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HomeMy WebLinkAboutCLE201900259 Application 2019-11-01,\PPROVED tad the Alb^made Cowity Application for Zoning Clearance //-/- o �t!-r° z&1 1_-z S a. OFFICES PLEASE REVIEW ALL 3 SHEETS Check # 0�0Date: Receipt # Staff: PARCEL INFORMATION Tax Map and Parcel: 61 W-3-19A Existing Zoning NMD Parcel Owner: OCT Stonefield Property Owner LLC Parcel Address: 3920 Lenox Ave City Charlottesville State VA Zip 22901 (include suite or floor) PRIMARY CONTACT Who should we call/write concerning this project? Stan Binsted / R. E. Lee & Son, Inc. Address : 2811 Hydraulic Road City Charlottesville State VA Zip 22901 Office Phone: (4� 973-1321 Cell # (434) 981-0033 Fax # E-mail sbinsted@a relee.build APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name X New business Business Name/Type: C & F Bank / Branch Bank Previous Business on this site none 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: Bank, 4emmployees, single shift,parking spares, single Story building for Business use, type 213 construction, 880 _ u snare feet. *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 r ha the er's permission to use the space indicated on this application. I also certify that the information provided is true and accur t best my know dge. I have read the conditions of approval, and I understand them, and that I will abide by them. Signature Printed g� 814e7W j APPROYAL INFORMATION [ ] 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 [ WMs site complies with the site plan as of this date. Notes: Building Official Date Zoning Official Date l 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 11/02/2015 Page 2 of 3 Intake to complete the following: Y �N us n Is LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y 0erWe 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 . ublic orate . If private well, provide He th�epartment form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE Circle the one that app ' s Is parcel on septic or ublic sew r? 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, obt ' � �er F�l ,t; Permit # -j�� Zoning to complete the following: Reviewer to complete the following: Square footage of Use: Z� �) Permitted ted as: cemvt, &�G(Q �n 1( Ui'e� ✓�'11 r � � Under Section: l�✓,j A 4 V C t l)r O Supplementary regulations section: Parking formula: 1 5 1160� Required spaces: f 3 S Ce, Y/N Items to be verified in the field: Inspector: Notes: r` Date: lations: NY/No, List: Ff Z vib l01 2,r, 7 Proffers: If so, List: Z M/k Z0(3 —o r %CIt� 0`7 2-aol 07 Variance: Y/ If s6.-E1st: ��t `� 2 —17L lY'�u� < t'�;(' SP's: Y/N If so, List: Clearanc : SDP's Z —© 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, [County application name and number] was provided to OCT Stonefield Property Owner LLC the owner of record of Tax Map [name(s) of the record owners of the parcel] and Parcel Number 61 W-3-19A manner identified below: QHand delivering a copy of the application to 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 0 Mailing a copy of the application to Adam Schwartz, VP (OCT Stonefield Property Owner LLC [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 October 30, 2019 Date 535 Madison Ave, 6th Floor, New to the following address: NY 10022 [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]. 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