HomeMy WebLinkAboutSUB200900051 Legacy Document 2009-04-15Application fo.r
Review ,of :a Subdivision Plat
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❑ Preliminary Plat
❑ Final Plat
❑ Final Plat
17folded copies ofplat are
17folded copies ofplat are required for
Administrative Review
required for first submittal- 8
first submittal- 8 folded copies required
J
folded copies required for a
for a revision 1
revision
❑ Two -lot subdivision as described in Section 14232(B)(2)
or if all lots front on an existing public street = $95
Subject to Planning Commission
Administrative Review
Review
El Resubdivision (Section 14-a212.3) = $95
❑ 'I to 9 lots = $720
.0.1 to 9 lots =1360
❑ 10 to 19 lots = $1,100
�❑ 10 to 19 lots = $550
❑ Condominium Plat = $100
❑ .20 or more lots = 31,330
❑ 20 or more lots= $670
❑ Vacation (Section 14- 212.2) = $170
Sub' ct to Planning Commission Review
Ito 9 lots = $720
S folded copies ofplat are required for first submittal
❑ 10 to 19 lots _ $1,100
❑ 20 or more lots = $1,330
Groundwater Assessment (Re itQ iced for all plats not serviced by public water that prodztce a new lot or lots less than 21 acres)
❑ Tier2 Groundwater Review = $250
OR
❑ Tier 3 Groundwater Review (Required for plats producing five lots or more where at least 3 lots are S acres or less) = $400
❑ $25.00 per new lot less than'21 acres +
Total
Other matters subject to Planning Commission Review
❑ Waiver, variation or substitution of subdivision requirements =$180 Attach written justification
❑ Relief of.condition of prior approval =$180 Prior file Name /Number
Other matters subject to Administrative Review
Reinstatement of review= $65
Extension of plat approval =$45 Must be submitted at least five (5) days prior to expiration of plat
Request to defer action on plat to an indefinite date =375
Bonding inspection for plat =$60
Other matters subject to Board of Supervisors Review
Appeal to Board of Supervisors = $240 Prior file
IName/Number
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Project Name: IZC�
Tax map and parcel. li y \ '�[� P L6 GE V �0 F�wagisterial Distric;!1W1'W "r41g:
Physical Street Address (if assigned): �-
Location of property (landmarks, intersection r ,lier). � ��J koad 04
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a n n —
/V `1c_'' yr ) U 6,y, l 4&6e o �u
; Contact Person (Who should we call /write co ceming this project ?): r
Address ( 710
City
State `J- Zip ag:�:Pz/'A
Daytime Phone q &, r ax # E -mail
Owner of Recor
Address /%
Daytime Phone �-�� �' /FaxW (_� ,E -mail
Applicant (Who is the Contact person representing ?):
Address City i
Daytime Phone (_) Fax # (_� E -mail
State Zip
FOR OFFICE USE ONLY SUB #
Fee Amotint $ Date Paid By who? Receipt # CH By:
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 11/19/07 Page 1 oft
Residential
Type of unit(s):
# of building(s):
Sq. ft. of building(s):
# of units per building:
Total # of units:
Resulting density:
Acreage of site: 2 L
Acreage in open space:
Acreage in roads: ! • Z �Pc'L
Average gallons of water used per day:
Intended use or justification for request:
U Non - residential
❑ Commercial
❑ Industrial
❑ Quasi -Public
Sq. ft. of building(s):
Acreage of site:
Acreage in open space:
Acreage in roads:
Average gallons of water used per day:
Owner /Applicant Must Read and Sign
This site plan as submitted contains all of the information required by Section 32.5 (Preliminary Plan) or Section 32.6 (Final
Plan) of the Albemarle County Zoning Ordinance. I understand that plans which lack information required by said sections
shall be deemed incomplete and shall be denied by the agent within ten (10) days of submittal as provided in Section 32.4.2.1
or Section 32.4.3.3 as the case may be.
For Final Plans Only: To the best of my knowledge, I have complied with Section 32.4.3.1 and obtained tentative approvals
for all applicable conditions from the appropriate agencies.
Purchaser, Agent
Print Name
�kkkz-f%
Date
Daytime phone number of Signatory
11//19/07 Page 2 of 2