtcr �7 t'Z .2 J JURISDICTIONAL AREA DESIGNATION REQUESTED: ❑ Water and Sewer Water Only ❑ Water Only to Existing Structure(s) 0 Limited Service (Describe in Justification /7[ / below) 1 J �•T b 241 i CL �J"y�j'J� ; / � j� rev G�, ]�d. PROPERTY LOCATION (Address) / .77 eC� a X $ J`/ C J U 4, 4.?A-) Tax Map(s)/Parcel Number(s): 3 5—,4 p /3 `- ` 74 -0D -0o - d/36° CURRENT SERVICE AREA DESIGNATION (If any): ❑ Water and Sewer E(Water Only ❑ Water Only to Existing Structures ❑ Limited Service JUSTIFICATION FOR REQUEST: kk Wal;r j '7 >n oca- / U 5 ',Yu) Sc c c.Jli,L . �� c d ic.9 a n For Staff Use Onl / DATE SUBMITTED: tQ �o 194 DATE $130 FEE PAID: PROPERTY IS LOCATED Check Appropriate): ❑ Inside or 0 Outside a Growth Area? 0 Adjacent to SAJA? ❑ Inside or 0 Outside a Water-Supply Watershed? 0 Adjacent to a Growth Area? Location and distance of water/sewer line proposed to provide service REQUEST FOR AMENDMENT ADOPTED: 0 Yes 0 No Date of Action APPLICATION TO AMEND THE � oFF AL% County of Albemarle 4111i j' ',p Department of Planning and Community Development SERVICE AUTHORITY ° ® ci 401 McIntire Road 4N.,:e."-: Charlottesville,VA 22902-4596 JURISDICTIONAL AREAS `InG,N,e- 804 296-5823 APPLICANT Name: Ki.,PoL).,c) C (N/L C cx Signature: ilcrA) C %c-e-e_2,nL Phone: (52g3— c Address: ££' e/ /5 e.)( � � , //C 2_2---y 3 2- CO-APPLICANT Name (or agent, if any): Signature: B•,r. GV Phone: •g-r2 3 -'/3rs Address: p f-c I 13"X G Zd 1114- LI3 2-- JURISDICTIONAL AREA DESIGNATION REQUESTED: ❑ Water and Sewer gi Water Only ❑ Water Only to Existing Structure(s) 0 Limited Service (Describe in Justification below) PROPERTY LOCATION (Address) Tax Map(s)/Parcel Number(s): SS— 79;0! - CURRENT SERVICE AREA DESIGNATION (If any): ❑ Water and Sewer ❑ Water Only ri Water Only to Existing Structures ❑ Limited Ser - JUSTIFICATION FOR REQUEST: eil0 S e 71 -end al AAA t� 74 eitzr314— �-7 9/ Lv,4Ten !'.GK a �� h Y A't4Ce./ ; /l5 ,9'Ct" "41pte j iQt¢. inr2 is-7- /a .,e4.7�, et.)w4( 6e 8oyre e-4-/57751,:l Aesial c2.. Gv* Lau' L et)ATeit —'A rac.) .1,124 ez.14,4e 4414:44it.eAf Ft be p4-01:gcl dCkg2-G1� DATE SUBMITTED: ( "/.S 9'r DATE S130 FEE PAID: o� �1,� 91 PROPERTY IS LOCATED (Check Appropriate): ❑ Inside or ❑Outside a Growth Area? ❑ Ac;a, cnt ❑ Inside or ❑Outside a Water-Supply Watershed? Adjacent to a Growth Area? Location and distance of water/sewer line proposed to provide service REQUEST FOR AMENDMENT ADOPTED: 0 Yes 0 No Da:e: e ; ^rtirn 6, //"— APPLICATION TO AMEND THE ��,°,�A County of Albemarle H1 II 9 15 Department of Planning and Community Development SERVICE AUTHORITY -&-T(tivV5, 401 McIntire Road Charlottesville,VA 22902-4596 JURISDICTIONAL AREAS Boa 296-5823 APPLICANT Name: \ �cl c 9(7/ 7/;/IL Signature: 777 Phone: gR3-277, Address: o/ Y ( /9,4 o?b2tr,, V4 Z2932- CO-APPLICA ame (or agent, if any): /1/6N -ID Signature: i G �---o�� Phone: 23- 777y$ Address: J 7 / (; Soy (.// A e o22.r Vis'- Z2932 JURISDICTIONAL AREA DESIGNATION REQUESTED: ❑ Water and Sewer "ter Only ❑ Water Only to Existing Structure(s) 0 Limited Service (Describe in Justification below) PROPERTY LOCATION (Address) &/OPOPfrvr74 1Arrrr 1.01-1C. , 47 ey ‘,/Tax Map(s)/Parcel Number(s): JJ 5- 790 X0 '— CURRENT SERVICE AREA DESIGNATION (If any): ❑ Water and Sewer 0 Water Only ❑ Water Only to Existing Structures 0 Limited Service JUSTIFICATION FOR REQUEST: DATE SUBMITTED: DATE $130 FEE PAID: 11 PROPERTY IS LOCATED (Check Appropriate): ❑ Inside or ❑Outside a Growth Area? SAJA? ❑ Adjacent to SA_r,.. ❑ Inside or ❑Outside a Water-Supply Watershed? 