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Home My WebLink AboutCLE201800217 Application 2018-10-17APPROVED L`q the Albemarle County r�'`mio:jrsc� ,''nutylonmpnt Nnartment Application for Zoning Clearance CLE # k 0 ( - vo ?[-1 OFFICE USE ONLY PLEASE REVIEW ALL 3 SHEETS Check # tV • i I . I $ Date: 0. l [ ' Receipt # ( I S :3 "7 / Staff: 17- rs�G17 PARCEL INFORMATION Tax Map and Parcel: 03100-00-00-021AO Parcel Owner: 4F LLC Existing Zoning LIGHT INDUSTRY Parcel Address: 395 REAS FORD ROAD, STE 130 City EARLYSVILLE (include suite or floor) State VA Zip 22936 PRIMARY CONTACT Who should we callhvrite concerning this project? DEAN SU Address: 2349 WEST LAKE STREET Citv ADDISON State IL Zip 60101 Office Phone: (6301 7854677 Cell # Fax # E-mail dean.su@arjo.com APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name New business Business Name/Type: ARJO INC. MEDICAL DEVICE SUPPLIER Previous Business on this site Describe the proposed business including use, number of employees, number of shifts, available parking spaces, number of I vehicles, and any additional information that you can provide: SERVICE CENTER FOR RENTAL EQUIPMENT DELIVERY AND RETURN PROCESSING FROM ACUTE AND POST ACUTE FACILITIES 2 EMPLOYEES AT THIS LOCATION *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. 1 hereby certify that I own or have the owner's permission to use the space indicated on this application. I also certiN that the information provided is true and accurate to the best of se. 1 have read the conditions of approval, and I understand them. and that 1 will abide b_v them. Signature Printed _ / ,o i& �ih IS%; 'Pitt, � ; _ j 1 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, x 117. [ ] 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 O b Other Official Date %-Uuury Ui Aivemarie vepartment of L.ommuntty t)evelopment 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 Revised 1 1/02/2015 Page 2 of 3 Intake to complete the following: Y/N Is use in LI, HI or PDIP zoning? If so, give applicant a Certified En is Report (CER) packet. Y N Wi 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 on -that applie �,„ Is parcel on wel r public water? CI ►c If private well provrde Health Department form. S� Zoning review can not begin until we receive approval from Health Dept. FAX DATE Circle the c la plies Is parcel o septic r public sewer? Y/N Will you be putting up a new sign of any kind? Sign permit. Permit # If so, obtain proper Y/N Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # Zoning to complete the followine: Reviewer to complete the following: Square footage of Use: 5000 !Ir .as: ►iris+all'V► Under• Supplementary regulations section: Parking formula: IT �►1121 "e I Required spaces: Y / Items to be verified in the field: Inspector: Notes: Date: Violations: �'� If `List: Pro s: Y/N Ifs ist: Variance: Y/N so, List: l^ I� N .-(-y�� SP's Y/NI ]f so. List: 9 Clearances: SDP's Revised 11/ 1 /2015 Page 3 of 3 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. 1 certify that notice of the application, was provided to 4F LLC ZONING CLEARANCE [County application name and number] [name(s) of the record owners of the parcel] and Parcel Number 03100-00-00-021AO manner identified below: Hand delivering a copy of the application to the owner of record of Tax Map by delivering a copy of the application in the [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] Oil Date = Mailing a copy of the application to 4F LLC [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] Oil Date to the following address: VIA [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]. G Signature of Applicant Print Applicant Name ; !L 9 ", f' Date �#)e 700 N St. Mary's Street Suite 1550 San Antonio, Texas 78205 Ry Solutions to Taxing Problems. Tel. 210.377.3200 Fax 210.377.3205 SENT VIA CERTIFIED MAIL 7016 0750 0000 3440 6487 October 4, 2018 County of Albemarle 401 McIntire Road Charlottesville, VA 22902 RE: New Business License Dear Sir or Madam We have been engaged to represent and prepare business license on behalf of: ARJO INC 2349 West Lake Street Addison, IL 60101 Please find enclosed the 2018 New Business License application form. If you have any additional questions or need additional information, please contact Rebecca Ward at 210.377.3200 or email BLT@ryan.com. Regards, 11�111+-a4r Michelle Montgomery Director www.ryan.com RECEIVED OCT 1 1 700 COMMUNITY pEVELOPMENT Lea Brumfield From: Dean Su <Dean.Su@arjo.com> Sent: Tuesday, October 16, 2018 1:11 PM To: Lea Brumfield Cc: blt@ryan.com; Brenna Lee Subject: RE: [EXT] More information needed for Albemarle County Zoning Clearance Hi Lea, Please see below. 1) Will your Earlysville location have any customer visits? No 2) Will the nature of the "return processing" be industrial in nature? I do not believe so as we do not so as these are all rental products, not sold, and we do not have direct customer returns. Our team retrieves our rental assets, returns then to the warehouse, cleans/quality checks them, then warehouses them until the next rental order. 3) Will you have any flammable or high-pressure equipment at your location? (e.g. oxygen tanks, autoclaves) No. This is warehousing and distribution in nature Kindfiyl Dean Su Tax Analyst North America Direct +1 630 785 4677 Fax +1 630 925 7966 dean_sil�ric_cc n� a r,- 0 www.ario.uS This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to which they are addressed. If you have received this email in error please notify the system manager. "this message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy :his e-mail. Please notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this e-mail from your system. If you are not the intended recipient you are notified that disclosing, copying, distributing or taking any action in reliance on the contents of this information is strictly prohibited. From: Lea Brumfield <Ibrumfield@albemarle.org> Sent: Friday, October 12, 2018 1:31 PM To: Dean Su <Dean.Su@arjo.com> Cc: blt@ryan.com Subject: [EXT] More information needed for Albemarle County Zoning Clearance Good afternoon, I'm reviewing your zoning clearance application for Arjo Inc. at 395 Reas Ford Rd, Suite 130, in Earlysville, VA, and I need a little more information in order to accurately process the application. 1) Will your Earlysville location have any customer visits? 2) Will the nature of the "return processing" be industrial in nature? 3) Will you have any flammable or high-pressure equipment at your location? (e.g. oxygen tanks, autoclaves)