HomeMy WebLinkAboutSUB201400220 Application tr�� Albemarle /^ Community C}evelopmentC}epartmc�t
` A�E7iE'f arl Cour `� 401 tireRoad Charlottesville,VA22 2-4695
`49 Nary` `'ice: (434)296-5832 Fax : (434)972-4126
Planning Application
PARCEL / OWNER INFORMATION
TMP 04200-00-00-026A0 Owner(s): MARSHALL,S BROOKS IV OR ANNE S
Application# SUB201400220
PROPERTY INFORMATION
Legal Description I ACREAGE TRACT A
Magisterial Dist, Samuel Miller Land Use Primary Forest .3
Current AFD Not in A/F District [] Current Zoning Primary Rural Areas
APPLICATION INFORMATION
Street Address Entered By
Subdivision Plat anielle Roth L I
Application Type
12f30r2014
Project S Brooks Marshall, IV &Anne S Marshall - Family Division
Received Date 12/30/14 Received Date Final Submittal Date 01/05/15 Total Fees 690
Closing File Date Submittal Date Final Total Paid 1020
Revision Number
Comments
J a g-o/.S
Legal Ad
SUB APPLICATION(s)
Type Sub Appiicatio Comment
Family Division 01/05/15
,APPLICANT / CONTACT INFORMATION
r CantactTypeL Name Address City State Zip Phone PhoneCell
�•,r..f;~��+.� MARSHALL, 5—BROOKS IV OR ANNE 5 3051 CATLETT RD CHARLOTTESVILL 22901
�zc=cert. G'h'EN LACY;'ROGER'A RAY & ASSOC, INC , 1717-16 ALLIED ST CHARLOTTES ILL 22903 .4342933195
Signature of Contractor or Authorized Agent Date
(:.[P"°
6)
\\(;P :✓ Name
Page1 COUNTY OF ALBEMARLE
APPLICATION FOR FAMILY DIVISION
Family Division=$690
(Provide 5 copies of plat)
Tier 2 Groundwater Review=$330(Required for all plats showing lots less than 21 acres)
Tier 3 Groundwater Review=$510(Required for all plats showing lots where at least 3 lots are 5 acres or less)
Tier 4 Groundwater Review=$1,100
(1 �/�
Project Name: /2170k,S in A -S)/14 1 i V ul7 l A)4 111/I Ajt A
Tax map and parcel: (0-0 (_,A i R,A
Physical Street Address(if assigned): A1164" q0A r‘
Location of property(landmarks,intersections,or other): ,S u . _Sl, a. (i7`c1' !J (2 l4 11 i)::-
/ 641/L' kid
GwCN LAc
Contact Person(Who should we call/write concerning this • oject?): �oj�,� t. 1f,a) £" Assoc,/ /A;G
Address ''/H-/4:0 All I EA City ■ „ :_ 6:-Wi 1k State ( A Zip
49 o 2
'�L e- EAQ. CI Ik NE
Daytime Phone/jN` , 9 �_ 9J/ E-mail tJ 21,4 c 6 c::A l2-41‘ I l k Al Z
Owner of Record , Look in A2S�+t 1), l �' )�9 1k A,JAI 1
Address,V6 i Oaf}-,,E L/1 City ; ■ �•I - Fc State A Zip ot2k
Daytime Phone 6W) 806) - ' g9,,S E-mail . jA.00k,,M'IL. yrl 1cc7.0o/1A
Applicant(Who is the Contact person representing?): Qt.3/3c k.s
Address City State Zip
Daytime Phone( ) E-mail
County of Albemarle
Department of Community Development
401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434)972-4126
NNW `ow,
Page2 COUNTY OF ALBEMARLE
APPLICATION FOR FAMILY DIVISION
Grantee Information: ll I Grantor(owner of existing parcel being divided):. , /� f1?R - Al), I A4J
�t mug AI \
New Parcel Description Grantee(person receiving new parcel) Relationship to Grantor
Platte]
I 81-A�MOi - mAL5 '/ V
I
L, t ig 4)-1,E,A)-6. t'%S4 6 u k.A c i
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Lo 1. a S0.Srin inA-SJJ i4l iji.i'
Owner/Applicant Must Read and Sign
The plat application process includes providing the Planning Commission with 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
provisions of Chapter 14 Subdivision of Land of the Albemarle County Code.
i I am consenting to all correspondence from Albemarle County be in any of the following forms in writing;
by first class mail,by personal delivery,by fax or,by email.
❑ I am not consenting to all correspondence from Albemarle County in the form of fax or email.
A _....,.„ .Ail■ . 1 g -z- 9/.0/Li
Signature of 0.! .. _:- . ' or aser,Agent Date
C- tZ -6„) LA el (A() ;NS -- i(75 -
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONLY SUB# Fee Amount$ Date Paid Mau
By who?S,Uk htj \I Receipt#q%vis Cld# o By: ,'/
N..r
Page8 COUNTY OF ALBEMARLE
FAMILY SUBDIVISION AFFIDAVIT
of ALi
4 11i 17' i
0 ®tea
I IRGINIP
COUNTY OF ALBEMARLE
•
AFFIDAVIT
®�� Verifying Family Relationship of Grantor to Grantee
l -1 (7 Y /��cr�'l� 6 ✓t`� S o/Ca rr n r/
(property owner/Grantor)hereby certify that the subdivision of Tax Map
4-Z Parcel Z&A is a family subdivision in accordance with Sections 14-208, 14-211,and 14-212 of the Albemarle
County Subdivision Ordinance,and that the table below outlines the relationship of each Grantee to the Grantor. I acknowl-
edge that I have read and understand Sections 14-208, 14-211,and 14-212 of the Albemarle County Subdivision Ordinance
which is attached to this affidavit.
Grantee(s) Relationship to grantor Parcel/Lot
ry r� YYI tS katV. V o Yl I
cd-A2-r t r,e t shb lk,r'n e GQ.GA.t kte-r 2
S . YYl as sn dd a�� � f-f
Property Owner/Grantor Date
COMMONWEALTH O VIRQINIA )
CITY/COUNTY-OF Of (/(� :
The foregoing instrument was acknowledged before me this LE t j day of i ,20 iq by
si-A„ in°" iLs MMuL'%A), j . /9,14 A AWE �p,��id 1,u�mnwtih I
Grantor. \
\\`\\n0 LY'n���,,4ii
My Commission Expires: 9-30-�v 1 l,t 40-, ��`��� �joNWE,"No�ublic U, GOi 74,y.r
;REGISTRATION NO.
J3 /57f 187571
Sec 14-106 Definitions = .MY COMM.EXPIRES,
Family subdivision. The term"family subdivision"means the single division of propertfor•th '•1'i'i 1s er
sale or gift to a member of the immediate family of the owner of the property. ''% ,, T4 y ��G���`�
���ii GTA RY PVC ��\`
iii, ��
Member of the immediate family. The term"member of the immediate family"means the natural or legally
defined off-spring,grandchild, grandparent, or parent of the owner of property.