HomeMy WebLinkAboutSE202100006 Application 2021-01-12•
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APPLICATION FOR A SPECIAL EXCEPTION
Request for a waiver, modification, variation ❑
or substitution permitted by Chapter 18 = $457
❑ 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 : S
Current Assigned Application Number (SDP, SP or
Variation to a previously approved Planned
Development rezoning application plan or
Code of Development = $457
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.
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Tax map and parcel(s): O b OO- 0- O I 0y" O2O O D
Applicant / Contact Person
Address 2qS 6K(",-±O(,l)n Waqcitybur10kS01U State VA Zip 22,d
Daytime Phone# (40LI ) 2-H p-91103Fax# (
Owner of Record JCW Gt s klit- &ad OYrct
Email JC(t l x Y l s Ib�- ogyrui l' (gym
Address 24�1 CCXGf� Oi �l� W �t'i Cityr lnar LOL(-SV I I L2- StateA/f" Zip 2-2°!O 1
Daytime Phone# (�, ) Z. �S 03 Fax# (
County of Albemarle
Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126