HomeMy WebLinkAboutSUB201500090 Application 2015-05-15 Albemarle Ct community Development Department
/`i LJ ! t�oun Y 401 Mclntipa°oad Charlottesville.VA 22902-4596
Voice 4)296-5832 Fax:(434)972-4126
-v Planning Application Nolo'
PARCEL / OWNER INFORMATION
IMP 03400-00-40-063B0 Owner(s): BROCK'S MILL LAND LLC C/O MICHAEL RODGERS,SEYFARTH !
Application# 55UB201500090
PROPERTY INFORMATION
Legal Description 1 ACREAGE 4
Magisterial Dist. Rivanna Land Use Primary Unassigned
Current AFD : Not in A/F District + Current Zoning Primary i Rural Areas
!APPLICATION INFORMATION
Street Address Entered By
Application Type Subdivision Plat ' j Emily Lantz
�� �._.�_. .... ._ )5 15/P015
Project = �•x� °eat�a.��o. .T.a._: :.—: sl��h._ ►��,H«�.1 i7LI:Ri`�'i71ill111 Gl�
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 Ap}zlicatio I Comment
Boundary Line Adjustment 05/26/15
APPLICANT / CONTACT INFORMATION
ContactType I Name I Address ] CityState I Zip Phone PhoneCell I
-Olor.et rjatzt BROCK'S MILL LAND LLC C/O MICHAEL 1075 PEACHTREE STREET NE ATLANTA GA 30309
Dnr^sry C_nta_I FRANK POHL 401 MCINTIRE RD CHARLOTTESVILL A 22902
Signature of Contractor or Authorized Agent Date
Page 1 COUNTY OF ALBEMARLE
APPLICATION FOR BOUNDARY LINE ADJUSTMENT PLAT
Boundary Line Adjustment=$200
(Provide 5 copies of plat)
Project Name: Brocks Mill Road-Booker
Tax map and parcel:
03400-00-00-063B0 �} ?j Zoning: RA
Physical Street Address(if assigned): None assigned.
property( From the Brocks Mill Road and Gilbert Station intersection,
Location of (landmarks,intersections,or other):
proceed north on Brocks Mill Road. Second parcel on the right.
Contact Person(Who should we call/write concerning this project?): Frank Pohl, ext. 7914
Address OFD Rm 228 City State Zip
Daytime Phone( ) E-mail
Owner of Record Booker, Gra le B or Laurie V rtl_ �, J�\1 Lk,
�r 1 L
Address 2400 Rivancst Drive City Charloville State ' Zip 226(1
Daytime Phone(4344-1126 E-mail
Office of Facilities Development
Applicant(Who is the Contact person representing?):
Address City State Zip
Daytime Phone( ) E-mail
County of Albemarle
Department of Community Development
401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434)972-4126
Page 2 COUNTY OF ALBEMARLE
APPLICATION FOR BOUNDARY LINE ADJUSTMENT PLAT
Owner/Applicant Must Read and Sign
The plat application process includes providing the Planning Commission with all the information required in
Chapter 14 Subdivision of Land of the Albemarle County Code.
The foregoing information is complete and correct to the best of my knowledge. I have read and understand the
provisions of Chapter 14 Subdivision of Land of the Albemarle County Code.
l am consenting to all correspondence from Albemarle County be in any of the following forms in writing;
by first class mail, by personal delivery,by fax or,by email.
❑ I am not consenting to all correspondence from Albemarle County in the form of fax or email.
7 ( /
1 4
, ,
Signature of Owner, Contract Purchaser, Agent Date
Frank V. Pohl ext. 7914
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONLY SUB# Fee Amount$ Date Paid
By who? Receipt# Ck# By: