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HomeMy WebLinkAboutLOD200700034 Application 2014-03-20 (2)Application for Parcel of Record Determination and or Development �Yur• nt.u� ��7(iC(p17•~ lu hts Determination ❑ Parcel of Record = $75 0 Development Rights = $40 Project Name: Fitzgerald Tax map and parcel(s): 54-28B and 70-47A Magisterial District: White HallZoning: RA Contact Person (Who should we call/write concerning this project?): John Grif fiiy Address 3 Boar's Head Lane city Charlottesville state VA zip 22903 Daytime Phone (ZL 34 977-9666 Fax # (434 977 . 0326—E -mail i gri f f i nOznhl aw. c om Owner of Record Charles B and Pamela Fitzgerald Address 8100 Batesville Road City Afton State VA zip 22920 Daytime Phone (L M 926-3945 Fax # E-mail Gb f2(avirginin QdJJ Applicant (Who is the Contact person representing?): Charles B and Pamela Fitzgerald Address 5100 Rat-PRVi 1 1 P Road City Aft -nn State `ZA zip 22920 Daytime Phone C434 924-3245 Fax # L_) E-mail cbf2@virzinia.edu Submittal Requirements 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. rap • i \\ �OC� C� "7 _� Signature of Owner Date Chnr1Ps R_ FitzR rata R Pamala Fitzaerajj L�34 996-9300 Print Name Daytime phone number of Signatory FOR OFFICE USE ONLY LOD # Fee Amount $�� Date Paid TWO y who? L'+5 Ck# By:, County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 511106 Page I of I [L+7