HomeMy WebLinkAboutSUB201500089 Application 2015-05-15 Albemarle County pcommunity Development Department
401 McIntire Road Charlottesville,VA 22%2-4596
is Voicr 14)296-5632 Fax:(434)972-4126
Planning Application ',goof
(PARCEL / OWNER INFORMATION
IMP 03400-00-00-06400 Owner(s): BOOKER,GRANVILLE B OR LAURIE V
Application# SUB2CI500089
LPROPERTY INFORMATION
Legal Description J ACREAGE
Magisterial Dist., Rivanna Land Use Primary Forest
Current AFD ! Not in A/F District ® Current Zoning Primary: Rural Areas
APPLICATION INFORMATION
Street Address Entered By
Application Type , Subdivision Plat �� ntz
_ Y
1 5,11572015
Project Brooks Mill tewd-8L4 i 1 E r �,gli
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
1SUB APPLICATION(s)
Type 1 Sub Applicatao_ Comment
Boundary Line Adjustment 05/26/15
APPLICANT / CONTACT INFORMATION
ContactType Name I Address CityState I Zip Phone PhoneCeil
oan_r,;Aptscsrt BOOKER, GRANVILLE B OR LAURIE V 2400 RIVANCREST DRIVE tCHARLOTTESVILL 122961
sy C 7 FRANK POHL 401 MCINTIRE RD ?CHARLOTTE WILL 22902
Signature of Contractor or Authorized Agent Date
Pagel COUNTY OF ALBEMARLE
APPLICATION FOR BOUNDARY LINE ADJUSTMENT PLAT
Boundary Line Adjustment=$200
(Provide 5 copies of plat)
Project Name: Brocks Mill Road - Brocks Mill Land
Tax map and parcel: 03400-00-00-064000 Zoning: RA
Physical Street Address(if assigned): None assigned.
Location of property(landmarks,intersections,or other): From the Brocks Mill Road and Gilbert Station intersection,
proceed north on Brocks Mill Road. Third parcel on the right.
Contact Person (Who should we call/write concerning this project?): Frank Pohl, ext. 7914
Address OFD Rm 228 City State Zip
Daytime Phone( ) E-mail fpohl @albemarle.org
Owner of Record Micha odgers, Seyfarth Shaw BOokAv
1075 Peachtree Street, NE
Address—Ste 2500 City Atla1�#a State Zip 30309
Daytime Phone(404-88 452 E-mail mrodger seyfarth.com
Applicant(Who is the Contact person representing?): Office of Facilities Development
Address City State Zip
Daytime Phone( ) E-mail
County of Albemarle
Department of Community Development
401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434) 972-4126
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Paget COUNTY OF ALBEMARLE
APPLICATION FOR OUNDARY LINE ADJUSTMENT PLAT
Owner/Applicant Must Read and Sign
The plat application process includes providing the Planning Commission with all the information required in
Chapter 14 Subdivision of Land of the Albemarle County Code.
The foregoing information is complete and correct to the best of my knowledge. I have read and understand the
provisions of Chapter 14 Subdivision of Land of the Albemarle County Code.
I am consenting to all correspondence from Albemarle County be in any of the following forms in writing;
by first class mail, by personal delivery,by fax or,by email.
❑ I am not consenting to all correspondence from Albemarle County in the form of fax or email.
t( hilt( Februtry-37201-4— 7,0/5—
Signature of Owner, Contract Purchaser,Agent Date
Frank V. Pohl ext. 7914
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONLY SUB# Fee Amount$ Date Paid
By who? Receipt# Ck# By: