HomeMy WebLinkAboutLOD200700035 Application 2014-03-17plication for
Par cef oy Determination and or Develo ynent l��a
Rights Determination
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 1
❑ Parcel of Record = $75
X❑ Development Rights = $40
Project Name:
Tax ma andparcel(s): 57-73A 1VIa �sterial District: Samuel Miller7onin RA
P ' — g g:
Contact Person (Who should we call/write concerning this project?): J. Alden English, Esquire
Address P. O. Box 1288 City Charlottesville State VA Zip 22902
Daytime Phone 014 977-2570 Fax # (434) 980-2251 E-mail aenglishQ meguire�aoods.eom
Owner of Record J. Ramsey Martin I.
Address P. O. Box 285 City Ivy State VA Zip 22945
Daytime Phone L3�) _Q95— Rn Fax # L ..) E-mail r=tinl53 aol. Com
Applicant (Who is the Contact person representing?): J. Ramsey Martin
Address City State Zip
Daytime Phone Fax # U E-mail
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.
Signati ,- of Owner Date
Print Name Daytime phone munber of Signatory
FOR OFFICE USE ONLY LOD # t 7
i a �lafU7 1 3o
Fee Amount $ ice' Date Paid By who? Zt�Q Receipt # 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 1