HomeMy WebLinkAboutSUB202100185 Affidavit 2023-01-27COUNTY OF ALBEMARLE
Department of Community Development
401 McIntire Road, North Wing
Charlottesville, Virginia 22902-4596
Phone (434) 296-5832 Fax (434) 972-4126
AFFIDAVIT
/ Verifying Family Relationship of Grantor to Grantee
I, `t'N' k',7 S' , (property owner/Grantor) hereby certify that the subdivision of Tax
Map 11f Parcel 7A is a family subdivision in accordance with Sections 14-208, 14-211, and 14-212 of the
Albemarle County Subdivision Ordinance, and that the table below outlines the relationship of each Grantee to the
Grantor. I acknowledge that I have read and understand Sections 14-208, 14-211, and 14-212 of the Albemarle
County Subdivision Ordinance which is attached to this affidavit.
Grantee(s)
Relationship to grantor
Parcel/Lot
1644A 01/10f
ress
cla,�y4er
9tl'-74
Coo,- nc Clwlcli4?SS'
1g1ry
1 g't-/7Q
Property Owner/Grantor
COMMONWEALTH OF VIRGINIA
CITY/'f OF
Date
The foregoing instrument was acknowledged before me this 2-1`µ day of 'TpNwAAK q 2023 by
0AACF-NCE j-1/k VAwS Grantor.
My Commission Expires: 1 30l 2-c -te
lic
BEfHANY RHOADS VELASQUEZ
NOTARY PUBLIC
REGISTRATION # 7759315
COMMONWEALTH OF VIRGINIA
MY COMMISSION EXPIRES 11/30/26
File: Original to Subdivision file SUB-