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HomeMy WebLinkAboutWPO201700020 Application WPO VSMP 2017-02-21 i Albemarle CountyCommunity Development Department 401 �� RoadCharlottesville,VA22902-4596 e:(434)296-5822 Fax:(434)972-4126 Planning Application 4.111•1 PARCEL J OWNER INFORMATION TMP 05600-00-00-057D0 Owners): ROUTE 240 HOLDINGS LLC Application* WP0201700020 PROPERTY INFORMATION Legal Description I ACREAGE RESIDUE OF S6-57 .� Magisterial Dist.!White Ball Land Use Primary Unassigned Current AFD Not in A/F District 7,4 Current Zoning Primary R6 Residential APPLICATION INFORMATION Street Address Entered By Jennifer PritcPEJ Application Type Water Protection Ordinances 2/21/2017 Project Foothill Crossing II Received Date 02/21/17 Received Date Final Submittal Date 02/21/17 Total Fees 200 Closing File Date Submittal Date Final Total Paid 200 Revision Number Comments Legal Ad SUB APPLICATION(s) Type Stt Appdicati'o_ Comment Stormwater Management/BHP Plan 02/21/17 Erosion and Sattiinentcnntrai Planj 02/21/117• «.........:i. .«i.««ww:.:... «.«m»� ........»..v ».»..«: »..«»»:� ««.:. ».«.««..« .........: .».......«: ........ . «...: APPLICANT I CONTACT INFORMATION T t Address Ci ,State Zi• Phone 1 # UTE a n i c P O BOX 1467 "ri29 a ......G w.....xw ePO ...«.«s«a» «,.»..a »..p.._. ..««.. —.«....S.,r..� «..»�,...«.: Fr+m:sry C,.ntset ROUTE 240 HOLDINGS.LLC PO BOX 1467 CHARLOTTESVILL 22902 4342454470 Signature of Contractor or Authorized Agent Date **4101 Virginia Stormwater Management Program (VSMP) ,e"' Application for Albemarle County Project Name: FOOTHILL CROSSING II (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes IA No 0 (APPROVED WP02016-61) Is this a revision or resubmission for review? Yes 0 No El County File Number: VO t C D\l at) (to be provided by the County for new applications) The following are required elements cf new applications[from code section 17-401]. For revisions or amendments,please indicate which items are being amended. Signatures must be provided for any submission. 0 A. Signature of the Property Owner for each parcel: (Required with every submission or revision,NOT TO BE SIGNED BY AN AGENT OR CONSULTANT) By signing this application as the owner,I hereby certify that all requirements of these plans and permits will be complied with,and I have the authority to authorize the land disturbing activities and development on the subject property. I hereby grant the County of Albemarle the right to enter upon the property as required to ensure compliance with the approved plans and permits. 56-57D ROUTE 240 HOLDINGS,LLC Zl t 7 /i) Tax Map&Parcel Print Name of Property Ownertore o er Date 56A2-01-62 ROUTE 240 HOLDINGS, LLC l Tax Map&Parcel Print Name of Property Owner Signature o ate Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Contact Information for the Owner(s)to receive correspondence: Print Name ROUTE 240 HOLDINGS,LLC Address PO BOX 1467 City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone(434) : 1E-4970 E-mail alan@riverbenddev.com ( / 37 / #16X97 ate' a70/ / // D"v 7/1/14,Revised:7/10/14, 1/7/14 Page 1 of 2