HomeMy WebLinkAboutSUB201500088 Application 2015-05-15 x
Albemarle bounty Community Development Department
k 401 McIntire Road Charlottesville,VA 22902-4596
4 Voic+ 34)296-5832 Fax:(434)972-4126
...-•. . ` Planning Application Isr
[AR OWNER INFORMATION
IMP 03400-0O-00-040A0 Owner(s): MCMARTIN,ELIZABETH 3
Application# 5jUB201500088
PROPERTY INFORMATION ■
Legal Description !ACREAGE PARCEL M-8 .s.
•r
Magisterial Dist., Rivanna C Land Use Primary Residential-- Single-family (incl. modular home
Current AFD Not in A/F District E Current Zoning Primary Rural Areas I*►i
[APPLICATION INFORMATION
Street Address 3836 BROCKS MILL RD BARBOURSVILLE,22923 Entered By
Application Type i Subdivision Plat 0 iy-
m15 y 0La15tz-
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Project IBrocks Mill Rd-McMartin- 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
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Legal Ad
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SUB APPLICATION(s)
Type Sub Applic atio! Comment
Boundary Line Adjustment 1 05/26/15
APPLICANT /CONTACT INFORMATION
—ContactType Name I Address I CityState Zip l Phone I PhmeCell 1
0 erI5.pp r„srt MCMARTIN,ELIZABETH I 383E BROCKS MILL RD BARBOURSVILLE i 22923
=-•nvry:_rt!:t 'FRANK POHL :401 MCINTIRE RD aCHARLOTTESVILL `22902
Signature of Contractor or Authorized Agent Date
Pagel COUNTY OF ALBEMARLE
APPLICATION FOR BOUNDARY LINE ADJUSTMENT PLAT
Boundary Line Adjustment=$200
(Provide 5 copies of plat)
Project Name: Brocks Mill Road-McMartin
Tax map and parcel: 03400-00-00-040A0 Zoning: RA
Physical Street Address(if assigned): 3836 Brocks Mill Road, Barboursville, Virginia, 22923
Location of property(landmarks,intersections,or other):
From the Brocks Mill Road and Gilbert Station intersection,
proceed north on Brocks Mill Road. Third parcel on the left.
Contact Person(Who should we call/write concerning this project?): Frank Pohl, ext. 7914
Address OFD Rm 228 City State Zip
Daytime Phone( ) E-mail
Owner of Record Elizabeth J McMartin
Address 3836 Brocks Mill Road City Barboursville State VA Zip 22923
Daytime Phone(434-973-6912 E-mail
Applicant(Who is the Contact person representing?): Office of Facilities Development
Address City State Zip
Daytime Phone( ) E-mail
County of Albemarle
Department of Community Development
401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434) 972-4126
Page2 COUNTY OF ALBEMARLE
APPLICATION FOR BOUNDARY LINE ADJUSTMENT PLAT
Owner/Applicant Must Read and Sign
The plat application process includes providing the Planning Commission with all the information required in
Chapter 14 Subdivision of Land of the Albemarle County Code.
The foregoing information is complete and correct to the best of my knowledge. I have read and understand the
provisions of Chapter 14 Subdivision of Land of the Albemarle County Code.
tI am consenting to all correspondence from Albemarle County be in any of the following forms in writing;
by first class mail,by personal delivery,by fax or,by email.
❑ I am not consenting to all correspondence from Albemarle County in the form of fax or email.
/rVA/(j/(- ,F-ekraary-37-26 t4 2-1)l5
Signature of Owner, Contract Purchaser,Agent Date
Frank V. Pohl ext. 7914
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONLY SUB# Fee Amount$ Date Paid
By who? Receipt# Ck# By: