HomeMy WebLinkAboutACSA200200006 Application 2002-10-10 10/01/2002 15:56 FAX 434 972 4012 Albe. Planning Z002
APPLICATION TO AMEND THE 4�� county ofAibemarle
t r�"!irfi Departm®t of Punning and Community Development
SERVICE AUTHORITY - . 0- 401 McIntire Road
JURISDICTIONAL AREAS ?. Charlottesville,-5 VA 22902-4596
APPLICANT ame: 1144Aa.4:1 .
. SignaturePhone:
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Address - y (v D Cterso 12 . . . - . , - -
ClIIarfvitrS(idle/ VA. . 3-3 y(I ..
CO-APPLICANT Name (or agent, i n) ' 7l�•c S E (-t C ' - c L
Signature: _ ----i'1 O 3-
Address: 49/O --3),c escw c _
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JURISDICTIONAL AREA DESIGNATION REQUEST JD:
sitt Water and Sewer a Water Only
0 Water Only to Existing Structure(s) ❑ Limited Service(Describe in Justification
// below)
PROPERTY LOCATION (Address) 7 9/) Di cit,rrG,,, /Z-I al cr-(o f fits vi//..._„ V,-. D5//
Tax Map(s)/Parcel Number(s): •'. I - 13 0
CURRENT SERVICE AREA DESIGNATION (If any): z r r (LS Lv LQ,,v1 0
❑ Water and Sewer Water Only Uvt z 4- i q q
❑ Water Only to Existing Structures 0 Limited Service
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JUSTIFICATION FOR REQUEST:
// For Staff Use Only / / ��
DATE SUBMITTED: -tO,ko r /(J/ c DATE $130 FEE PAID:O `L &J/_> p�c�U.3.--1
PROPERTY IS LOCATED (Check Appropriate):
0 Inside or 0 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
QUESIFOR AMENDKENT ADOPTED: 0 Yes 0 No ' Date of Action _
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.2 2 47/T�/; Charlottesville,VA 22903 E-mail: SrSpdy@aol.com
Phone:(434)977-1992 www sirspeedy.com
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