HomeMy WebLinkAboutCLE201900128 Application 2019-08-05":'PPROVEC:
by tfle i Ibemarlle COLinty
Community vt;(aarrler�t
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Application for Zoning Clea-rance 61-6 ?-,f,?
CLE # U101
OFFICE USE ONLY
PLEASE REVIEW ALL 3 SHEETS
Check # Date: I�
Receipt # Staff:
PARCEL INFOR
1:56
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Tax Map and Parcel: 00 1 D Existing Zoning D
Parcel Owner: PICA C1 ctl Ulb
yAm
Parcel Address: Uc�� a,Y� City 9/]"�s�%/C State /� Zip
(include ' e or floor)
PRIMARY CONTACT
Who
should we call/write concerning this project.,
Address : fD�,� (q,¢ ,v av It. ArCIIA-1— State
Office Phone: 31/ 6 &7; Cell # N-Y-27-Y/0 Fax # E-mail /9'//, /0/,j3�c�c,�
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
//
Business Name/Type: #,'
Previous Business on this site
Describe the proposed business including use, number of employees, number, of shifts, available parking spaces, number of
Tonal information er;w
vehicles and any add' t at you can,pp ide: a /� s — - �i�°/ v2
/IG�C lk?e 3/ r- /N .4 oy ffi4 4 .}yv
CJ
*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 t Othe est of my, kn ledge. I have read the conditions of approval, aannndd I understand them, and that I will abide by them.
Signature Printed
APP OVAL NFORMATION
( 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
r
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 11/1/2015 Page 2 of 3
Intake to complete the following:
Y L'Ll,
Is HI or PDIP zoning?
Engineer's Report (CER) packet.
If so, give applicant a Certified
Y
Wi e 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 we or public �e_r�
If private well, provide Hea tli IIeparm.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that a
Is parcel on s !c or public sgj�
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:
Reviewer to complete the following:
Square footage of Use: / fi D
Z
/N
mitted as: fVA, Air 0—
Under Section: Z 3r Z , ( 2)
Supplementary regulations section:
Parking formula:
7r//eJ W,
Required spaces: I
Y/N
Items to be verified in the field:
Viol ns:
Y / f
:'
If soIs;
Proffers:
Y / N
If so, List:
Var' ce:
Y/N`
If s , List:
SP's ..,
Y/(
If so, ist:
Clearances:
SDP's
2 of7- Z 31
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:
Hand delivering a copy of the application to
the owner of record of Tax Map
by delivering a copy of the application in the
[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
[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]
M
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].
/4 4::� -
Signa�tur Applicant
Print ANJfcant Name
///�
Date
Original Proffer
Amended Proffer x
(Amendment # 6 j
PROFFER FORM
Date: 11/20/01
ZMA # 01-003
Tax Map and Parcel Number(s): TMP 62A1 Parcels 2-4 24A 2-5 2(B)13
3.15 Acres to be rezoned from R-2 and R-6 to PRD
Pursuant to Section 33.3 of the Albemarle County Zoning Ordinance, the owner, or its duly authorized
agent, hereby voluntarily proffers the conditions listed below which shall be applied to the property, if
rezoned. These conditions are proffered as a part of the requested rezoning and it is agreed that: (1) the
rezoning itself gives rise to the need for the conditions; and (2) such conditions have a reasonable relation
to the rezoning request.
1. The development on Tax Map 62A1 Parcels 2-4, 24A, 2-5, and 2 (B) 13 shall be in general accord
with the plan produced by Daggett and Grigg Architects, titled "Rio Square Preliminary Site Plan"
(title sheets and sheets C-1, C-2, C-3, C-4, L-1, and A- 1), dated July 16, 2001 and last revised on
August 20, 2001. On Sheet A- 1, the relative location and massing of the structures, landscaping, the
building roof lines, and roof pitches are proffered as part of the Application Plan for ZMA 01-03.
Final design details such as materials, jack arches, types of windows and first floor master bedrooms
are not proffered. No building construction shall begin unless and until the Design Planner determines
that the architecture is in general accord with sheet A-1 of the Application plan..
2. The owner may vary the square footage of office use or the number of townhouse units on the
Application Plan; however, footprints of the buildings and uses within the buildings shall be in general
accord with the Application Plan and the parking provided for the office use shall be not less than 90%
of the parking spaces required for that use, and the parking provided for the townhouse dwelling units
shall be not less than 40% of the parking spaces required for that use, as these uses are defined in
Section 4.12 of the Albemarle County Zoning Ordinance in effect on December 5`h, 2001.
3. In order to limit office uses with high parking demands, permitted uses of the property, and/or uses
authorized by special use permit, shall include only those uses allowed in Section 23 Commercial
Office of the Albemarle County_Zoning Ordinance in effect on December 5th, 2001, a copy of the
section(s) being attached hereto, except the following:
a. Dentist offices (a portion of 23.2.1.2);
b. Churches; and
C. Businesses whose sole purpose or primary activity is providing:
i) Data entry and/or storage, subscription and/or credit card transaction processing; or,
ii) Solicitation of sales and/ or order processing by telephone, mail order, Internet, catalog
sales or other similar medium; or,
Mailing list prelaaration.
TM 62A1, Parcel 2-4, 24A
Lloyd F. Wood, Jr.
Signa of Owner
Printed Name of Owner Date
TM 62A1, Parcel 2-4, 2-4A Z 7-6/
Patricia E. Wood
TM 62A 1, Parcel 2-b-13
�Dale R. Sadler
TM 62A1, Parcel 2-b-13 � �b
Florence Sadler