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Home My WebLink AboutSUB201500085 Application 2015-05-15 Albemarle County Community Development Department 401 McIntire P.^..•d Charlottesville VA 22902-4596 Voice: 296-5832 Fax:(434)972-4126 *or Planning Application 'vise PARCEL I OWNER INFORMATION TM P I 03400-00-00-045A0 Owner(s): DRESNER, DAVID E&NANCY M KOZLOWSKI CUSTODIAN FOR Application# SUB2015000135 PROPERTY INFORMATION Legal Description I ACREAGE 1 Magisterial Dist, Rivanna Jr Land Use Primary Unassigned Current AFD Not in A/F District Current Zoning Primary Rural Areas "APPLICATION INFORMATION Street Address Entered By EmityLa ntz Application Type I Subdivision Plat 15/15/2015 Project IBrocks Mill Rd-Dresner- 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 I Sub Applicatio Comment Boundary Line Adjustment 05/26/15 "APPLICANT / CONTACT INFORMATION ContactType Name Address CityState Zip .1 Phone PhcoeCell neriAppricant DRESNER DAVID E&NANCY M 3883 MOCKS MILL ROAD BARBOURSVILLE 22923 z,zr,L.7:t FRANK POHL 401 MCINTIRE RD CHARLOTTEWILL 22902 Signature of Contractor or Authorized Agent Date Pagel COUNTY OF ALBEMARLE APPLICATION FOR BOUNDARY LINE ADJUSTMENT PLAT Boundary Line Adjustment=$200 (Provide 5 copies of plat) Project Name: Brocks Mill Road-Dresner Tax map and parcel: 03400-00-00-045A0, 045B0& 046A0 Zoning: RA Physical Street Address(if assigned): 3883 Brocks Mill Rd Location of property(landmarks,intersections,or other): From the Brocks Mill Road and Gilbert Station intersection, proceed north on Brocks Mill Road. Fifth, sixth and seventh parcels on the right. 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 Dresner, David E or Nancy M Address 3883 Brocks Mill Rd City State State VA Zip 22923 Daytime Phone( ) E-mail nmdresner @aol.com 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 �sr+ Paget 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 provisions 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. 1/\( 14 V°' 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: