HomeMy WebLinkAboutSUB202300020 Application 2023-01-27(' •
APPLICATION
FOR BOUNDARY LINE ADJUSTMENT PLAT
Boundary Line Adjustment = $246.48
$237 + $9.48 Technology surcharge
Provide 5 copies of plat)
Project Name
- t
Tax map and parcels TINI
Zoning -01 �11
B P. 35' 34-6 1
Physical Street Address (if assigned): 1 333 P2y-ristl�_ t.z � v1 i Ie. Ve 2 20.&a
Applicant A'
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Street Address
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Cityc t ,�', I � e.
Phone Number Q
State Zip Code Z2 CJ 02
292, 7
evise : 11/1/2015
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APPLICATION FOR BOUNDARY LINE ADJUSTMENT PLAT
Owner/Applicant Must Read and Sign
The plat application process includes providing the County with all the information required in Chapter 14
Subdivision of Land of the Albemarle County Code.
The foregoing information is complete and correct to the best of my knowledge. I have read and understand the
provisions of Chapter 14 Subdivision of Land of the Albemarle County Code.
By signing this application I am consenting to written comments, letters and or notifications regarding this
application being provided to me or my designated contact via fax and or email. This consent does not preclude
such written communication from also being sent via first class mail.
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Signature of O ter, Contract Purchaser, Agent
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Print Name
Sec. 14-208.1 Boundary line adjustments.
/ 124 /23
Date
,43-A 293 7 5 3 Q
Daytime phone number of Signatory
The following sections shall apply to each boundary line adjustment, when applicable:
A. General: Sections 14-100 through 14-108.
FOR OFFICE USE ONLY
SUB N
Fee Amount S Date Paid
By who?
Receipt It
Cldl Br: