HomeMy WebLinkAboutSUB201600188 Application 2016-10-04 °. AlbemarleDommttnCieveiopmentDepartment 1 NI-` reRoad
Chant teswille,'VA22 - a
:1'434)296-6832 Fax:(434)972-4126
Planning Application +.. wsfe
PARCEL/OWNER INFORMATIOI+t
TMP 04SE4-01-OF f 2 Owner(s): GENTRY,GARY WAY IE OR CYNTHIA F
Application 14420/66018
2 1660188
PROPERTY INFORMATIO(
Legal Description BEDFORD 2 ALD 1
Magisterial Dist l Rio Land Use Primary Residential-- ing ami f(m . ular'hom r
}
Current AFD Not in AJF'District ?!' Current Zoning Primary t Rural Areas +
IAPPLICATION INFORMATION
Street Address 775 BRIDLEPATH DR E ;RLYSVILLE,22936 Entered By
EiApplication Type 1 Subdi rfsion Plat lifer Pritchett
Project BLA BETWEEN TMP 45E-1-F-2 Si TMP 45E-1-E-6
Received Date 1(1/04/16 Received Date Final Submittal Date 10/04/16 Total Fees 215
Closing File Date Submittal Date Final Total Paid 215
Revision Number
Comments
Legal Ad
SUB APPLICATION(s)
1 - Sub + ,,ibatjo Corronlerte
undary LitAd� I 1B 1Cr
APPLICANT /CONTACT INFORMATION
a itrState Zip Cell
air amtGENTRY,GARY- ik): Ex3{ CYNTHIA X75E IDL PAT i DRIVE E f LV WLLE VA 3P
-^rine ry C_-La.t ;JEFF POWELL/RdUDABUSH GALE& 914 h1ONJTICELLO RD CHARLOTTESVILL 22.90_ 4349770205
Signature of Contractor or Authorized Agent Date
Pagel COUNTY OF ALBEMARLE
APPLICATION FOR BOUNDARY LINE ADJUSTMENT PLAT
Boundary Line Adjustment = $215
(Provide 5 copies of plat)
Project Name BLJ3- 6tHtrr 7 iiJ1-4St- -F.?
Tax map and parcels .7#x* .141,41,) LISC c'[
Zoning___4— 17
Physical Street Address(if assigned): 77 5 6E4 .1414 the /44 / Dee) c/ jJ 42/
Applicant bfIttj C. lir 0)0-1 2,I -
Street Address I f):..; P.,et't%r er ;), 4)1(i
City 7. '4 J. State Zip Code
Phone NumbeA14 9 7 3 - SBCO
Email /jai/A.3'1,1,1ex / e-40.44
Owner of Record c 17
Street Address
City State Zip Code
Phone Number
Email
Contact (who should we contact about this project): -40 e ,
Street Address t t44'41) ..;14`4. 44-1
City 4._ = L State f Zip Code
Phone Number c
Email '; it' NO WI 4 bi.4 t
County of Albemarle
Department of Community Development
401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434)972-4126
evise.: 1/1/2015
Page GOUTY OF ALBEMARLE
APPLICATION FOR BOUNDARY LINE ADJUSTMENT PLAT
Owner/Applicant Must Read and Sign
The plat application process includes providing the County with all the information required in Chapter 14
Subdivision of Land of the Albemarle County Code.
The foregoing information is complete and correct to the best of my knowledge. I have read and understand the
provisions of Chapter 14 Subdivision of Land of the Albemarle County Code.
By signing this application I am consenting to written comments,letters and or notifications regarding this
application being provided to me or my designated contact via fax and or email. This consent does not preclude
such written communication from also being sent via first class mail.
Si 6 1/4,1 111:' ".`" "' / ).
Signature of Owner, Contract Purchase(Agent ) Date
.75-c
Print Name Daytime phone number of Signatory
RECEIVED
OCT 042016
COMMUNITY
DEVELOPMENT
FOR OFFI E USE ONLY SUB# �?�� J /Se Fee Amount$ �� CC) Date Paid
By who? ► 1,� i�1.tX� cl" Receipt# 10/40/& Ck# (96:></ By: JP
1 97 14r,-
•evise.: 1/1/2015