HomeMy WebLinkAboutSE202200069 Application 2022-12-19•
U 3wil N :
APPLICATION FOR A SPECIAL EXCEPTION
❑ Request for a waiver, modification, variation or ® Variation to a previously approved Planned
substitution permitted by Chapter 18
Development rezoning application plan or
Code of Development
OR
Provide the following
❑ Relief from a condition of approval
1 copy of the existing approved plan
illustrating the area where the change is
Provide the following
requested or the applicable section(s) or
• 1 copy of a written request specifying the
the Code of Development. Provide a
graphic representation of the requested
section or sections being requested to be
change.
waived, modified, varied or substituted, and
any other exhibit documents stating the reasons
1 copy of a written request specifying the
for the request and addressing the applicable
provision of the plan, code or standard for
findings of the section authorized to be waived,
which the variation is sought, and state the
modified, varied or substituted.
reason for the requested variation.
FEE =
523.12
Application $503 + Technology surcharge $20.12
Project Name: Old Trail Blocks 33 and 34
Current Assigned Application Number (HS, HO, CLE, SDP, SP or ZMA) ZMA 2015-001
Tax map and parcel(s): 055E0-01-00-000A3
Applicant / Contact Person Megan Nedostup, Williams Mullen
Address 323 Second Street, Suite 900 City
Charlottesville State VA Zip 22902
Daytime Phone# ( 434 ) 951-5723 Fax# (
) Email mnedostup@williamsmullei
Owner of Record March Mountain Properties, LLC (Dave Brockman)
Address 1 005 Heathercroft Circle, Suite Ci
00 tY
Crozet VA 22932
State Zip
Daytime Phone# ( ) Fax# (
) Email dave@oldtrailvillage.com
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 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.
"� 1�1
Signature of Owner / Agent / Contract Purchaser
Megan Nedostup
Print Name
FOR OFFICE USE ONLY APPLICATION#
By who?
Receipt #
12/18/2022
434-951-5723
Daytime phone number of Signatory
Fee Amount S Date Paid
Ck#
By.
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 ZMA 2015-001 Old Trail Code of
Anrnpnt
ame o e application type & if known the assigned application #]
was provided to
it
owners
the owner of record of Tax Map and Parcel Number 055E0-01-00-000A3
by delivering a copy of the application in the manner identified below:
nHand delivery of a copy of the application to Dave Brockman of March Mountain Properties,
ame of the record owner if the record owner is a person; i
the owner of record is an entity, identify the recipient of the
on 12/18/2022 record and the recipients title or office for that entity]
Date
EMailing 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 recipients 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
requirement].
`QY 41
Signature of Applicant
Megan Nedostup
Print Applicant Name
12/18/2022
Date
Revised 7/1/2021