HomeMy WebLinkAboutCLE201900082 Application 2019-04-25APPROVED
by the Albemarle County
A lication for Zoning Clearance
CLE #
PLEASE REVIEW ALL 3 SHEETS
OFFICE USE ONLY
Check # i e: 1 C
Receipt # i
PARCEL INFORMATION
Tax Map and Parcel: 06100-00-00-12100 Existing Zoning
Parcel Owner: SHOPPING CENTER ASSOCIATES C/O SIMON DEBARTOLLO GROUP
Parcel Address:1600 EAST RIO ROAD City CHARLOTTESVILLE State VA Zip 22901
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? JOY PUTNAM, OFFICE MGR, COLE SHOWS AMUSEMENT CO., INC
Address :5311 INDIAN DRAFT ROAD City COVINGTON State VA Zip 24426
Office Phone: 5( 40) 965-4553 Cell # Fax # 540-969-0170 E-mail loykputnam@aol.cm
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
Business Name/Type: COLE SHOWS AMUSEMENT CO., INC / CARNIVAL
Previous Business on this site n/a
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 o knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature ,- Printed R. C. COLE, OWNER
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, xl 17.
[ ] No physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the existing
site pl n.
[ Whis site complies with the site p an as of this date_ .
Notes: S �£y✓! �'1 Piq ( Z
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Building Official w Date
Zoning Official Date
Other Official f, {te fl-eS, q _e Date 2
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
V Z o l p_ S 5�_ 044ey- Revised 11/02/2015 Page 2 of 3
Intake to complete the following:
Is /
Is us m LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y/N
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 pu 'c wat
If private well, provide Health Department form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that applie
Is parcel on septic or p lic sewer?
Y/N
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
OY N
Will there be any new construction or renovations?
If so, obtain the roper�e
Permit # 01
Zoning to complete the following:
Reviewer to complete the following:
Square footage of Use: fie 6qV" (lI Cl ( 5tCc 040
Y7�N
.Pefmitted as: (LL°Swy7 ,- Atli, 5q1 eS EUY*[.
Under Section:
Supplementary regulations section:
Parking formula:
Required spaces: aAe u cz-fe
Y/N
Items to be verified in the field:
Inspector : Date:.
Notes:
iolations:
Y N
so, List:
(
Z VI p L 6� Zi
5-Z
Proffers:
Y
If so, List:
Varia
Y /.N
If so, tst:
SP's:
Y
if sb;�ist:
Clearances:
SDP's
ZVI
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Revised 11/l/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, Application for Zoning Clearance
[County application name and number]
was provided to Shopping Center Associates c/o Simon Debartolllo G the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number 06100-00-00-12100
manner identified below:
by delivering a copy of the application in the
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 CHARLOTTESVILLE FASHION SQUARE MALL, Karen Wei
[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 4/17/2019 to the following address:
Date
1600 East Rio Road, Charlottesville, Va 22901
[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
R C COLE, OWNER
Print Applicant Name
4/17/2019
Date
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