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HomeMy WebLinkAboutACSA199500005 Application 1995-04-17 APPLICATION TO AMEND THE e:°,F�A County of Albemarle Department of Planning and Community Development SERVICE AUTHORITY 401 McIntire Road n4 ' Charlottesville,VA 22902-4596 JURISDICTIONAL AREAS ; ,- 804 296-5823 APPLICANT Name: CHARLOTTESUILLE-ALBEMARLE AIRPORT AUTHORITY // '' B04-973-8341 Signature: ' u !,ti Phone: Address: 20 BOWEN LOOP CHARLOTTESUILLE , VA 22901 CO-APPLICANT Name (or agent, if any): Signature: Phone: Address: JURISDICTIONAL AREA DESIGNATION REQUESTED: O Water and Sewer ❑ Water Only ❑ Water Only to Existing Structure(s) 0 Limited Service(Describe In Justification below) PROPERTY LOCATION (Address) 201 B O W E N LOOP • Tax Map(s)/Parcel Number(s): 3 2/1 0 • CURRENT SERVICE AREA DESIGNATION (If any): ® Water and Sewer ❑ Water Only • ❑ Water Only.to Existing Structures 0 Limited Service JUSTIFICATIONFORREQUEST: Extend public water arid_ sanitary sewer service to all existing and or000sed buiidibus at 'ths Charlottesville-Albemarle Airport . - For Staff Use Only DATE SUBMITTED: DATE$130 FEE PAID: La'd (//7/15 PROPERTY IS LOCATED (Check Appropriate): ❑ Inside or ❑Outside a Growth Area? ❑ Adjacent to SAJA? ❑ 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 0 No Date of Action