HomeMy WebLinkAboutACSA200600004 Application 2006-04-19 + Conutuiuun�� Development Department,Planning&
Co un of/4IDemare Y P p
®�\ Y Community Development Division
�:,; ..� 401 McIntire Road Charlottesville,VA 22902-4596
Planning Application 1 Voice:(434)296-5823 Fax:(434)972-4012
PARCEL/OWNER INFORMATION
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TMP 07800-00-00-04500 Owner(s): SOUTHERN SUN INC C/O KIRAN M PATEL
Application# TMP200600001
PROPERTY INFORMATION
Legal Description ACREAGE PARCEL D
Magisterial Dist. Scottsville Land Use Primary Residential--Single-family(incl.modular homes)
Current AFD Not in A/F District Current Zoning Primary Rural Areas
APPLICATION INFORMATION
House # Street Name Apt/Suite City State Zip
Street Address 2119 NORTH HL CHARLOTTESVILLE 22911-
Entered By:Stephanie Mallory on 04/20/2006
Application Type Amend the Service Authority Jurisdictional Area
Project: Southern Sun Inc. 3,222.00
Received Date 04/20/2006 Received Date Final Total Fees $ 130.00
Submittal Date Submittal Date Final Total Paid $ 130.00
Closing File Date Revision Number
Comments:
Also includes TMP 78-60A
Legal Ad
SUB APPLICATION(s)
Type Sub Application Date Comments
APPLICANT/CONTACT INFORMATION
Primary Contact
Name Kiran Patel Phone # (434)409-3329
Street Address 1376 Riverbrook Ct. Fax # (434)973-9964
City/ State Charlottesville,VA Zip Code 22901-0000
E-mail kiran4va@aol.com Cellular# ( ) -
Owner/Applicant
Name SOUTHERN SUN INC C/O KIRAN M PATEL Phone# ( ) -
Street Address 1376 RIVER BROOK CT Fax # ( ) -
City/ State CHARLOTTESVILLE VA Zip Code 22901-
E-mail Cellular# ( ) -
Signature of Contractor or Authorized Agent Date
OFFICE USE ONLY
TMPof
-
Application to Amend the Service Authority Jurisdictional Area
ttF.
ri Amend the Service Authority Jurisdictional Area= $130.00
Project Name: -5'O(471(iIVt St.(n! f+" L -
Tax map and parcel: 071 - S of (DOA Magisterial District: Zoning:
Physical Street Address(if assigned): 2/L 5 //oQ ji-1 /+r --
Location of property(landmarks,intersections,or other): .L ^ L L/ 8.� RT 2.50 r5 1)6vtEG L 11 J
Does the owner of this property own(or have any ownership interest in)any abutting property? If yes,please list those tax map and parcel numbers
Contact Person(Who should we call/write concerning this /"project?): /'f e 1-/NJ A (E
Address /3 7 lo ookaeizzoK C City 6 4A2-1,OT>t.0 il.( -State VR Zip 2-2-q0/
Daytime Phone(tilt ifo' •j37.-9 Fax# 1 7 3 c(9 L Lf E-mail t t2-4'N 4 V P p A c i_ • ub NJ\
Owner of Record -SOOT-OWL N.) S(,t fJ 11J e, -
Address Q S Al2 o V E City State Zip
Daytime Phone( ) / ` Fax# E-mail
Applicant(Who is the Contact person representing?): ` /
Address S e--
f17 V' City State Zip
Daytime Phone( ) Fax# E-mail
OFFICE U �NLY ,I
Fee amount$ Date Paid S//4•D1Check#5917 By Who?c. }141 irl. San Receipt&5T g24By: M.- .
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville,VA 22902 Voice: (434) 296-5832 Fax: (434)972-4126
7/1/04 Page 1 of 2
RECEIVED
APR 19 2006
COMMUNITY DEVELOPMENT
Jurisdiction area designation requested
❑Water and Sewer
❑Water Only to existing structure(s)
❑Water Only
❑Limited Service(Describe in justification below)
Property location(address)
Current Service Area Designation
❑No designation
❑Water and Sewer
❑Water Only to existing structure(s)
❑Water Only
❑Limited Service(Please describe )
Justification for request:
Owner/Applicant Must Read and Sign
I hereby certify that the information provided on this application and accompanying information is accurate,true and correct
to the best of my knowledge and belief.
Signature of Owner Date
Print Name Daytime phone number of Signatory
7/1/04 Page 2 of 2
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Note: This map is for display purposes only and shows parcels as of 12/31/2004. See Map Book Introduction for additional details.
MI MINIMINNE Mile!
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Note:This map is for display purposes only and shows parcels as of 12/31/2004. See Map Book Introduction for additional details.
Mile:
Legend o 0.010.02 0.04 0.06 0.08
Tax Map 78,parcel 60A
100 year floodplain
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