HomeMy WebLinkAboutSDP200900001 Review Comments 2010-03-10I,
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�'IRGINZ�
COUNTY OF ALBEMARLE
Department of Community Development
401 McIntire Road, Room 227
Charlottesville, Virginia 22902 -4596
Phone (434) 296 -5832 Fax (434) 972 -4126
AFFIDAVIT
Remardiniz Structure that is not a Dwelling Unit
the owner of Tax Map Parcel , affirm that I
understand that the Albemarle County Zoning Ordinance does not allow this structure to be a dwelling unit on this
property.
In addition, I affirm that the structure that is subject to Building Permit
used as a dwelling unit. This structure is intended to be used solely for my personal guests.
Property Owner Signature Date
COMMONWEALTH OF VIRGINIA
CITY /COUNTY OF
The foregoing instrument was acknowledged before me this
by
My Commission Expires:
Grantor.
File: Original to Zoning Reading file /scanned Tax Map Parcel
Copy to BP file to be noted on CO
Copy to Real Estate Division
day of
Notary Public
will not be rented or be
, 20
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