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LOD200600022 Application 2014-03-17
-Application for Parcel of Record "."etermination and or DeVelopment Rights Determination ❑ Parcel of Record = $75 ❑ Development Rights = $40 Project Name: Tax map and parcels), �, S �4 '"q0 Magisterial District: Zoning: Contact Person (Who should we call/write concerning this project?): Address's© U5 X1City (J W State Zip, Daytime Phone j 2 9S"—ss'83 s-az-#—L__j E -mail -81),414A Aho P CCTA&2S4 1012 Owner of Record Address Daytime Phone ( 2?5-- S" _3 F- � Applicant (Who is the Contact person representing?): f C Address Daytime Phone L_) Submittal Requirements Fax # (� City di4 State VTf- Zip2- Z` -t ^- -mail R -D AMAC h b @ flYhCRI`4/�—lGl City E-mail State Zip 1. 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). 3. All plats and deeds of record after December 10, 1980, UP UNTIL, THE PRESENT DATE. (Highlight or underline references to the subject property). 4. Any other pertinent information. 5. 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. u.�.2i F Signature of Owner Y- 3-6 Date Fee Amount $ /_ Date Paid WBy who? 413 q- DaytiiNe phone number of Sigla , oryy� ceipt # 6 0 Ck# 3 q By: County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-583322 Fax: (434) 972-4126 V -,e, 0&w