HomeMy WebLinkAboutSUB201300162 Application Albemarle y
?s_rilr ilil �A Co,, Community Development Department
°..-.ice' 4b-1 mclntire Road Charlottesville,VA 22902-4596
Planning Application Voice (434)296-5832 Fax. (434)972-4126
PARCEL / OWNER INFORMATION
TMP 09100-00-00-016E0 Owner(s):
HUGHES, WALLACE B & IDA MARIE
Application # SUB201300162
PROPERTY INFORMATION
Legal Description ACREAGE
Magisterial Dist. Scottsville Land Use Primary Forest
Current AFD Not in A/F District Current Zoning Primary R1 Residential
APPLICATION INFORMATION
Street Address Entered By
Todd Shifflett
Application Type Subdivision Plat 11/04/2013
Project Avinity - Easement
Received Date 11/04/13 Received Date Final Submittal Date 11/04/13 Total Fees 200
Closing File Date Submittal Date Final Total Paid 200
Revision Number
Comments
Legal Ad WITHDRAWN
Per Zoning Ordinance
SUB APPLICATION(s)
Type Sub Applicati Comment
'APPLICANT / CONTACT INFORMATION
ContactType Name Address CityState Zip Phone jPhoneCell
Primary Contact COLLINS ENGINEERING 200 GARRETT ST. SUITE K CH_ARLOTTESVILL 4342933719
Date
Signature of Contractor or Authorized Agent
Application for Review of
Boundary Line Adjustment, Easement Plat & Special Lots ,,a, ,-
0 Boundary Line Adjustment=S200 ❑ Easement plat(s)without a deed=$490 ❑ Special Lot=SW
(3 copies of plat) ❑ Easement plat(s)with a dead=S760 (3 copies of plat)
XEasement plats)required with a site plan=S200
❑ Easement plat(s)amending a previously approved easement plat(s)=S200
(3 copies of plat)
Project Name: Av/i►,r i 7 wpo 2cI3 u0w#7 '//444./4f4.t 4.4.0 .&-r, 'fA7 slog "et q/-/4 f-
Tax map and parcel: elf-/‘ .... Zoning:
U
Physical Street Address(if assigned): /I PF..JS6t4 /r>4•1
Location�of property(landmarks,intersections,or other): Offi �= 20 / , 70 / 14q'. f/GA-vo
/'
Contact Person(Who should we call/write concerning this project?): 6.010444 s ./S a,4 4
Address ait) 447 S7 SN7i5. h City 6,141-44i State 077 Zip
Daytime Phone S 2/ 3— X171 ,' Fax#( ) E-mail �e 44€4 r�i4(t. a..i.,l. ies
Owner of Record /ftiG '5 1l/f ttlh 5 ,/' /J ,'4 "444 e
Address /b7 ( i., , C/I-. #440 City ArGri. vw� State 1.4 Zip 2322 '
Daytime Phone( ) Fax#( ) E-mail
Applicant(Who is the Contact person representing?): Zk.o --X OC /4t1.40rl v+1 �
Address 32i I / J- A4' j -s C 2-1 City GL L State Coll Zip
Daytime Phone((eh 2'f9- yyw Fax#( ) E-mail
Owner/Applicant Must Read and Sign
The plat application process includes providing all the information required in Chapter 14 Subdivision of Land of
the Albemarle County Code.
The foregoing information is complete and correct to the best of my knowledge. I have read and understand the
provisiiof Cha ter 14 Subdivision of Land of the Albemarle County Code.
C�'( 1r-- ft,. t.,t r( 1 '3
Signature of Owner, ontract Purchaser,Agent Date
,414.x, GC . 71---/ (.9.- (-t c-- i7i5 32_
Print Name ( Daytime phone number of Signatory
FOR OFFICE USE SEE ONLY 1 SUB#
Fee Amount S�C ,l Date Paid1 I-",`F-'3 By who? 1 VO 11 ij tie,Receipt#13386 CIO ) 30 By
County of Albemarle
Department of Community Development
401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434) 972-4126
8/16/2011 Page 1 of 3
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SUBDIVISION/SITE PLAN
FILE CLOSEOUT / IMAGING CENTER INSTRUCTIONS
CHECKLIST
Please complete this form within 30 days of final action, place in folder and forward to CDA FOR QC
and status •bel. CDA will forward to the Imaging Center for digital closeout.
SDP SUB# oZ�J 3— 16oZ PROJECT TITLE 4 v;� a 5 e IN f-
FULL NAME OF LEAD REVIEWER S Plea. FINAL ACTION DATE: q- /y
CountyView — A ) `
application, P-age-I-Bata-Entered II
UA-6
Mil ❑ S : Y ' . - • • • , or o er •ocumen s p ace Pics"
I �
Hardcopy— File Folder Closeout: All items listed should be placed in project folder, in reverse
chronological order(latest on top).
Please check each item included in this folder. To indicate that an item is not applicable to this file,place an"N/A"
next to the check box. The Lead Reviewer has the discretion to include any item deemed necessary to provide
clarity to the file, please indicate that item on the"Other"lines provided.
Digital Closeout Instructions: Below each item please indicate if Imaging Center is to scan the
document; or, if the document is already in digital format, can be saved to LaserFiche. Please provide the digital
location(path/name)of the document in the space provided.
i i
Enginee in'4 older Information/documentation
I,a"� El Saved location
J:1--Appli a o -'_nature copy)
:'A Scan
❑ Saved location
AH P-_,_l N ti _ - ords/Abutting Owner correspondence
El Scan El Saved location
2rApplic t C spondence(to/from, memos/emails)
Kan ❑ Saved location
jtomplet se f printed Review Comments
Scan El S ed location
1st El Approved plan/plat(signed, or tamped"Approvedd"Manner/Engineer name) 1n f`, %�C�
El Scan Saved location__C �/ `�
_ J I
• • - *- - ive Approval)
El Scan ❑ Saved location
pe-PC/BOS Meeting Package- Staff Report(include plan/plat presented, PC/BOS Action Letter)
El Scan ❑ Saved location
ater Assessments
El Scan ❑ Saved location
hg—other4Please explain—i.e. Studies)
❑ Scan ❑ Saved location
I I
a Other(Please explain—i.e. Studies)
El Scan El Saved location
--LI At the planner's discretion,copies of unapproved plans/plats may be placed in the file if it is referenced in the
staff report or minutes and lends clarity to the review at a later date. If such plans are included, they should be
clearly marked as unapproved and contain a note clarifying why it was included.
El Scan ❑ Saved location
Additional Information on this nroiect!
Application Number
Project Name
TMP
CurrentStatus
1
SUB201300162
Avinity - Easemen
091000000016E
Withdrawn