HomeMy WebLinkAboutCLE201900009 Action Letter 2019-01-25Application for Zoning Clearance
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CLE # �� - 9
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OFFICE USE ONLY
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PLEASE REVIEW ALL 3 SHEETS
Check # Date:
Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel: 78-151-12 Existing Zoning PDSC
Parcel Owner: ALBEMARLE LAND LLC
Parcel Address: 195 RIVERBEND DR SUITE 4 City CHARLOTTESVILLE State VIRGINIA Zip 22901
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? DEREK SMITH
Address: 935 2ND STREET SE City CHARLOTTESVILLE State VIRGINIA Zip 22902
Office Phone: (434) 202-0137 Cell # 571-278-1422 Fax # E-mail dsmith@mylendpro.com
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name x New business
Business Name/Type: LENDPRO LLC LENDING
Previous Business on this site ONE MAIN FINANCIAL
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:
*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 DEREK SMITH
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:
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Building Official Date
Zoning Official l Date j ZS 2—Q 9
�1
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:
i Y /
Is use i LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y / \
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 ublic water
If private well, provide Health Depa ent form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that applies----_-
Is parcel on septic or`b I i c sewer.
Y/N
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Y Will rll( ,
e be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Zoninu to comDlete the followine:
Reviewer to complete the following:
Square footage of Use:
rmitted as: (h,�1tSQfi� 1O�'f51C1 i�Tli tL
Under Section:
Supplementary regulations section: a / ft
Parking formula: 1 1?� 0 K F &,e
Required spaces:
Y
verified in the field:
Inspector:
Notes:
Date:
Violations:
Y/N
If so, List:
� � � 17
Proffers:
Y/N
If so, List:
Variance:
Y/N
If so, List:
SP's:
Y/N
If so, List:
�0A,,2,
Clearances:
2 _ 2 i
SDP's
OCR -
s
Revised I 1 /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.
I certify that notice of the application, ZONING CLEARANCE
[County application name and number]
was provided to ALBEMARLE LAND LLC the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number 78-15H2 by delivering a copy of the application in the
manner identified below:
0 Hand delivering a copy of the application to ALBEMARLE LAND 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]
on 1-4-2019
Date
Mailing 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 to the following address:
Date
[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
Derek Smith
Print Applicant Name
1-10-2019
Date
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