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HomeMy WebLinkAboutCLE201900027 Application 2019-03-26APPROVED by the Albemarle County Cor11`ilunit,., ncc: ,F ln,nrn,ani neriOrnnr, Z—zS—Iq Application for Zoning Clearance ���"` ' j��" St'� CLE # G''C,1G' � r \ �fRCIK1P PLEASE REVIEW ALL 3 SHEETS OFFICE USE ONLY— Ch� { # 11-1 ti V- Date: Reteipt # L—Iv PARCEL INFORMATION Tax Map and Parcel: 061 WO-03-00-019AO Existing Zoning Neighborhood Model District Parcel Owner: UNTUCKit Parcel Address:2020 Bond Street, Space #3 City Charlottesville State VA Zip 22901 (include suite or floor) PRIMARY CONTACT Who should we call/write concerning this project? Andy Reimer Address: 7400 W. Campus Rd., Suite 150 City New Albany State OH Zip 43054 Office Phone: 6( 141) 545-4550 Cell # Fax # E-mail ARE IMER@SHREMSHOCK.CO APPLICANT INFORMATION Check any that apply: X Change of ownership Change of use X Change of name X New business Business Name/Type: UNTUCKit -Mercantile Previous Business on this site Vacant 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 is o lUerrantile Ro#;ail sinra coning Mon's &-Werraen'-clothing. *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 g�2 A�'— Printed Andy Reimer APPROVAL INFORMATION IV] 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 Z ' Z 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 3 526(-;_0oz7L-( Intake to complete the following: Y / Is u LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y 46re Wi 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 pK is,watef? If private well, provide Health hep rtment 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 pub_.._lic-ewer?" Y/N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # N l l ill there be any new construction or renovations? If so, obtain the proper Permit. Permit# 02.0i1-27--AL Zoning to comDlete the following: Reviewer to complete the following: Square footage of Use: f> �C Y/ N n J i r� Permitted as: lL-e�41 Under Section: 2-L 12 , ( (C� ) Supplementary regulations section: Parking formula: %;5 /ODD n- Required spaces: Y/N Items to be verified in the field: Inspector : Notes: Date: t ations: Y N f so, List: iV10-2o17-234',$3, -I" ffers: /N If so, List: 7—MA 2oc) -ol, Zot(-o?, Zojr-oYi Z.ytb -2ol2 `/T/ zyio ZOti -ZZ6 c>C2 `O OCR - EVlo - Lbt,j -415 i Ey[0'20/q-2!4ctV1O-ZA?- 12 Avly-Zots- 06, ` Y-ariance: /N so, List: V A lZ 2- G( Z- o2 /N so, List: 5 P 2016 - 26 Clearances: U � ©t�IVV U�4Y9�GGr-S Cl�ilt21S SDP's Ji�l's�2.016 - 0 2 4 279'` 1—ti.fi� 2-1-11 —(?e TM p __ gall-37, Zao5-!z2 to 4Zar - 2-t-1 20I's 3 Revised I I/l/2015 Page 3 of 3