HomeMy WebLinkAboutLOD200600020 Application 2006-07-13' Request for
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Parcel of Record Determination and or�''��`
Development Rights Determination
❑ Parcel of Record = $75
Rights = $40
`['Development
Tax map and parcel(s): T M • 82 Zoning: _1Z 41
Acreage total: 5.18 5 %- • Acreage for each parcel:
Number of parcels:
Location of property (landmarks, intersections, or other): q L Ca , K1e1-1�
Owner of Record K e'su)1 cir— f�
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Address _701 C OU-ln�R� �.d l� 0 1J%- City lc_k_ State U A Zip e?- 47
Daytime Phone (Jaq) q Z,3 - q-3 ZD Fax #
�E-mail
Applicant (who is the Contact person representing?):
Address City State Zip
Daytime Phone ( ) Fax # E --'mail
j� ,j .' _1_ f�
Contact Person (Who should we call/write concerning this project?): Mar, r, 1 Hao GeAe- . 12cC.15, �RbusK G-(Ae
Address q rnOV\+iCl_ < LO lug] • City State V_Ar Zip ZZROZ
Daytime Phone AA Q-7 7 - 0 WS_ Fax # V(0. 5 ZZo E-mail >^ngczl eC r'o ud" us h . CO r,-\
Submittal Requirements
,k' Tax Map Page
2: Last Instrument of record in the Clerk's Office of the Circuit Court of Albemarle County, Virginia on or prior to
December 10, 1980 that includes a plat or metes and bounds description of the property. (Highlight or underline
references to the subject property). 'b3 G71 ?- 301
3! All plats and deeds of record after December 10, 1980, UP UNTIL THE PRESENT DATE. (Highlight or underline
references to the subject property). 1)t3 1141 p • Ci 2 , 1�. 13 I Z -'i ld� • 34'9 , l� B 3069 p. 13 S
4. Any other pertinent information.
Cover letter stating the assumed number of parcels and development rights, with explanation of same.
A fee is required for each separate parcel shown on the tax map.
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SignaturekrAuthorized Agent Date
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OFFICE USE ONLY d C-�—
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File Number Fee waived? YES / NO Fee ainount $ Date Paid eck # Receipt #
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County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-41
COWUN1TY DEVELOPMENT