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ARB200200145 Application 2004-04-01
k4 li County of Albemarle Department or Planning&Community Development 401 McIntire Road Charlottesville,VA 22902-4596 ®too r Voice (434)296-5823 Fax (434)972-4012 Planning Application 1 PARCEL MDWNERINFORMATION ,,. -4. STREET'ADDRESS,:-., •'', TMP 109900-00=007.00100 I House# Street Name Apt Suite 14916`` PLANK RD 1 Owner(s) NORTH GARDEN;CROSSROADS:INC _ � PROPERTY INFORMATION �E� � '�°' .a��, Y .+���. � � .���.�n t3•� ,a, ����„���;a,� .. Legal Description ACREAGE CROSSROADS VILLAGE CENTER Magisterial Dist.Samuel Miller Land Use Primary Commercial-- Retail Current AFD Not in A/F District Current Zoning Primary Commercial APPLICATION°:INFORMATION `, .�' uAKx ,'`� y.•..�: ,. � ;r _ :.;.,. .. House# Street Name Apt/Suite City State Zip Street Address 4916 PLANK RD NORTH GARDEN 22959- Entered By•Esther Grace on 04/01/2004 Application# Application Type Architectural Review Board ARB200400038 Project 1,729.0( Crossroads Store Phase 2&3 Engineering File # 2,415 Received Date 04/01/2004 Received Date Final Total Fees $200.00 Submittal Date 04/05/2004 Submittal Date Final Total Paid $200.00 Closing File Date Revision Number ❑ Proffering Plan? ❑ Spec. Use Permit Amend.? ❑ Preliminary Site Plan? ❑ Site Plan Waiver? ❑ Preliminary Subdivision Plat? ❑ Planned District Amend.? ❑ Proffers Amendment? ❑ Special Conditions? NOTE: Also includes TMP 99-1A and 99-5. Phase 2: Building addition for financial,retail,medical&dental uses. Phase 3: Building addition for retail,medical &dental uses. Legal Description ACREAGE CROSSROADS VILLAGE CENTER Type Sub Application Date Date Entered 04/01/2004 Final Final Site Development Plan 04/01/2004 Comments Final Site Development Plan 04/01/2004 STATUS TRACKING *�v ,`', . -`' � •� 'rcti. * t,. r "� ,3 9r . ` . , ..° Status Status Date Entered By:Esther Grace on 04/01/2004 Under Review 04/01/2004 Comments Under Review 04/01/2004 APPLICANT/.,CONTACT INFORMATION r. ,'d.�, .a. .. `� ..� § s "� ' �� Contact Type Owner/Applicant Contractor Contact# Name NORTH GARDEN CROSSROADS INC Street Address P 0 BOX 149 NORTH GARDEN CROSSROADS INC City/State NORTH GARDEN VA SMITH, BRIAN P. Zip Code 22959- Phone# ( ) - EICHMAN, ED Fax# ( ) - Cellular# ( ) - E-mail Signature of ontractor or Aut orized Agent ate (r' • A,ew v Department of Planning&Community Development County of Albemarle 401 McIntire Road Charlottesville,VA22902-4596 ALUT Voice (434)296-5823 Fax (434)972-4012 k,,,�. Planning Application 1 PARCEL./'OWNER INFORMATION :`' ,,,STREET ADDRESS . , ' x. •• • ` • House# Street Name Apt/Suite TMP 09900-00-00-001A0 _ 3539 rMONACAN TRAIL RD '- Owner(s) fNORTH.GARDEN CROSSROADS INC PR_"OPERTY,INFORMATION ... .'., . i #'�'''` r r,..N ,....,, " * ,, t _ a ` '� '2 Legal Description ACREAGE WASTE TREATMENT PLANT Magisterial Dist Samuel Miller Land Use Primary Commercial-- Retail Current AFD Not in A/F District Current Zoning Primary Commercial APRLICATION INFORMATION� . =. a , : � =t=�' ..•z-' �n x' `� ,3 .a House# Street Name Apt/Suite City State Zip Street Address 3539 MONACAN TRAIL RD NORTH GARDEN 22959- Entered Br Esther Grace on 04/01/2004 Application # Application Type Other OTH200400079 Project 1,729.0C Crossroads Store Phase 2&3 Engineering File# 2,415 Received Date 04/01/2004 Received Date Final Total Fees Submittal Date 04/05/2004 Submittal Date Final Total Paid Closing File Date Revision Number ❑ Proffering Plan? ❑ Spec. Use Permit Amend.? ❑ Preliminary Site Plan? ❑ Site Plan Waiver? ❑ Preliminary Subdivision Plat? ❑ Planned District Amend.? ❑ Proffers Amendment? ❑ Special Conditions? SEE ARB-2004-00038(Also includes TMP 99-1 &99-5 Legal Description ACREAGE WASTE TREATMENT PLANT SUB APPLICATION(s) 4f+ . k :a r x :�. . f. • `' Type Sub Application Date Comments STATUS"TRACKINGn; • .• � e �� • . '• Status Status Date Entered By:Esther Grace on 04/01/2004 Under Review 04/01/2004 Comments Under Review 04/01/2004 APPLICANT/CONTACT INFORMATION^ , , , ' 9 r �- • `"` - � Contact Type Owner/Applicant Contractor Contact# Name NORTH GARDEN CROSSROADS INC Street Address P 0 BOX 149 NORTH GARDEN CROSSROADS INC City/State NORTH GARDEN VA Zip Code 22959- Phone# ( ) - Fax# ( ) - Cellular# ( ) - E-mail Signature of Contractor or Authorized Agent Date h,"`�<� County of Albemarle Department or Planning&Community Development ot10 ' 401 McIntire Road Charlottesville,VA 22902-4596 �Y?