HomeMy WebLinkAboutSDP201000005 Application 2010-01-19Application for Major & Minor Site Plan Amendments
9�
and All Reinst ments of Denied or Devetred Site Plans
®,Major Amendment (Subject to Planning Commission Review) _ $270
❑ Minor Amendment (alterations to parking, circulation,
17folded copies ofplan are required 'SCts aoTE
building size, location) _ $95
8 olded copies of sketch plan are required
❑ Reinstate Plan Review After 10 day Denial = $200 ❑ Reinstate Plan After Site Review Denial or Suspension = $65
❑ Reinstate Plan Deferred by Applicant
❑ To a specific date = $35
❑ Indefinitely = $75
17 folded copies ofp1an are required
Groundwater Assessment (Required for all non - residential site plans not serviced by public water)
Was a Groundwater Assessment conducted for the existing site plan?
❑ YES
❑ NO
If NO and the new plans show a use less than 2,000 gallons per day ❑ Tier 3 Groundwater Review = $400
If NO and the new plans show a use greater than 2,000 gallons per day ❑ Tier 4 Groundwater Review = $1,000
If YES and the use goes from less than to more than 2,000 gallons per day ❑ Tier 4 - Tier 3 = $400
If YES and the use does not change from less than to more than 2,000 gallons per day ❑ No fee
❑ Relief from conditions of approval from Planning Commission or landscape waiver by agent = $180
❑ Extension of approval prior to expiration of an approved plan = $45
❑ Rehearing of Site Development Plan by the Planning Commission or Board of Supervisors = $190
❑ Appeal of Site Development Plan to the Board of Supervisors = $240
Project Name: S�ynL 1�- O�o�oScan G)e,me F'G/d
Tax map and parcel: TAA '7 rGQL t Z3 i7 I 1 Magisterial District: 4'- 04A'SyM { Zoning: JQZ'4
Physical Street Address (if assigned): 9�8 Nom 6 44 Iof .Ptsv N e- Ve,- Z29 r/
Location of property (landmarks, intersections, or other):
41(z i��i�s�r ► "o-. of 94. 72°) r ogt; 732
)2�4; ZS0
� '(Lovs�G.I.vS�, Gsl G, � Assoc,
Contact Person (Who should we call /write concerning this project ?): M04k WL41,, 6 d /1oµ �) G
Address IN Mod -ice t f 0 Ad City &- State _VA Zip ZZ90 �
Daytime Phone (14 ' ) Fax # ( N3N) 2 15'7iZ-0 E-mail fAL Oe ' 44 an d 6 rOU�ayyS�►. ao �
Owner of Record e,cun-i j �}`�GiAna(lC_ SG�oo1 B&&r /
Address W O X Mt,1 A -iY'(,- Zc) City 6,Lr,it&4,ei Vflke— state VA Zip 22-902
Daytime Phone ( )
Fax # (__j
E -mail
Applicant (Who is the Contact person representing ?): SaM L 005 0W^1,1— of,- CC eQCC
Address
Daytime Phone ( )
Fax # (�
City
E -mail
State Zip
FOR OFFICE USE ONLY SDP #
Fee Amount $ Date Paid By who? Receipt # Ck# By:
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
11 //19/07 Page I of 2
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Intended use or justification for request:
Owner /Applicant Must Read and Sign
This site plan as submitted contains all of the information required by Section 32.5 (Preliminary Plan) or Section 32.6 (Final
Plan) of the Albemarle County Zoning Ordinance. I understand that plans which lack information required by said sections
shall be deemed incomplete and shall be denied by the agent within ten (10) days of submittal as provided in Section 32.4.2.1
or Section 32.4.3.3 as the case may be.
For Final Plans Only: To the best of my knowledge, I have complied with Section 32.4.3.1 and obtained tentative approvals
for all applicable conditions from the appropriate agencies.
Signature of Owner, Contract Purchaser, Agent
Ma-w -'W"'w in +(cam. J
Print Name
i /tg hc>
Date
-45H- 977,0 ?,or"
Daytime phone number of Signatory
11//19/07 Page 2 oft