0 Adjacent to a Growth Area? Location and distance of water/sewer line proposed to provide service REQUEST FOR AMENDMENT ADOPTED: ❑ Yes 0 No Date of • APPLICATION TO AMEND THE ,st°�F A`�4,, County of Albemarle . ? �' 9.p Department of Planning and Community Development SERVICE AUTHORITY tch 401 McIntire Road e' Charlottesville,VA 22902-4596 JURISDICTIONAL AREAS va,, 1P 804 296-5823 APPLICANT Name: } 4440,3 Signature: $iti-itiPhone& V - 7-f�-ScS �3 . Address: _I C G =3"--1C C'eT.41/ Yr-t_) c' ..2 'u .1. CO-APPLICANT Name (or agent, if any): Signature: Phone: Address: JURISDICTIONAL AREA DESIGNATION REQUESTED: ❑ Water and Sewer --Water Only ❑ Water Only to Existing Structure(s) 0 Limited Service (Describe in Justification below) PROPERTY LOCATION (Address) ___,____ Tax Map(s)/Parcel Number(s): 5S 9 0 CURRENT SERVICE AREA DESIGNATION (If any): L7 Water and Sewer &Water Only 0 Water Only to Existing Structures ❑ Limited Service JUSTIFICATION FOR REQUEST: \ . . , . . . — . DATE SUBMITTED: A.'"t,c_ DATE S130 FEE PAID: PROPERTY IS LOCATE (Check Appropriate): 0 Inside or ❑Outside a Growth Area? ❑ Adjacent to SAJA? 0 Inside or 0 Outside•a Water-Supply Watershed? 0 Adjacent to a Growth Area? Location and distance of water/sewer line proposed to provide service REQUEST FOR AMENDMENT ADOPTED: 0 Yes 0 tic (-Is:- :- APPLICATION TO AMEND THE 1,4„,A .cBF County of Albemarle SERVICE AUTHORITY e�� - 9� Department of Planning and Community Development ®� 401 McIntire Road 4 Cesv ,VA 22902-4596 JURISDICTIONAL AREAS �; ,`,> 804harlott 296-5823ille APPLICANT Name: j CA LA Signature: f ry-� Phone: J 3 53 6`L • Address: / 1 C d�.' J Fg. CO-APPLICANT Name (or agent, if any): Signature: Phone: Address: JURISDICTIONAL AREA DESIGNATION REQUESTED:� ❑ Water and Sewer 02 Water Only ❑ Water Only to Existing Structure(s) 0 Limited Service (Describe in Justification below) PROPERTY LOCATION (Address) NI 11tv_ x raput,,,Lek, f%1j .-, Tax Map(s)/Parcel Number(s): 0 55 A ) v b b - 0 1 0 b CURRENT SERVICE AREA DESIGNATION (If any): 0 Water and Sewer 0 Water Only O Water Only to Existing Structures 0 Limited Servic_ JUSTIFICATION FOR REQUEST: l/ j��y UN 47 • DATE SUBMITTED: DATE S 130 FEE PAID: PROPERTY IS LOCATED (Check Appropriate): 0 Inside or ❑Outside a Gro::th Area? Adj.icent to SAJA? O Inside or ❑Outside a Water-Supply Watershed? 0 Adjacent to a Growth Area? Location and distance of water/sewer line proposed to provide service REQUEST FOR AMENDMENT ADOPTED: 0 Ye-.. ❑ No De APPLICATION TO AMEND THE ,°F�k�BF County of Albemarle 4411li i j" 9p Department of Planning and Community Development SERVICE AUTHORITY °W®_ 401 McIntire Road �!