HomeMy WebLinkAboutSDP202000011 Application Critical Slope Waiver 2020-02-17 h Page 1 COUNTY OF ALMARLE
APPLICATION FOR A SPECIAL EXCEPTION
• Request for a waiver, modification, variation 0 Variation to a previously approved Planned
or substitution permitted by Chapter 18 = $457 Development rezoning application plan or
Code of Development = $457
OR
O Relief from a condition of approval = $457 Provide the following
0 3 copies of the existing approved plan
Provide the following illustrating the area where the change is
O 3 copies of a written request specifying the requested or the applicable section(s) or
section or sections being requested to be the Code of Development. Provide a
waived, modified, varied or substituted, and graphic representation of the requested
any other exhibit documents stating the change.
reasons for the request and addressing the ❑ 1 copy of a written request specifying the
applicable findings of the section authorized provision of the plan, code or standard for
to be waived, modified, varied or substituted. which the variation is sought, and state the
reason for the requested variation.
Project Name : Boys& Girls Club- Northside
st 20-o \
Current Assigned Application Number (SDP, SP or ZMA) WP0202000005
Tax map and parcel(s): 06000-00-00-078A0
Applicant/ Contact Person James Pierce -Boys and Girls Club
Address 1000 Cherry Avenue City Charlottesville State VA Zip 22903
Daytime Phone# ( 434 ) 242-8052 Fax# ( ) Email
Owner of Record County of Albemarle School Board
Address 401 McIntire Road City Charlottesville State VA Zip 229020
Daytime Phone# ( ) Fax# ( ) Email
County of Albemarle
Community Development
401 McIntire Road Charlottesville,VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
Page 2 UNTY OF ALERMARLE.
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.
At"
Signature g ature of er / Agent / Contract Purchaser Dat�
-30iv/5 Pic-ram- `73ct--9'/ Syvt
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONLY APPLICATION# J15' — V 1` Fee Amount$ 1-45-1 Date Paid r li,,;
By who? 4- 1k OJ 0� Receipt# Ck# 1\-1\ By
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•
,T s Page3 dbUNTY OF ALIRMARLE
APPLICATION FOR A SPECIAL EXCEPTION
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form must accompany this zoning application if the application is not signed by the owner of the property.
I certify that notice of the application for,
[Name of the application type & if known the assigned application #]
was provided to
[Name(s) of the record owners of the parcel]
the owner of record of Tax Map and Parcel Number
by delivering a copy of the application in the manner identified below:
Hand delivery of a copy of the application to
[Name of the record owner if the record owner is a person; if
the owner of record is an entity, identify the recipient of the
record and the recipient's title or office for that entity]
on
Date
Mailing a copy of the application to
[Name of the record owner if the record owner is a person; if
the owner of record is an entity, identify the recipient of the
record and the recipient's title or office for that entity]
on to the following address
Date
[Address; written notice mailed to the owner at the
last known address of the owner as shown on the
current real estate tax assessment books or current real
estate tax assessment records satisfies this
r irement].
S. ature of Applicantli
1�i C 17C
Print Applicant Name
zir772,.
Date
Page 3 C)UNTY OF ALEINMARLE
APPLICATION FOR A SPECIAL EXCEPTION
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form must accompany this zoning application if the application is not signed by the owner of the property.
I certify that notice of the application for, C\--*jcc\ S\o?c ��,JeX Vey
[Name of the application type & if known the assigned application#]
was provided to Alx - Coca l� )Vc- S C C - Sod �J ��.+���T 1 �,;�. 4-\4V-e.r
[Name(s) of the record owners o�the parcel]
the owner of record of Tax Map and Parcel Number 04,Mp-00-00 -Onik0
by delivering a copy of the application in the manner identified below:
X Hand delivery of a copy of the application to i-s‘s-,
[Name of the record owner if the record owner is a person; if
the owner of record is an entity, identify the recipient of the
record and the recipient's title or office for that entity]
on Z,2(.;ZO
Date
Mailing a copy of the application to
[Name of the record owner if the record owner is a person; if
the owner of record is an entity, identify the recipient of the
record and the recipient's title or office for that entity]
on to the following address
Date
[Address; written notice mailed to the owner at the
last known address of the owner as shown on the
current real estate tax assessment books or current real
estate tax assessment records satisfies this
r em t
Signature YApplicant
tot`Print Applicant Name
Date
• .• ••••
TIMMONS GROUP
Tra..smittal
YOUR VISION ACHIEVED THROUGH OURS.
To: Date: February 24, 2020
County of Albemarle, Attn. Chris Perez
Dept. of Community Development Job No.: 44523
401 McIntire Road
Charlottesville, VA 22902
Regarding: Boys and Girls Club - Northside (Special Exception)
We are sending you the following items: n Attached ❑ Under separate cover via
n Shop Drawings n Prints M Plans n Specifications
n Copy of Letter ❑ Change Order ❑ Other
Copies Date Description
3 February 24, 2020 Special Exception Request Narrative
3 February 14, 2020 Special Exception Exhibits
1 February 21, 2020 Letter from Boys & Girls Club
1 February 17, 2020 Special Exception Application (+ $457 fee)
•
This information is transmitted as checked below:
• For Approval ❑ Approved as submitted n Resubmit copies for approval
n For your use n Approved as noted n Submit copies for distribution
n As requested n Returned for corrections n Return corrected prints
• For review/comment n Other n for bids due
n Prints returned after loan to us RECEIVED
Remarks: FEB 2 4 12Q
COMMUNITY
Copy to: DEVELOPMENT
Signed: `;6/Yn.
Kim Mellon
Phone: 434.295.5624
Received by:
Name (printed) Signature
If enclosures are not as noted,please notify us at once
County of Albemarle 120685 /l
Department of Community Development `���/�(y}J""'
PH:(434)296-5832 Date
RECEIVED FR M: I S if 0--'
AMOUN : vC) — $ 1457 u(.J
307 308 324 $.M "15T •w check ' ( 71
For: �p cash
3bD 6 (,✓ 0 O" cr :' and