HomeMy WebLinkAboutSUB201400213 Application 2014-12-18 Albemarle County Community Development Department
J 401 McIntire Road Charlottesville,VA 22902-4596
' _:(434)296-5632 Fax:(434)972-4126
- Planning Application .0' Noe
(PARCEL/ OWNER INFORMATION
TMPI 12000-00-00�s-0100 I Owner(s): PANCAKE, BOBBY SMITH LIFE ESTATE
Application# SUB2O1400213
PROPERTY INFORMATION
Legal Description I ACREAGE A.
Magisterial Dist. Samuel Miller -...=:.J Land Use Primary Open __ �� -
Current AFD Not in A/F District Current Zoning Primary LRural Areas ,.___ i
APPLICATION INFORMATION
Street Address _ Entered By
—___. Entity Lantz ICI
Application Type Subdivision Plat . _.—_.�I 1 1ti 2014
Project 'Frank&Bobby Pancake- BLA
Received Date 12/17/14 Received Date Final Submittal Date 12/21/14 Total Fees 200
Closing File Date Submittal Date Final Total Paid 200
Revision Number
Comments "`
Legal Ad
SUB APPLICATION(s)
Type ., Sub Applicatio I Corry t
Boundary LIMA ent. 12122/14 i . .
APPLICANT /CONTACT INFORMATION
ContactType I Wane Address I City�te I, Zip I Phone I PhaneCell 1
Ormeri =PANCAKE.8 0i sourH LIFE ESTATE _:2417 SUNSET ROAD: ' >CHARLDTTESVILt. i 22903
Prim.iry Cznte t .GWEN LACYm 4.1717 1b ALLIED ST o CHARLOTTESVILL 22903 4342933195
Signature of Contractor or Authorized Agent Date
Nome Noire
Pagel COUNTY OF ALBEMARLE
APPLICATION FOR BOUNDARY LINE ADJUSTMENT PLAT
Boundary Line Adjustment=$200
(Provide 5 copies of plat) 4. / Y-g I I
Project Name: �fz I ■ �. rIt13'iNktom, Tr. f is 0141.1 s t1AA(1 kL
Tax map and parcel: /AO 1, -, Z tl 2 c Ac- Zoning: �.A
Physical Street Address(if assigned): ,I�1 , e-`t E ' .--9.01,1 ri
Location of property(landmarks,intersections,or other): .\"- F-� , 1l 9 ,, colt, o-C f)lsb t,'L.J E
(J'W`GN LAc.' 1
Contact Person(Who should we call/write concerning this roject?): R')�� IA , It.A/ , / c.,,1;k_
Address 1 71,-/-110 AI)IE:C 1 L City diA219-t.sif;III- State ip 90
6-,..D C-AV—A c_V E,Agit 1,0P--, -A)i Daytime Phone('p7) A9,..s-._��73 E-mail ,w l` i:s C L 6A,2.-� ,ii A)K.-A!E-f
Fe_A,JK curly Pia,k,,,Kam, III S 17"e,_; al pliozc rik€'
Owner of Record rizi4A)K. 0,-,,c1 I (AAl 3,4 fir. � Qoa hrt1-�I N A c,t ''.
C� iblAjoikijk C Address A9 1 1 -�]l�ti S ` AA) City(, State lin Zip ,�y„C i'Q..�j
Daytime Phone( ) E-mail
Applicant(Who is the Contact person representing?): G(,ti ._C___5)
Address / City 1 State / Zip I
Daytime Phone( ) / E-mail /
1
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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Page 2
COUNTY OF ALBEMARLE
APPLICATION FOR BOUNDARY LINE ADJUSTMENT PLAT
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
provisio s of Chapter 14 Subdivision of Land of the Albemarle County Code.
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.
ice` 'v ■ CCU- / - )1- 0 4
Signature of Owner, Contract P c i aser,Agent Date
( L A ekl
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONLY SUB# Fee Amount$ 200./0 aQ Date Paid 12//"7
By who? 3 2WUk d y : WA_ Receipt# 9�"J 2.. Ck# /0 9 2 By: