HomeMy WebLinkAboutSUB201300169 Application 2013-11-25 Albemarle Cot ty
Community Development Department
'44) 40Mclntire Road Charlottesville,VA 22902-4596
Planning Application Voice: (434)296-5832 Fax: (434)972-4126
ax#�
PARCEL/ OWNER INFORMATION
TMP 07800-00-00-06200 Owner(s):
Application # SUB201300169 SANDOLLAR LTD & UPLAND LLC
PROPERTY INFORMATION
Legal Description pANTOPS 2
Magisterial Dist. Rivanna Land Use Primary Office
Current AFD Not in A/F District Current zoning Primary Planned Development Mixed Commercial
APPLICATION INFORMATION
Street Address 1650 STATE FARM BLVD CHARLOTTESVILLE, 22911 Entered By
Todd Shifflett
Application Type Subdivision Plat 11/25/2013
Project State Farm Boulevard Sidewalk- Easement
Received Date 11/21/13 Received Date Final Submittal Date 11/25/13 Total Fees
Closing File Date Submittal Date Final Total Paid
Revision Number
Comments
Legal Ad
SUB APPLICATION(s)
T se Sub Applicati Comment
!APPLICANT / CONTACT INFORMATION
ContactT pe Name Address CilyState zi Phone I PhoneCell
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Primary Contact FRANK POHL, SR. PROJECT ENGINEER OFD
Signature of Contractor or Authorized Agent Date
Application for Review of / '
Boundary Line�lydj ustment & Easemer»°Plats J 'I
❑ Boundary Line Adjustment= $95 0 Easement= NA
(3 folded copies of plat) (3 folded copies of plat)
❑ Groundwater Assessment
(Required if a less than 21 acre lot is created from a 21 acre or greater lot)
$250 + $25 per new lot of less than 21 acre =
Project Name: STATE FARM BOULEVARD AND SOUTH PANTOPS DRIVE SIDEWALK PROJECT
Tax map and parcel: 07800-00-00-06200 Magisterial District: RIVANNA Zoning: PDMC
Physical Street Address(if assigned): 1650 STATE FARM BLVD, CHARLOTTESVILLE, VA 22911
Location of property PROPERTY IS ON STATE FARM BLVD OFF OF SR 250
p p ty(landmarks,intersections.or other):
Contact Person(Who should we call/write concerning this project.)): FRANK POHL, SR. PROJECT ENGINEER
Address OFFICE OF FACILITIES DEVELOPMENT State Zip
Daytime Phone( ) EXT. 7914 Fax#( ) E-mail fpohl(�albemarle.org
Owner of Record SANDOLLAR, LTD and UPLAND, LLC
Address 1650 STATE FARM BLVD City, CHARLOTTESVILLE State VA Zip 22911
Daytime Phone( ) Fax#( ) E-mail
Applicant(Who is the Contact person representing?): COUNTY OF ALBEMARLE
Address OFFICE OF FACILITIES DEVELOPMEN3't,, State Zip
Daytime Phone( ) EXT. 7914 Fax#( ) E-mail fpohlaalbemarle.org
Owner/Applicant Must Read and Sign
The plat application process includes providing all the information required in Chapter 14 Subdivision of Land of
the Albemarle County Code.
The foregoing information is complete and correct to the best of my knowledge. I have read and understand the
provisi ns of Chapter 14 Su vision of Land of the Albemarle County Code.
Signa ure of Owner, Contract Purchaser, Agent Date ///Z i,/,5
FRANK POHL, SR. PROJECT ENGINEER EXT. 7914
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONLY SUB#
Fee Amount$ 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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