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Home My WebLink AboutCLE201900256 Action Letter 2019-11-12�fl11113 Application for Zoning Clearance16-- CLE # _0(Iq — vZ 6 PLEASE REVIEW ALL 3 SHEETS PARCEL INFORMATION ( � Tax Map and Parcel: 61— Parcel OFFICE USE ONLY . 12 �_ j Check # 12 ( Date: Receipt # —I � GAL Staff: Existing Zoning r V Parcel Address: A000 t,gs-F Rln �Otad ChcAl'�Qf'Fes Uj I�P State �� Zi (include suite or floor) {., p PRIMARY CONTACT Who should we call/write concerning this project? ly (_ V V 60 Address ( City _F��,r State -D zip►aQ ,tq5 Office Phone: 8( ls,. L4 Ua. oar(4ell # Fax # _ _ F—maidurin . Wall crit h-, CJ( /yn APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name New business Business Name/Type: A- i M i y PU MI � (7 11 . I- - 11 - - - Previous Business on this Describe the proposed business including use, number of emplo ees, number of h1fts, available parking s aces, number of ivehicles, and any additional information that you can provide: (� f f� nQ rem I f (A /7��i-1/ o c+or c I i no rare - on Lkin r Pal � c�,p i c rJ n L, Ia *This ClearAce will only be validdh 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 ohave the owner's permission to use the space indicated on this application. I also certify that the information provided is true and accurate to a it of my knowledge. I have read the conditions of approval, and I understand them and that I will abide by them. Signature +'4'y"'r Printed Scl; m M ulmal VI cc W[5►-- APVROVAL INFORMATION Approved as proposed [ ] Approved with conditions ( ] Denied [ ] Backflow prevention device and/or current test data needed for this site. Contact ACSA, 9774511, x117. L>41�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 f, Zoning Official Other Official Date // /z7/,�6— Date / / 2 , za 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 1 4- v(a . lml (,prm Intake to complete the following: Is �N Is u n LI, HI or PDIP zoning? Engineer's Report (CER) packet. If so, give applicant a Certified Y /jN 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 o public water? If private well, provide Heal t form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE Circle the one that ap ' s Is parcel on septic or ublic sewer? Y/N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # Y /(F11 Will re be any new construction or renovations? If so, obtain the proper Permit. Permit # L Eoning to complete the following: Reviewer to complete the following: S uare footage of Use: 2 � S Y / N �e+Ad itted as: Under Section: 2; t Z , I Supplementary regulations section: tA (� Parking formula: I row s>< Required spaces: Z It iCst�Ae Ite verified in the field: Inspector: Notes: Viol ti s: Pro Y/N Ifs , L' t: Y/N If s t: Var c ,s: Y/ Y N If so, If o, List: Clearances: �° l e `,�I n SDP's S�II 2. 00� 3.1 t Date: 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, P(MMO(VIf Q j, n f y, q O it C.a on fi f u n [County application n me arid�number] GeQ�•C� was provided toCh�rltr i�-Sf vi 1(e � Chinn &jJAA vlv thb (vAt(r ofr cco'rd�,a...p [name(s) of the record owners of the parcel] and Parcel Number 0 I n by delivering a copy of the application in the manner identified below: Q 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 Mailing a copy of the application toC h Gt 0oitf Ty i i I-Q a S h i ran Goa m- &+r = ' anV [Name of the record owner if the record owner is a person; i (j0 Q t , if the owner of record is an entity, identify the recipient of the record and the recipient's title or office for that entity] r ij) on _ V ' to the following address: Date -coo() E_ fj'D 1W- ChQ,'>'0ItetJ/ vjq 2aR6I [address; written notice mailed to the owner at the last known ad esr s of the owner as shown on the current real estate tax assessment books or current real estate tax assessment records satisfies this requirement]. R Signature of Applicant Sri m Mu�ma� ViCC Pralj Print Applicant Name Date 'LIP, v q C/) z uj 0 N O" 1.0-1:NKot 0 34DI I Please contact our office with any questions and/or fees regarding the submitted application(s) Diana Radzik Retail Operations Specialist 815.462.0274 x1953 diana.radzik hickoryfarms.com Address: Z 510 Haven Avenue Joliet. IL 60433 2510 HAVEN AVENUE, JOLIET, IL 60433 1 HICKORYFARMS.COM I 0osk Layout Diagram Locate and designate the kiosk perimeter (10' x 20') and its orientation. Mark this on the mall floor with masking tape. Consult a Hickory Farms representative. Starting roughly 36" from the 10' line (as shown in the top of the diagram) start laying out the stairstep bases. Place (3) bases side by side so that the outsides are 26" from the line (see diagram). Place 3 more bases 32 1/4" away to form the other side of the kiosk as indicated by the diagram. With this done correctly, the rest of the kiosk should fit as indicated by the diagram. 120" 16' Corner Tower ....., . .........,,� 17 7/8" 26" Kiosk Height: 11'-0" (Top of Silo) 8'-0" (Top of Light Poles) Cooler shelf sits here (2) Large plastic remgvable bases :Comer 18" Tower 35 7/8" Stairstep Base ..........� Work �, Desk 32 1 /4" a, H W u coo pq Swing Gates. n.. M COO Cash Wraf 11 1 J B as. B askets Beefstick Table 8 job Plastic remov- able bases 240" Sy'