HomeMy WebLinkAboutLOD201800011 Application 2018-07-20FOR OFFICE USE ONLY LOD # U
Fee Amount $ 1 M —Date Paid141&y who? Receipt # (1 111 i D Ck# By:�
Application for
Official Letter of Determination
(S
❑ Official Letter of Determination of Parcel of Record and/or Development Rights = $108
/,tn other Official Letters of Determinations (including but not limited to Use, Zoning, Nonconformity, Parking,
Floodplain, Vested Rights, Area & Bulk Regulations, De minimis) = $108
Certification that notice of this application has been provided to the property owner, if owner is different from
Project Name: 8r�awocj SVbA-VIC"o (� (�
Tax map and parcel(s): 3 a V — QY - 115- Zoning: (A IN D
Contact Person (Who should we call/write concerning this project?): P4i I //// MCI
I � /,/�
Address 1665" ,�CHli�tol� Ir-al1 —city( State V _ Zip ;9�30
Daytime Phone70_3_) 43 4 9 a 61 Fax # E-mail D KoMe /!/iX_r&C , (per
Owner of Record j y— / / �/
Address % � Sdyi�l lak I %q,' City (ACkl_1olnCJV,11,r State_04 _Zip �99,9/
Daytime Phone) R7oZ Q/0( Fax # E-mail hiGr'i21j G /VllR1NGCvwI
Applicant (Who is the Contact person representing?): NV& I T-AIC —
Address /86 S- Se 4,,,'�& T�q / City ( krlo Xsy, `�c State / A Zip �Dw
Daytime Phone"? ��p
) (J7,) `0106 Fax # L_) E-mail !C� � �:J /YMXAC a
Submittal Realuirements
Parcel of Record and/or Development Rights All other Determinations
ElTax Map Page M/ Cover letter stating what is being requested. Provide all
ElLast Instrument of record in the Clerk's Office of the Circuit Court necessary information for the consideration of this
decision including
of Albemarle County, Virginia on or prior to December 10, 1980
that includes a plat or metes and bounds description of the property. ❑ Tax Map Page if request is regarding a specific
(Highlight or underline references to the subject property). property.
❑ All plats and deeds of record after December 10, 1980, UP UNTIL ❑ If the request is regarding a nonconforming use,
THE PRESENT DATE. (Highlight or underline references to the structure, or lot then you must provide enough
subject property). probative material evidence to prove the
❑ Any other pertinent information.
nonconformity.
❑ Cover letter stating the assumed number of parcels and ❑ Provide justification for the request and any
development rights, with explanation of same. other pertinent information.
ElA fee is required for eac e arate parcel shown on the tax map- El Fee as noted above.
Plea efer to the Albemarle County Land Use Law Handbook for more information
regar g z ning determinations and nonconformities. htta://www.albemarle.org/LandUsel,a,.►
natur O ner Date
Print Name Daytime phone number of Signatory
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
111112015 Page 1 of 1
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