HomeMy WebLinkAboutCLE201900155 Action Letter 2019-07-15k,-f the Alhnmar lP County
Application for Zoning Clearance
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OFFICE USE ONLY
PLEASE REVIEW ALL 3 SHEETS
Check # Il Q Date:
Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel: 061 WO-0 1 -OA-009AO Existing Zoning C-1
Parcel Owner: Commonwealth Business Center, LLC
Parcel Address:2300 Commonwealth Drive, STE 203 City Charlottesville State VA Zip 22901
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? Sue A. Albrecht
Address :80 Roslyn Forest Lane City Charlottesville State VA Zip 22901
Office Phone: 4( 34) 531-2435 Cell # (434) 531-2435 Fax # (434) 973-0732 E-mail sue@designenvirons.com
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name X New business
Business Name/Type: Hunter Lewis, LLC
Previous Business on this site Vanda Lee LLC
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:
Office, 2 employees, 1shift, 48 available parking spaces & no company vehicle
*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* or have owner's ermission to use the space indicated on this application. I also certify that the information provided
the best o oio 1 eIhave read the conditions of approval, and I understand them, and that I will abide by them.
7isaccurate
S Printed
APP V RMATION
j7CJ 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:
E
Building Official Date
Zoning Official % Date Z t
Other Official Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
Revised 11/02/2015 Page 2 of 3
Intake to complete the following:
Y / N0
Is use in LI, HI or PDIP zoning?
Engineer's Report (CER) packet.
If so, give applicant a Certified
Y lWill`ere 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 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 applies----,
Is parcel on septic o 'c sewer?
Y
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Y10
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:
YIN
nmitted as:
Under Section: `
Supplementary regulations section:
Parking formula: I/ Z GNJ N S F
Required spaces:
3 5 Pa
Y/
Items to be verified in the field:
Inspector:
Date:
Notes:
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SDP's
Revised 11/1/2015 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,
was provided to
[County application name and number]
[name(s) of the record owners of the parcel]
and Parcel Number
manner identified below:
UHand 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]
the owner of record of Tax Map
by delivering a copy of the application in the
on
Date
Q 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
Date
to the following address:
[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]. X
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Print Applicant Name
07
Date
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