HomeMy WebLinkAboutSUB201500084 Application 2015-05-15 Albemarle County Community Develo p ment Department
401 r.-"oad Charlottesville,VA22902-4596
(1,4- Voic 34)296-5832 Fax:(434)972-4126
Planning Application *are ‘ftri
PARCEL/ OWNER INFORMATION
TMP 03400-00-00-07100 Owner(s): MCDANIEL, FORREST LIFE ESTATE
Application# SUB201500084
PROPERTY INFORMATION
Legal Description I ACREAGE CABIN HILLS
Magisterial Dist. , Rivanna Land Use Primary Residential-- Single—family (incl. modular home!..zi
Current.AFD ! Not in A/F District :arj Current Zoning Primary Rural Areas
11:11
APPLICATION INFORMATION
Street Address 3579 GILBERT STATION RD BARBOURSVILLE,22923 Entered By
0EmilyLa, ntz_mi
Application Type Subdivision Plat
15115/2015
Project Brocks Mill Rd—McDaniel — BLA
Received Date 05/14/15 Received Date Final Submittal Date 05/26/15 Total Fees
Closing File Date Submittal Date Final Total Paid
Revision Number
Comments
Legal Ad
'SUB APPLICATION(s)
Type Sub Applicatio Comment
Boundary Line Adjustment 05/26/15
APPLICANT /CONTACT INFORMATION
Contact-Noe Name Address GtyState Zip I Phone PheceCell
-..)wmeriApPimtnt MCDANIEL, FORREST LIFE ESTATE 3579 GILBERT STATION RD BARBOURSVILLE 22923
Cz•rtxtt FRANK POHL 401 MCINTIRE RD CHARLOTTESVILL 22902
Signature of Contractor or Authorized Agent Date
Niue *Nal
Pagel COUNTY OF ALBEMARLE
APPLICATION FOR BOUNDARY LINE ADJUSTMENT PLAT
Boundary Line Adjustment= $200
(Provide 5 copies of plat)
Project Name: Brocks Mill Road-McDaniel
Tax map and parcel: 03400-00-00-07100 Zoning: RA
Physical Street Address(if assigned): 3579 Gilbert Station Rd
Location of property(landmarks,intersections,or other): The NE parcel at the Brocks Mill Road and Gilbert Station
Rd. intersection.
Contact Person(Who should we call/write concerning this project?): Frank Pohl, ext. 7914
Address OFD Rm 228 City State Zip
Daytime Phone( ) E-mail fpohl @albemarle.org
Owner of Record McDaniel, Forrest Life Estate
Address 3579 Gilbert Station Rd City Barboursville State VA Zip 22923
Daytime Phone( ) E-mail 434-973-3991
Applicant(Who is the Contact person representing?): Office of Facilities Development
Address City State Zip
Daytime Phone( ) E-mail
County of Albemarle
Department of Community Development
401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434)972-4126
Nur" Nome
Paget COUNTY OF ALBEMARLE
APPLICATION FOR OUNDARY LINE ADJUSTMENT PLAT
Owner/Applicant Must Read and Sign
The plat application process includes providing the Planning Commission with all the information required in
Chapter 14 Subdivision of Land of the Albemarle County Code.
The foregoing information is complete and correct to the best of my knowledge. I have read and understand the
provisions of Chapter 14 Subdivision of Land of the Albemarle County Code.
A- I am consenting to all correspondence from Albemarle County be in any of the following forms in writing;
by first class mail,by personal delivery,by fax or,by email.
❑ I am not consenting to all correspondence from Albemarle County in the form of fax or email.
/
/4414/(0---/14 �<�
Signature of Owner, Contract Purchaser,Agent Date
Frank V. Pohl ext. 7914
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONLY SUB# Fee Amount$ Date Paid
By who? Receipt# Ck# By: