HomeMy WebLinkAboutCLE201900149 Action Letter 2019-07-104�PPROVEL"
;y ilie Albemarle County
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Application for Zoning learance
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CLE
OFFICE u E ONLY �-
PLEASE REVIEW ALL 3 SHEETS Check # [C; Z`] Date.
Receipt # Staff
, PARCEL INFORM TION
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Tax Map and Parcel: 017,3 606m 3 I��Q Existing Zoning PV tmc
Parcel Owner:
Parcel Address: lf'� _i�e.( °t i �iP'S rN' �it� i(t>lif'tQ State V Q - Zip
(include suite or floor)
PRIMARY CONTACT
Who should we callAvrite concerning this project? Tammy Ward
Address : 24 Christopher Toppi Drive _ City S. Portland
Office Phone: (207) 775-6105 Cell # Fax #
State Maim
Zip 04106
E-mail tammyward@rmsmortgage.
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name x New business
Business Name/Type: Residential Mortgage Services, Inc./Banking, finance, mortpzages
Previous Business on this site
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:-OfflcE_sp-ac.e for aPPrOxlmatel.�.��9�7 eoplen_gfor
9 cars »I is clients, S 30am-512m Monday -Friday with the occassional early or late
*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 ce ylha 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 cure t best of my wiedge. I have r he conditions of approval, and I understand them, and that I will abide by them.
Signature _ Printed Tammy Ward
APPROVAL I ORMATION
'(Approved a�oposed [ ] 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 r' _ Date
Zoning Official Date Zp
Other Official _ Date
County of Albemarle Department of Community Development
401 Aiclntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
Revised 1 I/1/2015 Page 2 of 3
Intake to complete the following:
1 /0.
Is use inLI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y /?I� Will 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 4 blic water
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 appli
Is parcel on septic o ublic sewer.
Y/N
Will 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:
Viol ns:
Y /
If so, st: IN (0
Reviewer to complete the following: Square footage of Use: Z / 3 Z S S v' �iC � 5
l N
rmitted as:
Under Section: 25n • Z . �� 2 Z. Z+
Supplementary regulations section:
1)IA
Parking formula: -LOD AI F
Required spaces: q
v / --
Item be verified in the field:
5 i 4e- u,) S k owt- v `c,,r,
c�
Inspector :..._.._ __— ._ Date:
Notes:
Prof//
If s/d-�ist:
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C{ea rances GL 500
( Z
SDP's
Revised 11/1/2015 Page 3 of
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, Residential Mortga eg Services, Inc
[County application name and number]
was provided to PJP Building Six, LC _ the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number 078000000031J0 by delivering a copy of the application in the
manner identified below:
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
x Mailing a copy of the application to PJP Building Six, LC
[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 _7/2/2019 _ _ W to the following address:
Date
c/o Bra�ine Realty Trust, 300 Arboretum Place, Suite 330, Richmond, VA 23236
[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].
Print Applicant Name
-_. 7/2/2019 _ _
Date
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'z RESIDENTIAL MORTGAGE SERVICES
650 PETER JEFFERSON PARKWAY
g SUITE 165
CHARLOTTESVILLE, VA 22911