HomeMy WebLinkAboutCLE201800212 Application Zoning Clearance 2018-10-17APPROVED
by the Albemarle County
Application for Zoning Clearance
CLE # 0() ► S - a l o� R-
PLEASE REVIEW ALL 3 SHEETS
OFFICE USE ONLY
Check # tom, Date:
Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel: T^"'.t•*� ��'—'� Y4 I Pi �j� — Existing Zoning�ET�1i��
Parcel Owner: United Land Corporation
y/ Lgtie S}.too
Parcel Address: 1 City Charlottesville State VA Zip 22911
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? Bob White
Address : 7 Great Valley Parkway Suite #200 City Malvern State PA Zip 19355
Office Phone: (484) 913-2531 Cell # 443-536-6857 Fax # 610-640-2960 E-mail bob.white@sherwin.com
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name X New business
Business Name/Type: The Sherwin-Williams Company / Retail Paint Store
Previous Business on this site Ntelos Wireless - Retail Store
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: 51 S
Max of 6 Store employees for a!! shifts, require no more thaA 10 spaGes fnr cl-istamers
parkiAg at any one ti
*This Clearance 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 knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature /' Printed Bob White - S. Project Eng. Sherwin-Williams
APPROVAL INFORMATION
[ ] Approved as proposed [ ] Approved with conditions [ ] Denied
[ ] Backflow prevention device and/or current test data needed for this site. Contact ACSA, 977-4511, x117.
[ ] 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
� � O, P J Revised 11/02/2015 Page 2 of 3
Intake to complete the following:
Y /@
Is use in LI, HI or PDIP zoning?
Engineer's Report (CER) packet.
Y / (@
If so, give applicant a Certified
Will there be food preparation?
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that applies
Is parcel on private well or ublicA�ment
If private well, provide Health epform.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that applie
Is parcel on septic o ublic sewer.
DI N
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
,)�J/ N
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
ZoninE to complete the following:
Reviewer to complete the following:
Square footage of Use:
-mi ted as:
Under Section:
Supplementary regulations section:
V 1 ti-
Parking formula: Li ,
Required spaces: ^ , f I y1, ;� -
It (/ N
Ite o be verified in the field:
Inspector :
Notes:
Date:
iolations:
Y/N
f so, List:
3-- 18,;
ffers:
/N
If so, List:
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acnrQ=a
I
am1J - iH
_3
90
kDance:
1lN
If so, List: 19Ey -57
is:
Y/N
If so, List:
-7
Clearances:
,g0j8- 95
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Revised 11/1/2015 Page 3 of 3
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CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form must accompany zoning applications (Home Occupation, Zoning Clearance, Zoning
Administrator Determinations or Appeals, Sign Permits, Building Permits) if the application is not the
owner.
I certify that notice of the application,
[County application name and number]
was provided to United Land Corporation the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number TM32 Parcel 44
mariner identified below:
by delivering a copy of the application in the
Q Hand delivering a copy of the application to
[Name of the record owner if the record owner is a
person; if the owner of record is an entity, identify the recipient of the record and the recipient's
title or office for that entity]
on
Date
Mailing a copy of the application to Nina Harrell - Vice President United Land Corporation
[Name of the record owner if the record owner is a person;
if the owner of record is an entity, identify the recipient of the record and the recipient's title or
office for that entity]
on 10-1-2018
Date
to the following address:
PO Box 5548 Charlottesville, VA 22905 - ulcwww@embarqmail.com
[address; written notice mailed to the owner at the last known address of the owner as shown on
the current real estate tax assessment books or current real estate tax assessment records satisfies
this requirement].
Signature of Applicant
Bob White - S. Project Eng. Sherwin-Williams
Print Applicant Name
10-1-2018
Date
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