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ARB201700135 Application 2018-02-14
Co mmLn ity Development Department >, Albemarle Lour % 431 itire Road Charlottesville, VA22932-45% 972-4428 mice: (434) 253-5832 Fax: (434) Planning Application 9 PP PARCEL OWNER INFORMATION TMP1 03200-00-00-005B0 Owner(s): SEMINOLE NORTH LLC Application # I /1QR8201.700,1 �S PROPERTY INFORMATION Legal Description I ACREAGE SEMINOLE NORTH Magisterial Dist. 'Rivvanna El Land Use Primary O fiCe Current AFD ;Not in Af F District El Current Zoning Primary Light Industry Q APPLICATION INFORMATION Street Address 4257 SEMINOLE TRL CHARLOTTESVILLE, 22911 Entered By Application Type Judy Martin A PP yR Architectural Revie* Board l 1?f31/2017 Project Seminole North - Conceptual Received Date 12f 11f 17 Closing File Date Revision Number Received Date Final Submittal Date 12f 26f 1a Total Fees Submittal Date Final Total Paid P=� Comments NO FEES CONCEPTUAL PLAN/ADVISORY Legal Ad SUB APPLICATION(s) Type I Sub APOicTaytio Cammertt Conceptual Site Development Plan. � .. _ 12 26 t 1 .. _ .. .. . APPLICANT f CONTACT INFORMATION CantactT Name Address GtyState ZipRhos PltoneCell re pp'W" SEHIPIOLE NORTH LLC Primary Carta:t ? PETE FOSTER(WH ROBINSON- 1190 SEMINOLE TRAIL SUITE CHARLOTTESVILL 22901 2165 SEPIIN DLE TRAIL . CHARLOTTESVTLL 22901 4349747900 `: Signature of Contractor or Authorized Agent Date Architectural Review Board Application 0 Part A: Applicant, Contact and Parcel Information Project Name: S -c--Y f) 1 n G I e— IQ U r 4-h _ Tax map and parcel(s): 03 ZOO- CO- CC--005 2(r', Physical Street Address: !,67 SP.xn'r)de- T'r L Contact Person: '�"� Ft%5'�� r RJO i nS ul-) Business Name �QtLh S 5Qd1S Address Z 1 (c 5 Se_.PY1: n o Je Tr 1. City C1ic c 1 c 4e-S y I I I e State V R Zip 2nL©1 Daytime Phone (434) 9 7 +- 7 cj 0 0 Fax # d34) Q 7 4-- (4%C11P� E-mail Owner of Record: t O r Address 8o i t) o LIL —Fir 1 • city Cln a. r La +ks d + 1 U State zip 2 Z-10 Daytime� 7 ra Phone 1 611 - 5 5 7 1 Fax # (� 3 ^ 55 bQ E-il C6�jQ�1Q .� ern r _9 %1— CO Part B: Review Type and Fee Select NOTE: re ' type Review by the Architectural Review Board Conceptual Plan/Advisory Review (for a Special Use Permit or a No Fee Rezoning) Pretiminary/luitial Review of a Site Development Plan No Fee Final Review of a Site Development Plan $1075.00 Amendment to an approved Certificate of Appropriateness $ 242.00 Building Permit Review $ 634.00 County -wide Certificate of Appropriateness Structures 750' or more from the EC, no taller than 5 stories No Fee Structures located behind a structure that fronts the EC No Fee Personal wireless service facilities No Fee Fencing or Equipment or Lighting No Fee Additions to ARB-approved buildings No Fee Minor amendments to site or architectural plans No Fee permits where the change is 50% or less of the altered elevation No Fee For SIGNS, use the combined APPLICATION AND CREKLIST FOR SIGNS. rlBuilding FOR OFFICE USE ONLY BP# ARB# Fee Amount $ Date Paid By who? Receipt # Check # By County of Albemarle Dept of Community Development, 401 McIntire Rd, Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972.4126 1012015 PW 1 of 2 OVER Part C: Description of Proposal Describe your proposal, Attach a separate sheet if necessary. Fro g os e cl C.mYYI D re I� �e .rls i J si o��1 Ire-AJ i e�LA') -�o r _� .54acY1 , rbo l-0 f Part D: Applicant Agreement Applicant must read and sign • Each application package must contain (8) folded copies of all plans and documents being submitted. Only (1) set of building material samples is required. All submittal items, including building material samples, become the property of Albemarle County. Applicants are encouraged to maintain duplicate copies of all submittal items in their own files. • Only complete application packages will be scheduled for ARB review. The application package is not complete without the appropriate checklist, completed, signed, and included with the required submittal materials indicated on the checklist I hereby certify that I own the subject property or have the legal power to act on behalf of the owner in filing this application. *See submittal requirements below. I also certify that the information provided on this application and accompanying information is accurate, true, and correct to the best of my knowledge, and that the attached plans contain all information required by the appropriate checklist. OjaL�2-L-1 I21S Ill Signature of owner, owner's representative Date or contract purchaser \ 9-74 - `l 9 00 BtA41 Ro b � n%on _ �rszUec -1titc� r. 54D 5 U 0 — 2? 3 CLA I Printed name, Title —�� Daytime phone number of Signatory ;Ownership Information: • If ownership of the property is in the name of any type of legal entity or organization including, but not limited to, the name of a corporation, partnership or association, or in the name of a trust, or in a fictitious name, a document acceptable to the County must be submitted certifying that the person signing above has the authority to do so. • If the applicant is a contract purchaser, a document acceptable to the County must be submitted containing the owner's written consent to the application. • If the applicant is the agent of the owner, a document acceptable to the County must be submitted that is evidence of the existence and scone of the aeencv. Attach the owner's written consent. 11/2010 Page 2 of 2 OVER ->