HomeMy WebLinkAboutSUB202300032 Approval - Agencies 2023-03-09oil] : I■'t•
APPLICATION FOR BOUNDARY LINE ADJUSTMENT PLAT
Boundary Line Adjustment = $246.48
$237+$9.48 Technology surcharge
Provide 5 copies ofplat)
Project Name ce,... x
Tax map and parcels 'TM A 4 P. .53 Hz 33H I
Zoning '7,4
Physical Street Address (if assigned): 2 2 q Z (Z rn arc o 17r
Applicant A'n�a n (A h Ibcwi2rlL
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Street Address _ I
City r ` /t (I , State \/z.
Phone Number 4-34- 2G 2) - -7330
Zip Code 2_29 O L
Email t
Owner of RecordG2 lo,,cA , 3 6geacce_
Street Address
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City State
Phone Number
Zip Code
Email
Contact (who should we contact about this project):
Street Address
City State
Phone Number
_
Zip Code
Email
County of Albemarle
Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
1/2015
fill: Nr't9
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.
Signature of Own r, Contract Purchaser, Agent
Print Name
Sec. 14-208.1 Boundary line adjustments.
23
Date
�31+- 2�r3 7�30
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 N
CW
By:
15
RECEIVED
MAR 0 8 2023
COMMUNITY
DEVELOPMENT