® k Voice•(434)296-5823 Fax (434)972-4012 i IT Planning Application 1 �NI +I PARCEL/ OWNER INFORMATION STREET ADDRESS TMP [6900=00-oo-oo500 . House# Street Name Apt/Suite Owner(s) NORTH GARCIEN CROSSROADS INC: ; ,= . . PROPERTY INFORMATION Legal Description ACREAGE Magisterial Dist Samuel Miller Land Use Primary Residential--Single-family(incl.modular Current AFD Not in A/F District Current Zoning Primary Commercial APPLICATION INFORMATION House# Street Name Apt/Suite City State Zip Street Address Entered By:Esther Grace on 04/01/2004 Application# Application Type Other OTH200400080 Project 1,729.0C Crossroads Store Phase 2&3 Engineering File# 2,415 Received Date 04/01/2004 Received Date Final Total Fees Submittal Date 04/05/2004 Submittal Date Final Total Paid Closing File Date Revision Number ❑ Proffering Plan? ❑ Spec. Use Permit Amend.? ❑ Preliminary Site Plan? ❑ Site Plan Waiver? ❑ Preliminary Subdivision Plat? ❑ Planned District Amend.? ❑ Proffers Amendment? ❑ Special Conditions? See ARB-2004-00038. Also includes TMP 99-1 &99-1A. Legal Description ACREAGE SUB APPLICATION(s) Type Sub Application Date Comments STATUS TRACKING: Status Status Date Entered By:Esther Grace on 04/01/2004 Under Review 04/01/2004 Comments Under Review 04/01/2004 APPLICANT/'CONTACT INFORMATION Contact Type Owner/Applicant Contractor Contact# Name NORTH GARDEN CROSSROADS INC Street Address P 0 BOX 149 NORTH GARDEN CROSSROADS INC City/State NORTH GARDEN VA Zip Code 22959- Phone# ( ) - Fax# ( ) - Cellular# ( ) - E-mail Signature of Contractor or Authorized Agent Date OFFICE USE ONLY Date Submitted ARB Meeting Date ARB# Architectural Review Board Applicationv. ❑Preliminary Site Development Plan final Site Development Plan CIAmendment to a Site Development Plan ❑ No Fee Required �, $200 Fee Required �, o� ❑ No Fee Required ❑Preliminary Building Permit U Final Building Permit U Sign(Certificate of Appropriateness) ❑ No Fee Required ❑ No Fee Required ❑ $75 Fee Required(no fee required if sign meets conditions of comprehensive sign review) UConceptual Site/Building Design ❑Advisory Review(SP/ZMA) U Revisions to a Certificate of Appropriateness ❑ No Fee Required ❑ No Fee Required ❑ No Fee Required (ref ARB# ) C.X.135 p �To2 7 ?M - 4M 'J1 / a4Yr/ l Project Name: ���S "" � 1� V Tax Map and Parcel: 9 1 I A .1 Magisterial District:C�litIKA )ii Zoning: ( —( �/ 0 r Q ( ,,, boa Physical Street Address(if assigned): 6 J LQ 1)1� 4 / 4 p +c..c„T(� V A, i ro Z.L � Location of property(landmarks,intersections,or other): N.l\ e-c�12.�1?�L_- (rj� (/�-p ���pn3 (,(4/7f7' PLA4k r J ---)--. Coq 2--) 5 E._ .2-`? r`o AIo CmpsbosL Contact Person/Business Name: /al AtJ -Pe Atet Address ``OS Q• 1;1 e l City 1.4 11/L L-& State VL Zi C�c—�6' -- ( n �/ /C ^�� P Daytime Phone( )tR 9 -3&< Fax#( )�V 2 W' E-mail h l e- ie61 b'7-,1(ti k 6e-tt Owner of Record Air© CI,14E-4 CABS 2.6A-os / fo C-, Addresses?)S3 1`�t U 4 C4i / 4— > City A10/L—,7 t 4 State //47. Zip Z-Z%,5 9' O. t�°'- .5/ 7 q/ Daytime Phone( ) 9( - Co G(r� Fax#( )) 2%-5 Co 2O E-mail Applicant(Who is the Contact person representing?): DA)/.,EeY Address City State Zip Daytime Phone( ) Fax#( ) E-mail Architect: ('l) E 1 Li4414.44 Address Z-0(0 f 11=7* CIT/ l IA 'a— 1 City U,r LLB State Zip ZD Daytime Phone( ) 97.34&C) Fax#( ) — 817 2 0 E-mail OFFICE U O Y ,I x / �C CV Fee amount$p �Date Paid�7' /�4 Check# ✓77('By Who? Jv12e7 p Receipt# '3Q' By: 49574. County of Albemarle Department of Planning& Community Development 401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5823 Fax: (434) �� -D A Al 02rag oloolf2 C Description of application:(1' ibe your proposal. Attach a separate sheet if nt try) 1 N- G 2-- �C o t c t A)c ADo /Ti 00 �'t�a-.. rift)Aiwa L, /2ca M 'tc t_— T l)e&)-7 j)£67 P �J" i6 D 1 La1 u)t_ A—i)iJ/not) /tea rz. rre77f-/c-- G7 c,.q-L e This space for office use. Owner/Applicant Must Read and Sign This application is not complete without the appropriate checklist and submittal materials. The foregoing information is complete and correct to the best of my knowledge. I have read and I understand the provisions f the Albemarle Coun Zoning Ordinance. D Z-sfx:W Signature of er, Contract Purchaser Agent Date (.6W 111 (;)- 760 .(_01*// Ze-bqi1/4) / Print Name Daytime phone number of Signatory 12/18/02 Page 2 of 2