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SDP201300028 Application Minor Amendment 2013-04-30
41:11t..1Albemarle County - Community Development Department 401 McIntire Road Charlottesville,VA 22902-4596 Planning Application : (434)296-5832 Fax:(434)972-4126 PARCEL/ OWNER INFORMATION TMP 055E0-01-00-000E0 Owner(s): JA-ZAN LLC Application # SDP201300028 PROPERTY INFORMATION Legal Description OLD TRAIL 3 1 OLD TRAIL VILLAGE CENTER Magisterial Dist. White Hall Land Use Primary Unassigned Current AFD Not in A/F District Current Zoning Primary Neighborhood Model District APPLICATION INFORMATION Street Address Entered By Jennifer Durrer Application Type Site Development Plans 04/30/2013 Project OLD TRAIL BLOCK 3B - MINOR Received Date 04/25/13 Received Date Final Submittal Date 05/06/13 Total Fees 500 Closing File Date Submittal Date Final Total Paid 500 Revision Number Comments Legal Ad SUB APPLICATION(s) Type Sub Applicati I Comment Minor Amendment 05/06/13' • APPLICANT/ CONTACT INFORMATION ContactType Name Address CityState Zip Phone PhoneCell Owner/Applicant JA ZAN'LLC 1150 PEPSI PL CHARLOTTESVILL i 22901 Primary Contact CHRIS MULLIGAN 914 MONTICELLO ROAD CHARLOTTESVILL 22902 4349770205 Signature of Contractor or Authorized Agent Date U066 or �ti.0�' _tpplication for , iel Major or Minor Site Plan Amendments J �nor, Zocoq R Existing Site Plan Name&`umber: 2 -013 -Oer, Tgl*'ji. „oc,t 36- rwitd, Stl, A# ' Tax map and parcel(s): OSSE' —01 -30 AD Ilio Zoning: %mss - 4- —OZ'�' ,nr4(( �L, asset, --et -00 - ovese t\r\` Contact Person(Who should we call/ rite concerning this project?): C liam M.44.4L4 Aw Address 4114 MoNTI ee U-v PO140 City dia1d1+lIESIVI 4 . State Zip ZZ702^ Daytime Phone ti3413 11'7'0205 Fax#(43) Zi V-15Z2.0 E-mail GMkei^() VanhAt7.ai I, ui Owner of Record: 3Pi slivW LG C CA244l G iiSO Peps. Fc«rrce- //'' 0' Adc City .vt!o titfGs v,L� State VeT Zip Daytime Phone( ) Fax°( ) E-mail (2-3q 0 D Applicant(Who is the Contact person representing?): QW -IfS Address City State Zip Daytime Phone( ) Fax#( ) E-mail FEES ❑ Major Amendment aV Minor Amendment(alterations to parldng,circulation,building =$1500 size,location)-_$500 16 folded copies of plan are required 8 folded copies of plan are required Notices required by Section 32.4.2.1 (0 Preparing and mailing or delivering up to fifty(50)notices=S200.00 plus the actual cost of first class postage. Preparing and mailing or delivering,per notice more than fifty(50)=$1.00 plus the actual cost of first class postage. GROUNDWATER ASSESSMENT (Required for all non-resrdential site plans not serviced by public water) Was a Groundwater Assessment conducted for the existing site plan? U YES ❑ NO If NO and the new plans show a use using less than 2,000 gallons/day(average) U Tier 3 Groundwater Review=$510 If NO and the new plans show a use using greater than 2,000 gallons/day(average) ❑ Tier 4 Groundwater Review=$1,100 If YES and the use goes from using less than to more than 2,000 gallons/day(average) ❑ Tier 4 minus Tier 3=$590 If YES and the use does not change front using less than to more than 2,000 gallons/day(average) © No fee FOR OFFICE USE ONLY SDP# Fee Amount$ eq.) Date Paid 9- 5'4y who? MA:1-11 (nbV-k+4.A. Receipt# 9t'14 7 Cky# 1 7 0 By: V _ Y i L -Cr 06, County of Albemarle Department of Community Development 401 McIntire Road Charlottesville,VA 22902 Yoke: (434)296-5832 Fax: (434)972-4126 1>'l/2013 Page 1 oft vole Comments/Attachments: Owner/Applicant Must Read and Sign ❑ Major Amendment This major amendment as submitted contains all of the information required by Section 32.5 (Initial Site Plan) and Section 32.6 (Final Site 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 32.4.3.1 as the case may be. • Minor Amendment This minor amendment as submitted contains all of the information required by Section 32.5 (Initial Site Plan) and Section 32.6(Final Site Plan)of the Albemarle County Zoning Ordinance. 2/ I am consenting to all correspondence from Albemarle County be in any of the following forms in writing;by first class mail,by personal delivery,by fax or,by email. ❑ I am not consenting to all correspondence from Albemarle County in the form of fax or email. e` // `4.-7_'`t -1 3 Signature of 0 ner,Contract Purchas*Agent Date CNeisrrar+iu - C. ✓14Nua 804 —4 rr-Z78e Print Name Daytime phone number of Signatory 1/1/2013 Page 2 of 2