HomeMy WebLinkAboutSUB201500087 Application 2015-05-15 Albemarle County Community Development Department
401 Mclnti r.Road Charlottesv ille,VA 22902-4596
Vole, 34)296-5832 Fax:(434)972-4126
le Planning Application Nome- woe-
PARCEL/ OWNER INFORMATION
TMP 03400-00-00-04400 Owner(s): AYRES, CLINTON S OR MARY M
Application# SUB201500087
LpROPERTY INFORMATION
Legal Description I ACREAGE PARCEL 2
Magisterial Dist. Rivanna Land Use Primary Forest 1:1
Current AFD , Not in A/F District + Current Zoning Primary Rural Areas
rA PPLICATION INFORMATION
Street Address Entered By
' Emily Lantz
Application Type Subdivision Plat rS715/2-61'5'—
Project Brocks Mill Rd-Ayres- 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 ksiicatibl Comment
Boundary Line Adjustment 05/26/1S I
1APPLICANT /CONTACT INFORMATION
ContactType Name Address CityState Zip Phone PhoneCell
Or,,,trikpplcsnt AYRES,CLINTON S OR MARY M PO BOX 73 TEACH EV NC 28464
::nr-sry Czrtstt FRANK POHL 401 MCINTIRE RD CHARLOTT E WILL 22902
Signature of Contractor or Authorized Agent Date
Pagel COUNTY OF ALBEMARLE
APPLICATION FOR BOUNDARY LINE ADJUSTMENT PLAT
Boundary Line Adjustment=$200
(Provide 5 copies of plat)
Project Name: Brocks Mill Road-Ayres
Tax map and parcel: 03400-00-00-04400 Zoning: RA
Physical Street Address(if assigned): None assigned.
Location of property(landmarks,intersections,or other):
From the Brocks Mill Road and Gilbert Station intersection,
proceed north on Brocks Mill Road. Parcel immediately on the left.
Contact Person (Who should we call/write concerning this project?): Frank Pohl, ext. 7914
Address OFD Rm 228 City State Zip
Daytime Phone( ) E-mail fpohl @albemarle.org
Owner of Record Ayres, Clinton S or Mary M
Address PO Box 73 City Teachey State NC Zip 28464
Daytime Phone( 910-285-3363 E-mail
Applicant(Who is the Contact person representing?): Office of Facilities Development
Address City State Zip
Daytime Phone( ) E-mail
County of Albemarle
Department of Community Development
401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434) 972-4126
Paget COUNTY OF ALBE A LE
APPLICATION FOR BOUNDARY LINE JUSTME T PLAT
Owner/Applicant Must Read and Sign
The plat application process includes providing the Planning Commission with all the information required in
Chapter 14 Subdivision of Land of the Albemarle County Code.
The foregoing information is complete and correct to the best of my knowledge. I have read and understand the
provisions of Chapter 14 Subdivision of Land of the Albemarle County Code.
I am consenting to all correspondence from Albemarle County be in any of the following forms in writing;
by first class mail, by personal delivery,by fax or,by email.
❑ I am not consenting to all correspondence from Albemarle County in the form of fax or email.
P1611( l►I UYi Z O 1 s
Signature of Owner,Contract Purchaser,Agent Date
Frank V. Pohl ext. 7914
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONLY SUB# Fee Amount$ Date Paid
By who? Receipt# Ck# By: