HomeMy WebLinkAboutSE202000007 Application 2020-06-29•
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APPLICATION FOR A SPECIAL EXCEPTION
0 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
k/ 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:
Current Assigned Application Number (SDP, SP or
Tax map and parcel(s):
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.
Afton Stables
70-37C 1
Applicant / Contact Person Michael Myers, PE, CFM c/o 30 Scale, LLC
Address 871 Justin Drive
Daytime Phone# ( 434 ) 242-2866 Fax# (
City Palmyra State VA Zip 22963
1 Email mikeQ30scale.com
Owner of Record Peter and Angela Doolan
Address 7451 Dick Woods Rd City
Daytime Phone# ( 703 ) 623-8258 Fax# (
Afton
State VA Zip M20
Email peterdoolan@me.com
County of Albemarle
Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
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APPLICATION FOR A SPECIAL EXCEPTION
APPLICATION SIGNATURE PAGE
If the person signing the application is someone other than the owner of record, then a signed copy of the
"CERTIFICATION THAT NOTICE OF THE APPLICATION HAS BEEN PROVIDED TO THE
LANDOWNER" form must be provided in addition to the signing the application below. (page 3)
Owner/Applicant Must Read and Sign
By signing this application, I hereby certify that I own the subject property, or have the legal power to act
on behalf of the owner of the subject parcel(s) listed in County Records. I also certify that the information
provided on this application and accompanying information is accurate, true, and correct to the best of my
knowledge. 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.
*64
Signature of Owner / Agent / Contract Purchaser
Print Name
FOR OFFICE USE ONLY APPLICATION#
aWie J A 0
;00'�o
Date
703 - 6-23 - 0`as8
Daytime phone number of Signatory
Fee Amount $ Date Paid
By who? Receipt # Ck#
By