HomeMy WebLinkAboutSE202300036 Application 2023-10-24•
•
r APPLICATION FOR A SPECIAL EXCEPTION
0 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
❑ 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 : Orchard Acres Lots 37 & 38 Erosion Control Plan
Current Assigned Application Number (HS, HO, CLE, SDP, SP or ZMA) wPO-2o2300052
Tax map and parcel(s): 055CO-00-OA-03800, 055CO-00-oA-03900
Applicant / Contact Person Shimp Engineering, PC
Address 912 E Hiah Street
Daytime Phone# (434 ) 2275140 Fax# (
Owner of Record Orchard Acres Inc
City Charlottesville
State VA Zip 22902
Email chriswashimp-engineering.com
Address 405 Oak Circle City Charlottesville State VA Zip 22901
Daytime Phone# ( /-'3 q ) 7 `1 ',LFax# (
Email G ssWee cam,:+.,;A
County of Albemarle
Community Development Department
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
Revised 7/1/2021
APPLICATION FOR A SPECIAL EXCEPTION
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.
P- �3-- Z3
Date
?4/ 4St9— 5- 5- ,Z
Daytime phone number of Signatory
FOR OFFICE USE ONLY APPLICATION# Fee Amount $ Date Paid
By who? Receipt # Ck#
BY.
4111: h A'L•
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 thepropeny.
I certify that notice of the application for,
was provided to Orchard Acres Inc
Acres Lots 37 & 38 Erosion Control Plan
:)f the application type & if known the
owners of the parcel]
the owner of record of Tax Map and Parcel Number 55C-A37, 55C-A-38
by delivering a copy of the application in the manner identified below:
nHand delivery of a copy of the application to Richard Nunley
[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]
Date
Mailing a copy of the application to
tiv acme of me recora owner it the record owner is a person; i
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
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
re lirement].
Sign'attuure o Ap 'cant %
Print Applicant Name
Revised 7/1/2021