HomeMy WebLinkAboutSE202100047 Application 2021-11-22APPLICATION FOR A SPECIAL EXCEPTION
❑ Request for a waiver, modification, variation or R Variation to a previously approved Planned
substitution permitted by Chapter 18 Development rezoning application plan or
Code of Development
OR
❑ Relief from a condition of approval
Provide the following
1 copy 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.
Provide the following
1 copy 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.
FEE = 523.12
Application $503 + Technology surcharge $20.12
Project Name : Old Trail Block 33
Current Assigned Application Number (HS, HO, CLE, SDP, SP or ZMA) ZMA2015-001
Tax map and parcel(s):
055E0-01-00-000A3
Applicant / Contact Person
Williams Mullen
Address 321 E. Main Street, Suite 400 City Charlottesville State VA Zip 22902
Daytime Phone# (434 ) 951-5700 Fax# ( ) Email mnedostup@williamsmullen.00m
Owner of Record March Mountain Properties, LLC (Dave Brockman)
Address 1005 Heathercroft Circle, Suite 100 City Crozet State VA Zip 22932
Daytime Phone# ( ) Fax# ( ) Email dave@oldtrailvillage.net
County of Albemarle
Community Development Department
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
Revised 7/1/2021
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 TBE 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
regardinghis application bei g provided to me or my designated contact via fax and or email. This consent does
not pregKide such written g9fiamunication from also being sent via fast class mail.
DAV& CJ�I�-4`\KlV
Print Name
FOR OFFICE USE ONLY APPLICATION#
Dy who?
Rcccipt #
11 /22/2021
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Daytime phone number of Signatory
Fee Amount $ Date Paid
Carr
$r
Revised 7/1/2021
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, Special Exception to ZMA2015-001 Old Trail Village Code of
[Name of the application type & if known the assigned
was provided to
owners
the owner of record of Tax Map and Parcel Number 055EO-01-00-000A3
by delivering a copy of the application in the manner identified below:
aHand delivery of a copy of the application to Dave Brockman of March Mountain Properties, LLC
[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 11 /22/2021
nMailing a copy of the application to
on
Date
[iN ame or the recora owner it the record owner is a person;l
the owner of record is an entity, identify the recipient of the
record and the recipient's title or office for that entity]
to the following address
[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
requireme ]. i
Si of Ap
ficW
Megan Nedostup
Print Applicant Name
11/22/2021
Date
Revised 7/1/2021