HomeMy WebLinkAboutACSA200100003 Application 2000-11-23 i
APPLICATION TO AMEND THE ,S-t,°,F."`N'�, County of Albemarle
�hl i in0,:j' -p Department of Planning and Community Development
SERVICE AUTHORITY - ,.'Q= 401 McIntire Road
Charlottesville,VA 22902-4596
JURISDICTIONAL AREAS '-‘1,iRcir�1P 804 296-5823
APPLICANT Name: The County 6chool emird, of 4LbemarLe 61.044 1 ✓rq[rrit
Signature: Phone: �l
Address: 90I /11CI1t7re Road
t&ii1Ultelvilk , VA ZZSOZ
CO-APPLICANT Name ( r agen if any): At fik4056r
Signature: / Phone: 975-S3V0
Address: Bad SeyHc AS /21pt
Z75/ /-iydratl.l+U Rai NW1-1oltesv/&e , VA zZ9ol
JURISDICTIONAL AREA DESIGNATION REQUESTED:
• Water and Sewer ❑ Water Only
❑ Water Only to Existing Structure(s) ❑ Limited Service (Describe in Justification
below)
PROPERTY LOCATION (Address) 27/Co Profit act ; Alortl,errt. Elemenhart1 S/hI
Tax Map(s)/Parcel Number(s): yl-30 cvnd '/G-304
CURRENT SERVICE AREA DESIGNATION (If any):
❑ Water and Sewer ❑ Water Only
❑ Water Only to Existing Structures 0 Limited Service
JUSTIFICATION FOR REQUEST: 7'ht County eoa'v of (Supervisors desired Ai. 5cJiooL
Sete to be within tAe. 6 rot,)ik Area. 7h,5 51t4.. was c'defe rin,rucz to be ()nth ir` 476
6roki4 Area ) a/fhuuyh it is hot currently trrthcn tkt ACSA Jiri lctanal Area.
An dmAnd nest is required.. to allow wailer a-nd sewer- service to Me proposed
elementary &deal ,
For Staff Use Only
DATE SUBMITTED: DATE$130 FEE PAID:
PROPERTY IS LOCATED (Check Appropriate):
ir.. Inside or ❑Outside a Growth Area? 0 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: 0 Yes 0 No Date of Action
Albemarle County Public Schools
The following documents are being sent from:
Building Services Department
2751 Hydraulic Road, Charlotteville, Virginia 22901
Phone: 804-975-9340 Fax Number(804) 973-9341
Date:
ii/3/0V
Sent to:
David
Sender:
�4 Pl�a�nvrl tn�urn�f� vnw
LoaRabb
Regarding: /Oitaem gem e 1'Y oA, /4-ouarn iint to •
The following documents are attached for your review:
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RECEIVED
N O V 2/ 2000
PLANNING AND
COMMUNITY DEVELOPMENT
copy: tacimp. Ammot41, NoY7tL rt ai ntelJ vij- 1-71( ,