` Charlottesville,VA 22902-4596 JURISDICTIONAL AREAS `v;, i;ae. 804 296-5823 APPLICANT Name: I 0A/Nil B rU u3 n Signature: Phone: 20 3 -- `l( -1 Address: `-4--\— P)( Sg14- Q_CQZE- '\( \ a9-R3 2- CO-APPLICANT Na (or age , if any): G l Er°i,�1 n ao,(40 Signature:d�/ ,�t�f , 5 Phone: Address: GC,1N1( r JURISDICTIONAL AREA DESIGNATION REQUESTED: ❑ Water and Sewer Water Only 0 Water Only to Existing Structure(s) 0 Limited Service (Describe in Justification below) PROPERTY LOCATION (Address) Tax Map(s)/Parcel Number(s): CURRENT SERVICE AREA DESIGNATION (If any): ❑ Water and Sewer E Water Only ❑ Water Only to E'istin= Structures ❑ Limited Service JUSTIFICATION FOR REQUESAck K �__ a -- cTU ��— u - -- 5 c, e- DATE SUBMITTED: DATE S130 FEE PAID: PROPERTY IS LOCATED (Check Appropriate): ❑ Inside or ❑Onside a Growth Area? r i A.cjnc�e.^.t to S AJA' ❑ Inside or ❑Outside•a Water-Supply Watershed? ❑ Adjacent to a Growth Area? Location and distance of water/sewer line proposed to provide service REQUEST FOR AMENDMENT ADOPTED: ❑ Yes ❑ No Dave of ',c' APPLICATION TO AMEND THE ALe4,49 County of Albemarle �� i9 \ Department of Planning and Community Development SERVICE AUTHORITY 8 I =� 401 McIntire Road \�:- Charlottesville,VA 22902-4596 JURISDICTIONAL AREAS I1 804 296-5823 APPLICANT Name: �� S, iffaesizi A/9 ) A/ Signature: ( J�. 11/6 2 > / Phone: ?by_ 8'Z 3-- Address:. B[ 200 3 b ZE'�` Z% . 9 3 2 CO-APPLICANT Name (or agent, if any): Signature: Phone: Address: JURISDICTIONAL AREA DESIGNATION REQUESTED: ❑ Water and Sewer ® Water Only ❑ Water Only to Existing Structure(s) 0 Limited Service (Describe in Justification below) PROPERTY LOCATION (Address) /J z Nd ,4 Tax Map(s)/Parcel Number(s): CURRENT SERVICE AREA DESIGNATION (If any): ❑ Water and Sewer fE Water Only ❑ Water Only. to Existing Structures 0 Limited Service JUSTIFICATION FOR REQUEST: DATE SUBMITTED: DATE S130 FEE PAID: PROPERTY IS LOCATED (Check Appropriate): ❑ Inside or ❑Outside a Growth Area? !i - lc SAGA? ❑ Inside or 0 Outside a Water-Supply Watershed? 0 Adjacent to a Growth Area? Location and distance of water/sewer line proposed to provide service REQUEST FOR AMENDMENT ADOPTED: ❑ Yes ❑ No DaT A„H;i � VA 'l •sS�u l � rQ�• [9U- `rRGtl3lP David P.Bowerman COUNTY OF ALBEMARLE Charles S.Martin Charlottesville Rr anna Office of Board of Supervisors Charlotte Y.Humphris 401 McIntire Road Walter F.Perkins Jack Jouett .White Hall Forrest R.Marshall,Jr. Charlottesville, Virginia 22902-4596 Sally H.Thomas Scottsville (804)296-5843 FAX (804)972-4060 Samuel Miller June 9, 1994 Ms . Therisia Frost Route 1, Box 594 Crozet, VA 22932 Dear Ms . Frost : Enclosed please find an application to amend the service area boundaries of the Albemarle County Service Authority. If you have any questions about the application, please contact the Department of Planning and Community Development at 296-5823 . After the application has been completed, return it, along with the application fee of $130 . 00 , to the Department of Planning. During our telephone conversation you indicated that this request also includes several property owners in your area. Please provide the names, property location and tax map/parcel numbers for all of the property owners who want to be included in the request . Also, submit the name of one person who will be the contact person. If you have any questions, please do not hesitate to call me at 296-5843 . Sincerely, EY, 11' -(( Ella W. Carey, Cler EWC:mms Attachment cc : V. Wayne Cilimberg, Department of Planning