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HomeMy WebLinkAboutSE202000016 Application 2020-10-13Community DevelopmentDepartmet Albemarle County 401 McIntire Road Charlottesville, VA22902-4596 Voice: (4,34)296-5632 Fax:(434) 972-4126 h Planning Application \RCEL OWNER INFORMATION TMPI 65700-00-00-032AO Owner(s): KITCHIN, ALEXANDER H OR EVELYN C TI Application# SE202000016 Legal Description ( ACREAGE Magisterial Dist. White Hall Current APO Not in A/F District Street Address Application Type Project Received Date 10/06/20 Closing File Date Revision Number Comments Legal Ad Land use Primary Residential -- Single-family (incl. modular Current Zoning Primary Rural Areas Entered By i Buck Smith v 107131020 Received Date Final O Submittal Date 10/13/20 Total Fees F 457 Submittal Date Final Total Paid 457 SUB APPLICATION(s) Type Sub Applicasbo Comment APPLICANT / CONTACT INFORMATION ContactT Name Address I CityState I Zip Phone PhoneCell onney.appliceM I KITCHIN. ALEXANDER H OR EVELYN C TI `4400 MECHUMS SCHOOL HILL ..., ........_. ._ _.......... .................................... .. .... .. ... ....._....... apo�lari ! EVELYN TICKLE KITCHEN 4400 MECH UMS SCHOOL HILL ' CHARLOTTESVILL 22901 :.. CHARLOTTESIILL '.22903 -' 4344090446 Signature of Contractor or Authorized Agent Date APPLICATION FOR A SPECIAL EXCEPTION Request for a waiver, modification, variation ❑ Variation to a previously approved Planned or substitution permitted by Chapter 18 = $457 Development rezoning application plan or OR Code of Development = $457 N Relief from a condition of approval = $457 Provide the following ❑ 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 : Evelyn Tickle Kitchin 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): TAX MAP: 57-32A Pacel ID 05700-00-nn-ns9An Applicant / Contact Person Eve/vn Tickle Kitchin Address 4400 Mechums School Hill Daytime Phone# ( 434 ) 409-0446 Fax# Owner of Record Address 4400 Mechums School Hill City Charlottesville State VA Zip 22903 Email evelyntickle@gmail.com Tickle Kitchin City Charlottesville State VA Zip 22903 Daytime Phone# ( 434 ) 409-0446 Fax# ( ) Email evelyntickle@gmail.com County of Albemarle Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 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. Signature of Owner / Ag / Contract Purchaser Evelyn Tickle Kitchin Print Name 10,01.20 Date 434. 409-0446 Daytime phone number of Signatory FOR OFFICE USE ONLY APPLICATION# S/���LJ.�i /jl.)O I G Fee Amount S ! Date Paid ��✓� Z By who?yc r �r ��-r (-�� /, Il ` &�eWipt # 1 Ck# By G �z� v <o o X v