HomeMy WebLinkAboutCLE201800208 Application 2018-10-04APPROVED
by 'the Albemarle County
Application for Zoning Clearance
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CLE # � - _ __ - - __
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Ah-�
�'1RGIN�P
OFFICE USE ONLY
PLEASE REVIEW ALL 3 SHEETS
Check # Date:
Receipt # Staff:
PARCEL INFOR TI N
Tax Map and Parcel:` la.f Existing Zoning %SC
, Parcel Owner:
Parcel Address:�(�E City State Zip
(include suite or floor)
PRIMARY CONTACT I
Who should we call/write concerning this project? 4ME:uL
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Add�
Address: 4rZop City 56rFA fttyUcA State C-A zip 9b463
Office Phone: Cell # 8<&5t3gj, 991ax # E-mail 00"
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
Business Name/Type: tAsaL !m(1{-NO Alo' S idG,
Previous Business on this site
i
Describe the proposed business including use, number of employees, number of shifts, available parking spaces, number of
vehicles, and any additional information that you can provide: 4 —'EaO(cie 1C4b% ;1 -5-. ' ;fe&
vJ f ( - Z M,P5 A?- AWV (,lC/� -nAde. Na .titcNETAy41 a-AcN-�F�-t,�Es w- SAS crF
*This Cle ante will only be valid on the parcel for which it is approved. If you change, intensify or move the use to a new location, a new Zoning
Clearance will be required.
I hereby certify that I own or have the owner's permission to use the space indicated on this application. I also certify that the information provided
is true and accurate to the best of my kn edge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed JMPAI 0
APPROVAL INFORMATION
[ ] Approved as proposed [ ] Approved with conditions [ ] Denied
[ ] Backflow prevention device and/or current test data needed for this site. Contact ACSA, 977-451 1, xl 17.
[ ] No physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the existing
site plan.
[ ] This site complies with the site plan as of this date.
Notes:
Building Official Date
Zoning Official Date
Other Official Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
Revised 11 /02/2015 Page 2 of 3
Intake to complete the following:
Reviewer to complete the following:
Y / 0 Square footage of Use: 106
Is use in LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet. N 1.
rmitted as:
Y/
WillQtere be food preparation? Under Section:
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval from Health Supplementary regulations section:
Dept. FAX DATE
Circle the one that applies
Is parcel on private well�pern
If private well, provide Hearm.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that a
Is parcel on septic o sewers
Y/N
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Y/N
Will there be any new construction or renovations?
If so, ob in th rop r P it.
Permit #
Zoning to complete the following:
Parking formula:
41. -1 1�1 Ir k
Required spaces: ,
Y/(N/
Itelp,wr6be verified in the field:
Inspector:
Notes:
Date:
Violations:
Y/N
If so, List: �
Prof
Y/N
If so, ist:
Vari ce:
Y/
If so, ist:
P's:
/N
so, List: cis —50
Clearances:
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Revised 11/1/2015 Page 3 of 3
Albemarle County
Planning Application
Community Development Department
401 McIntire Road Charlottesville.VA229D2-4596
Voice: (434.1296-55832 Fax : (43411972-4128
TMP[ 06100-00-00-13100 Owner(s):
SHOPPING CENTER ASSOCIATES
Application # CLE201800'20:
PROPERTY INFORMATION
Legal Description :
ACREAGE PARCEL C FASHION SQUARE MALL
Magisterial Dist.
Rio Land Use Primary Commercial
T
current AFD
Not in A/F district � Current Toning Primary Planned Development Shopping Center
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APPLICATION INFORMATION
Street Address
1600 RIG RID E CHARLOTTESVILLE, 22901
Entered By
Application Type
Zoning Clearance
Sur Martin
Project jUber
Technologies, Inc.
Received Date
09f 25/1$ Received Date Final � Submittal Date
Total Fees 54
Closing File Date
Submittal Date Final
�
Total Paid 54
Revision Number
Comments
Legal Ad
SUB APPLICATION(s)
Type Sub licatio Comment
APPLICANT % CONTACT INFORMATION
ContactType
Narne Address Ci ,State Zip Phone PhoneCeII
'ems r a p art ' SHOPPING, CENTER ASSOCIATES P 0 BOX 7019 INDI?NAPOLISIN 46207-
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.__t J0RDAN MELLVL 1709 OCEAN AVE. =200 S,ANTA MONICA, 9040' 8568899507
Signature of Contractor or Authorized Agent Date
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