HomeMy WebLinkAboutLOD200800008 Application 2014-03-13 (3)Application for
Parcel of Record Determination and or Development=`r t
Rights Determination
❑ Parcel of Record = $75
11� evelopment Rights = $40
Project Name: tI /\a*���J� 11t�1i1 //✓ Y -op Q'r /
Tax map and pareel(s): / / v 2 ' J� 1— Magisterial District: Zoning:
Contact Person (Who should we call/wri e concerning this p7oieet?): �y%1 y,,*�#ijj '�A njj 0 , /
Address 013 �� A� 0� 3 V l City �"U+ A'Iy- State V A Zip 22�
Daytime Phone o I ? -3O Fax # ( I (�" VVIC E-mail AA Od e- C 404 A cif
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Owner of Record ���-rt\ If &A >1 �' � - , PO r
Address City State Zip
Daytime Phone C__) Fax
,#n nom) E-mail
ApplicantApplicant (Who is the Contact person representing?): I "lel v V P/� 114
Address City State Zip
Daytime Phone Fax # 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 Irequired each separate parcel shown on the tax map.
Signature of Owner Date
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONLY LO��yD #
Fee Amount $� Date Paid % y who?40/n �zn/2� Ci ( Receipt # l Ck#Oqi� By:
County of Albemarle Department of Community Development /L -k --e
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
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