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LOD200600003 Legacy Document 2014-03-20 (2)
T Wtf-o AIL rr MAY comck��� �-� �s �► y mss � �P Cls �C t J�SI a �^ �� in �lS S YL. �clL vvt f� ��-in ecr tc a ��.� a � ,�,�►r� � +�' (�� ✓cc I i� a Cdr 2 � rVL aof RECEIVED COMMUNITY DEVELOPMENT Request for Parcel of ecb. cl Determination ah ®r ==:1 '`4'/IKOitrF Development Rights Determination ❑ Parcel of Record = $75 IX Development Rights = $40 Tax map and parcel(s): 4) q " 2-1 N Zoning: IQ` / 1 Acreage total: 10(207,61 Acreage for each parcel: q6 S 3.12 Number of parcels: l Nacation of property (landmarks, intersections, or other): Or, L'f" &LO (1STy4fTL OF /�(c k-- Com. f ' 00 Owner of Record�(� d 0 ©� Y- �-1-4 Z --a,,-] 6' /0`1' 7' Address S y S 1`- ,L6t,_", e V- 4A. City State ��i Zip S Z q % �f83� Daytime Phone (_) r�I �3y 73 Fax # — E-mail Applicant (Who is the Contact person representing?): MA I i gG1"*JE3 Address /5 o' o et Peg_ %,JAV city rW lC_( State U4 Zip 2-2-91 7 Daytime Phone �� -7-73-0(-.,&Y Fax# q3y-9-71-(86 E-mail wl46vles[2 (_� Contact Person (Who should we call/write concerning this project?): '' l I I A_/Q (S Address Is 0 y (� 1 e E2 w A City lCle'.f W t C_LC__State ✓A Zip Daytime Phone (�(Y ) 773 — 0 6 6 5 Fax # E-mail i^� �1 Submittal Regyj ements 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. �O Signature of Owner or Authorized Agent Date OFFICE USE ONLY _ .103 � File Number Fee waived? YES NO Fee amount $ � Date Paidr �'0 Check # 1Receipt # County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 3/24/05 Page 1 of 1