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Home My WebLink AboutZMA201800012 Application 2023-02-03• pr APPLICATION FOR A SPECIAL EXCEPTION i2 ' equest for a waiver, modification, variation ❑ Variation to a previously approved Planned or substitution permitted by Chapter 18 = $457 Development rezoning application plan or Code of Development = $457 OR ❑ Relief from a condition of approval = $457 Provide the following ❑ 3 copies of the existing approved plan Provide the following illustrating the area where the change is ❑ 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: U u [0..)((2 �iPZQh I Y191 Current Assigned Application Number (SDP, SP or ZMA) ZMft2!61-8--1 7- Tax map and parcel(s): ci (`` � 9 ( —1S Applicant / Contact Person N k c e. si c Address 9 12 F�14 kh�Yo b'E. City U/10j euo (- vill2 State\/A Zip 2ZgM Daytime Phone# Fax# ( ) Email 6 scae) 'J ttt-G-C, Owner of Record 06lN8 5 . 6LrN8 Ab r1A . M arzt c. (rJ 4f"ky-- (22 9 Address L14144 AooV-"Qj ORlvw City StateVpr ZipZZ-1o3 Daytime Phone# ( ) C1&0-3)4142Fax# ( Email w �}� a o I •torn County of Albemarle Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 • • 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. JA lQln4eu-c+ A�.qCI"10eGrP Signatur o Owner / Agent / Contract Purchaser KI t CG I t; —SCaz-D Print Name FOR OFFICE USE ONLY APPLICATION# ,q)-z3 Date ,qsy zls/--CSS;-13 Daytime phone number of Signatory Fee Amount $ Date Paid By who? Receipt # Ck# • • 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, (T-0,6kttie 9e2!orltn� 2Cy1r�2�1�-IZ [Name of the application type 6 was provided to 1�_ i�t d S . f�.� l-T tY� t Y1c, [Name(s) of the record owners of the owner of record of Tax Map and Parcel Number q t — by delivering a copy of the application in the manner identified below: the assigned application #] i Hand delivery of a copy of the application to tJAN1 c� S• w t Q [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 on record and the recipient's title or office for that entity] g �22�Zo1 °� Date on 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] Date 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 requirement]. Sijna�tuI Applicant Iyl Pi 'SC42-D Print Applicant Name Date • A pr APPLICATION FOR A SPECIAL EXCEPTION ,.Request for a waiver, modification, variation ❑ Variation to a previously approved Planned or substitution permitted by Chapter 18 = $457 Development rezoning application plan or Code of Development = $457 OR ❑ 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 (-Tm a K l e, t'� ez0n t r 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. Current Assigned Application Number (SDP, SP or ZMA) Z M � 2 671 S tl2 Tax map and parcel(s): 11— `l cl� l Is - Applicant / Contact Person I\J \ C of e, E>c--4 0 Address iz 4��h S}. City C WkZ10yl l e- State vlci Zip Z-ZcW7- Daytime Phone# (, Ft,54 ) Zl g 0513 Fax# ( ) Email I'L5cr2 alli �r�p -e.n+czPe� ca. e�M Owner of Record (1Ai lie_ P as d -: "Cupcaz. —W5) Address PO (6Qx q?-7- Daytime Phone# (y'b l+ ) Z& 0- 87(p? Fax# ( City (.,VLeWQ}}ctvllle, State Zip Z7�192 Email ohagmmanis 0,cc,law a County of Albemarle Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 • • 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. signa a of Owner / Agent / Contract Purchaser �icoSGizo Print Name q /z3 lzot`1 Date 434-21 S�- o513 Daytime phone number of Signatory RECEIVED SEP 2 3 2019 COMMUNITY DEVELOPMENT Fee Receive Re Ned Date Received BY FOR OFFICEUSE 1GUSE ONLY APP /I�CATION# Fee Amount Date PaidC'-`�`�—I By who?��.(, �V�r f�Iecei it 1J'W Ck#164�fDBy t • • 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, ((7-0.LAX I e� Amgylirt,:J [Name of the application type & if known the assigned application #] was provided to I- [Name(s) of the record owners of Me 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 73as pr-4 L kt��t1 t-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 �i�zro�zol9 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] Date 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 requirement]. Signatur Applicant bjlV Ole ScAo Print Applicant Name q/23/2olq Date