Loading...
HomeMy WebLinkAboutCLE201900109 Application 2019-05-29Application fo Zonin ClearanceCLE y� PLEASE REVIEW ALL 3 SHEETS OFFICE Check # O Date: Receipt # Staff: PARCEL INFORMATION p Tax Map and Parcel: q 3 Zy0 - DO -t7D - o 4 3 ©y ► Existing Zoning eja, L f D to C Parcel Owner: �l)" Cis/ w 15 I f 3 q -� ��• Y 9 9 Parcel Address: 1 Co r n o r Dr 4 I i( City Narl e-f+e5 ied to State VG Zip :?aG I I (include suite or floor) PRIMARY CONTACT Who should we call/write concerning this project? Address : Ii37 So"ron at City t'r'Ov) li State V&_ Zip ag630 Office Phone: 50 3�-13iJ2 Cell#'757-$70•J111 s`/0 �) t!D Fax#�3b-/305 E-mail Kar nYYt�neP i, .H(,.�1 APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name ✓ New business Business Name/Type: 'r)R f SPr I n+ Re+n I L- Previous Business on this site L YY� n Vl I `•g, 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: hl)p Se! I Udilv& 1 t\rf titer rPCQr V;'y"910VPWq !D Par 'n ":;PC f-r -- NO (:4;1WPQ'1' f[14aal6IeS *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. 1 also certify that the information provided is true and accurate o the best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them. Signatu- Printed j& re h Yy)() h G e f APP,ROVAL INFORMATION [qApproved 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 Revised 1 ]/02/2015 Page 2 of 3 -0PPROVED �' y d 1p ,JhPmarlt? County Department S-L9-1 __,�-- P4 to complete the following: Y Is se i 1, HI or PDIP zoning? If so, give applicant a Certified Eng eer's Report (CER) packet. Y /�Wit re 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 p is If private well, provide Hea partment 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 p�- Y/N Wil! you be putting up a new sign of any kind'? If so, obtain proper Sign permit. Permit # Y/N Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # Zoning to complete the following: Reviewer to complete the following: Square footage of Use: O 3 ` ` C� �� Permitted as: P-C -t(I �Jl Under Section: Z Zc Z Supplementary regulations section: Parking formula: 1YDo hg Required spaces: Y/N Items to be verified in the field: Inspector: Notes: Date: ations: / so, List: zV j I9 _ 2O(6- l p 2 o(5 - ? roffers: Y N so, List: Z14A 2- oo 6- 07, 2 ZafS-17q, 2ot5-/[g, IS-y�, (4�i5 17, l4`13-06 `i(( td ot- 00 vl a feqK riance: N stJ o, List: / C, ' VN List: 2- 5 `©/ t C t¢ (TF6 ver e; Clearances: 20 $-Wtg 2olyf16 3,2v(9-66Z SDP's 2006-2-3 ( 2-tO5 C(, 2.017-218, dl5- tf, 2�15'-142.,E-V'c. 2oo`I-[p7, 2dy�-C- 85 Revised 11/1/2015 Page 3 of 3 CFR H FIC ATIONTHATNOTICE OF TIDE APPLICATION 11AS BEEN PROVIDED TO THE LAN11YOWNER Mi. t4rr-, ma,o; 'ke"O"Ity zowing appN"oodoms (1yome orh-rvpars.,rr. 14-iox or lei Pe, 1amimg or u not diet- i C-flify IfWA #*;Kv ot rho: 41 (4 mwd of ra k %f&p 0 (mm0s) ON& An4 pwc,0 xOnlivi, 4-1twn Rig a fovop 04'I We *MkAvm Ito Ow MaAWKT uk'nili'" "m �M the mmv at the nzard (,ow" at:a "Ithe 04hngf Off4:1:0M 0,40 snorts,kicilof) tier r4xir,<W,,f the rv,cqJ aAW the mipt,rd'A 1.410 'v offioc fm ext, cmfityj Pill — Zhu vwvw of rv+:,Irj h An onl1q, 140nitA L* twipkvt fpl IfK '"Imd &W 14',X nVipirmll litic to Ptrwo: (ar that mitty, un �o dw trAwr as oic ja*j i,,A"fk - Cti as I Fell emfile 14k lilac— -at mAm. 144 ame"Mmi bmq<, Vwcwfm 11,113 f"We"we'l I ol, -ia kll;l. $TmcaAl Ard iT,W- 27' 4" • m to"w 96x41 Light Box rn Q X Q CI1 Q x CD — 7' 2" D Cn CD AccessoryCn Stories -- 11' 8" Q Q CD OCIO o o (D Q C)D CT n C o Cn O o CD cn Accessory a Stories Ln CD r` O UJ ^ 0 h D n D C) � n POS POS POS ADA o CD O o (n _ 0, C) 0 O o Q -Tl � o o ❑ CT (� CD 110 X CD B°cn O O C) B — cn r-+ � O ov G r QU ?". S m O O x = W Q X y x