HomeMy WebLinkAboutSP198500035 Application Special Use Permit 1985-05-08 COUNTY OF ALBEMARLE
APPLICATION FOR A SPECIAL USE PERMIT
TO: The Honorable Board of Supervisors APPLICATION NO. 3e-S-5- 35-
DATE FILED 5-8 - h •
STAFF N P U
Gentlemen : - FEE r , 00 . ;, .,
Pursuant to Sections 31. 2 and 5. 6 of the Albemarle County Zoning Ordinance ,
(and any subsequent applicable Sections) the undersigned owner of the follow-
ing described property hereby applies for a special use permit to allow :
06e OF ct. rrklc 4 CA61a.5 rag, WFEK.--i✓ND COT!NU, L01Xv1 NCv/GAMPI►.t G► 00 LI M 6T j7
X515 --(Pi- A r_ 1?.. ,,te V-ea-47•=o12- N Wrop..-y) ow s -r• 10.2.2.20 • 5.1. .
THIS APPLICATION MUST BE FILLED OUT IN ITS ENTIRETY OR IT WILL NOT BE ACCEPTED
AS A VALID APPLICATION.
1. PROPERTY LOCATION (general locations) - (Example - F.a_t side Route 29 , ,
north, approximately 1, 000 feet south of Route 649) ( 0c. ,e, y (/ / � � ,
.1:r ' .(', 4,• Lc 4! lt'`, „u r, /e. o 6- //,,z-2'tom,
2. DECRIPTION OF PROPERTY
‘Z
TAX MAP 9e PARCEL NUMBER OX,--5, - G -- (-6i/5r,e)
ACREAGE ya, &V EXISTING ZONING • ( , (1,,;,,,�r,,,,,,cr, .,�„f),,st
EXISTING USE ( identify type and number of ekisting structures on property)
� � '.
yn�. %/� /l nt'j
PROPOSED USE 1:114\/ cAMP D1 NIC' GA-M P oufri -4-i ...50-1: 10. 2.2.20 I4t ' 6. 1 . 5
ARE ENTRANCES TO PROPERTY FROM A STATE ROAD. ( IF "NO" , PLEASE E. LAIN)
7 .0
PLAT AND/OR DEED DESCRIPTION REQUIRED
The applicant must submit a copy of the most recent plat of record of the
land to be used or built upon unless no such plat exists , in which case th`
applicant must provide a copy of the most recent deed description of the
property .
4 . N.ME/. DRESS 0 PROPERTY OWNER OF RECORD
NAME r (( ( ''/.77:7
ADDRESS ./Tit-/ - 2 -i,= ' 5'-.,
PONE NUMBER (AREA CODE) 07.(-w) V 73 - 5 F l(
5 . The undersigned owner authorizes the entry onto his property by County,
staff members during the normal discharge of their duties in regard to
the above application .
6. APPLICANT
Owner > or Contract Purchaser (Check appropriate box) If appli-
cant is contract purchaser, written proof of approval by fee simple owner
is required. Such proof may be a signed statement , copy of purchase agree-
ment stating such condition, or such other instrument as necessary to
provide such evidence .
NAME /r'" . /l J , (7,1L/ ,'
ADDRESS /,./-
ADDRESS /- ;` , t -2 3' �r < c Ic L - ? Y 4V 7
PHONE NUNDER (AREA CODE) s-c,u - <2;' 7 j -- i' A ? 9 75 - 7-it ‘.
8. I , hereby , certify that the foregoing information is true and correct to
the best of my knowledge and belief, that I have read and understand the
provisions of the Albemarle County Zoning .Ordinance under which this
application is made, and that I am the Owner/Contract Purchaser of the
property described above .
G.-
- , i/ ',A—
fr
CONTRACT PURCHASER DATE • IER TE
FOR OFFICE USE ONLY
PLANNING COMMISSION ACTION: DATE OF HEARING:
FINAL DECISION/ACTION:
BOARD OF SUPERVISORS ACTION : DATE OF HEARING:
FINAL ACTION/ACTION:
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RESIDENCE ON TRACT-t2( 3.29AC) to
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PLAT SHOWING SURVEY AND DIVISION OF
TRACT OF LAND SHOWN AS PARCEL 15 ON
TAX MAP, SHEET 4 8
STONY POINT, RIVANNA MAGISTERIAL DISTRICT ro W
ALBEMARLE COUNTY,VA . 44,� sr
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Stf. is a copy TES1'E:
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54-17-3 } SHELBY J. MARSHALL
r �?-t%-s �t� �z� p �„ , CLERK
Dep. Clert
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WILLIAM S. ROUDABUSH JR. i
�� L oCERTIFIED LAND SURVEYOR. G� jw 0NKc' i2 MN :fIh N .*r
Niai
STATi.. / N �z.
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