HomeMy WebLinkAboutSUB201600029 Application 2016-02-05 Albemarle County Community Development Department
�1 401 hAclntir�RoadCharlottesville,VA22902-4596
Voic, 34)296-5832 Fax:(434)972-4126
`u a Planning Application `✓ 1.1
PARCEL/ OWNER INFORMATION
TMP 06900-00-04-006M0 Owner(s): ACKERMAN, EMANUEL C,TRUSTEE OF THE EC ACKERMAN TRUS
Application# SUB2OI 1600029
PROPERTY INFORMATION
Legal Description !ACREAGE T A
Magisterial Dist, White Hall +� Land Use Primary Residential--Single—family(incl. modular home
Current AFD Not in A/F District 0 Current Zoning Primary Rural Areas
APPLICATION INFORMATION
Street Address 225 GOODLOE LN AFTON, 22920 Entered By
Emily Lantz
Application Type ; Subdivision Plat
Project (Karen R. Lewis#13467G— BLA 12..757Z' 016
Received Date 02/04/16 Received Date Final Submittal Date 02/08/16 Total Fees 215
Closing File Date Submittal Date Final Total Paid 215
Revision Number
Comments
Legal Ad
SUB APPLICATION(s)
Type Sub 1 plicatio I Comment
Boundary Line Adjustment 02/08/16
APPLICANT /CONTACT INFORMATION
ContactType Name Address CityState Zip Phone PhoneCell
ownerrAppecant ACKERMAN,EMANUEL C,TRUSTEE OF RR 1 BOX 656 ROSELAND VA 22967
'nms -:rtnd GWEN LACY 1717-1B ALLIED ST .CHARLOTTESVILL 22903 4342933195
Signature of Contractor or Authorized Agent Date
Page 1 COUNTY OF ALBEMARLE
APPLICATION FOR BOUNDARY LINE ADJUSTMENT PLAT
Boundary Line Adjustment = $215
(Provide 5 copies of plat)
Project Name Karen R. Lewis #13467G
Tax map and parcels T.M. 69-6M &T.M. 69-6N
Zoning RA
Physical Street Address (if assigned): 9240 Dick Woods Road
Applicant Karen R. Lewis
Street Address 9240 Dick Woods Road
City Afton State VA Zip Code 22920
Phone Number (540)216-4140
Email sandstables @gmail.com
Owner of Record T.M. 69-6M Emanuel C. Ackerman
Street Address RR 1, Box 656
City Roseland State VA Zip Code22967
Phone Number
Email
Contact (who should we contact about this project): Gwen Lacy- Roger W. Ray&Assoc., Inc.
Street Address 1717-1 b Allied Street
City Charlottesville State VA Zip Code 22903
Phone Number (434)293-3195
Email GwenLacy @earthlink.net rwrinc @earthlink.net
County of Albemarle
Department of Community Development
401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434) 972-4126
evise.: 1/1/2015
Page 2 COUNTY OF ALBEMARLE
APPLICATION FOR BOUNDARY LINE ADJUSTMENT PLAT
Owner/Applicant Must Read and Sign
The plat application process includes providing the County with all the information required in Chapter 14
Subdivision of Land of the Albemarle County Code.
The foregoing information is complete and correct to the best of my knowledge. I have read and understand the
provisions of Chapter 14 Subdivision of Land of the Albemarle County Code.
By signing this application I am consenting to written comments, letters and or notifications regarding this
application being provided to me or my designated contact via fax and or email. This consent does not preclude
such written communication om also being sent via first class mail.
vA 6.0 L
ignature o ! -- , : - • -r, Agent Date
Gwen Lacy (434)293-3195
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONLY SUB# Fee Amount$ p.I -C�1 Date Paid c.�/'�
By who? V1L( J. R I MIS Receipt# I G3G I l Ck# 025 BY: EX-1-,'
evise.: 1/1/2015