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HomeMy WebLinkAboutCLE201800220 SE Application 2018-11-29• aF ALLIN APPLICATION FOR A SPECIAL EXCEPTION O Request for a waiver, modification, variation ❑ Variation to a previously approved Planned or substitution permitted by Chapter 18 = $457 Development rezoning application plan or Code of Development = $457 OR ❑ Relief from a condition of approval = $457 Provide the following CT'3 copies of a written request specifying the section or sections being requested to be waived, modified, varied or substituted, and any other exhibit documents stating the reasons for the request and addressing the applicable findings of the section authorized to be waived, modified, varied or substituted. Project Name: rCO0 e Provide the following ❑ 3 copies of the existing approved plan illustrating the area where the change is requested or the applicable section(s) or the Code of Development. Provide a graphic .representation of the requested change. ❑ 1 copy of a written request specifying the provision of the plan, code or standard for which the variation is sought, and state the reason for the requested variation. Current Assigned Application Number (SDP, SP or ZMA) Tax map and parcel(s): 0 ? � D o - 06 -0 0 - v g0ed - OiI6�- U _ ^ o44©a-v Applicant / Contact Person r Q d� r rj1- Address n tJ t ri Daytime Phone# ( )9 0 5�Fax# Owner of Record U h S r) City �bI1�ca_ ;%p State VZip lRCtrulA . �.. Email R7 Tu J b xy Address / ? 7y 2 r 0 9 Qw (, City R / a f a I ((,e State Zip � VIP A T Daytime Phone# (� ) Fax# ( Email County of Albemarle Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 APPLICATION FOR A SPECIAL E,` CEPTIQN Owner/Applicant Must Read and Sign I hereby certify that I own the subject property, or have the legal power to act on behalf of the owner in filing this application. I also certify that theinformation provided on this application and accompanying information is act orate, true, and correct to the best of my knowledge. By signing this application I am consenting to written r r"omments, letters and or notifications regarding thi4 application bung provided to me or my designated contact via fax and : I mail. This consent�does no-rpreclude such written communication from also being sent via fist class mail. etr S. S Signatur of Owner/Agent or ntract Purchaser �y�. NS S � � If?S V1 � a ►9�t c2 wr � Print Na e FOR OFFICE USE ONLY APPLICATION# Aad, v2� �6Jr Date Daytime phone number of Signatory Fee Amount $ Date Paid By who? Receipt # Ck# By