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
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