HomeMy WebLinkAboutACE200800003 Application 2007-10-15Application for =^
the Acquisition of Conservation Easements (ACE) a
Contact Person (Who should we call/write concerning this project ?): ' l _ (` J 1 GfC. _ f ✓ (7 d )
Address f� 5 7 ay � /_ r �l� city/ 4D/ cf d" �L State (ter , Zip �Gf
Daytime Phoned ) cJ 7'2 �d %�� _ Fax # (i) E -mail
Owner of Record /Y1I C/IdiCl %,-, !
6.
When the property is placed under easement, it will be subject to the following restrictions on the "Number and Type
of Allowed Structures ": The maximum number and types of structures may be built or maintained on each 100 acre
parcel of the Property: (a) one principal single - family residential dwelling unit; (b) up to two (2) secondary residential
dwelling units commonly and appropriately incidental thereto, not exceeding two thousand (2,000) square feet of
living space each. There is no limit on: (c) the number of structures such as outbuildings, swimming pools, decking
detached from the single- family dwelling units, gazebos, garages, and tool sheds; or (d) the number of farm buildings
or structures. (Note: On parcels less than 100 acres, the number of allowed residential dwellings (principle and
secondary) will be affected by the actual size of the parcel.
Based on the above description, how many primary residential structures would you want the right to build or
maintain on the property? 2— How many secondary residential structures?
7. Is the parcel(s) of land identified on this application form threatened with a "forced sale" (see definition below)
❑ YES KrNO If YES, explain below.
8. is the parcel of land identified on this application form threatened with other economic "hardship" (see definition
below)
❑ YES F-1 NO If YES, explain below t !" n
n
tti1��
9. The parcel of land identified on this application form is either: "a working family farm, including forestry: where at
least one family member's principal occupation and income (more than half) is farming or foresting the parcel ".
B'YES ❑ NO
OR where one family member has as a secondary occupation working the farm sufficient to qualify for the land use
tax program ( >$1,000 /year)
❑ YES ❑ NO If YES, explain below
10. List all Deeds of Trust, mortgages and liens against property (by date, parties involved and deed book reference &
page number):
�L' ffGcvo1�
,0?- ed �e0 k- 7y_ / (0_. (J ' Lf
11. Is the property subject to any other pending liens, judgments, zoning violations or court proceedings?
❑ YES D-NO If YES, explain below (by date, parties involved, legal reference or case number):
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12. If you wish to include additional restrictions in the Deed of Easement (beyond those described in the sample), please
describe and enumerate them:
13. In addition, please provide the following information with this application:
❑ Tax returns, for all owners of record, for each of the past three (3) tax years so as to verify adjusted gross income.
All income and tax information will remain confidential.
❑ A completed "Application for Parcel bf Record Determination and or Development Rights Determination ".
Definitions Contained in Application
"Forced sale" means the sale of a parcel with unused development rights in a manner prescribed by law conducted under a judgment,
order or court supervision, other than a sale arising from a partition action; a sale resulting from the foreclosure under the laws of the
Commonwealth of Virginia; or a sale that is not the voluntary act of the owner but is compelled in order to satisfy a debt evidenced by
mortgage, judgment or tax lien.
"Hardship" means an economic hardship, other than a circumstance causing a forced sale, experienced by the landowner of the parcel
compelling him to place a parcel with unused development rights for sale or to use such development rights.
Owner /Applicant Must Read and Sign
I/We hereby make application to the County of Albemarle for the sale of development rights on the tax parcel(s) identified above on
this application form pursuant to Albemarle County Ordinance No. 00- A.1(1), the Acquisition of Conservation Easements. I /We
understand and acknowledge that 1 /we incur no obligation by completing this application, and that the County of Albemarle incurs no
obligation by its acceptance of this application. I/We hereby certify that, to the best of our knowledge, the information contained in
this application and attached materials are true and correct. I /We agree grant permission to the ACE Program Administrator or his
designee to enter the property, after reasonable notice to the owner, for the purposes of evaluating the parcel(s) and verifying required
information on the application form and the independent appraiser who must appraise the property to determine the value of the
development rights.
ALL OWNERS OF RECORD MUST SIGN AND DATE THIS APPLICATION.
Signature of Owner bate
/y1 l'G.'7 -�!, / LL L6.,'�d :^;c91`L_
Print Name
Signature of Owner
Print Name
Signature of Owner
Print Name
Date
Date
6/07/07 Page 3 of 3
Y
Application for
Parcel of Record Determination and or Development -,.
Ritzhts Determination;
❑ Parcel of Record = $75
❑ Development Rights = $40
Project Name: /Y1 f G C
Tax map and pareel(s): 11��/�r� �✓� Magisterial District: h kc 1 illl Wgoning: /� /"t
Contact Person (who should werc�all /write concerning this project?): I'll .� J �; /%
Address _.._ ...( b i� � (�� �7 t � GC City / y 0"-� 1! State G fir Zip 2 L� - /
Daytime Phone (iS�J i %` GI Fax # (_� E -nTai! _
Owner of Record S
Address City State Zip
Daytime Phone L) Fax # (_) E -mail
Applicant (Who is the Contact person representing ?):
Address City State Zip
Daytime Phone Fax # O 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_ neap.
Signature of Owner Date
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONLY LOD #
Fee Amount Date Paid By who? Receipt # Ck* By:
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
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