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HomeMy WebLinkAboutCLE201900296 Application 2020-01-094/ APPROVED by the Albemarfe County Comff ►i ' Development Department Application for ZoningCle*r_.a.nee -- - CLE # �� !� a Z � 'gym , , PLEASE REVIEW ALL 3 SHEETS OFFICE USE ONLY Check # �, "� Date: h Receipt # 67 Staff. PARCEL INFORMATION �y P Tax Map and Parcel: +5 1 A- Existing Zoning Parcel Owner: �C tY� kl I (( C/r �_o,,'44W FVL&t- tj- -P S Parcel Address: 1950 RIO HILL CENTER City CHARLOTTESVILLE State VA Zip 22901 (include suite or floor) PRIMARY CONTACT Who should we call/write concerning this project? HIEU PHAN Address: 1950 RIO HILL CENTER City CHARLOTTESVILLE State VA Zip 22901 Office Phone: O Cell # 7039457958 Fax # E-mail TOPDESIGN919@GMAIL.COM APPLICANT INFORMATION Check any that apply: Change of ownership X Change of use Change of name New business Business Name/Type: T AND C NAILS 2 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: SALON, (5) €MPLOYEES- -NAILS *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 to the best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them. Signature Printed HIEU PHAN APPROVAL 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 plan. [ ] This site complies with the site plan as of this date. y� Notes: Building Official Date 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 otoo - 03zS 5-A C Revised 11/02/2015 Page 2 of 3 Intake to complete the following: Y/N Is use ' LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y Wil 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 o ublic water? If private well, provide Health e nt form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE Circle the one that apElic lues Is parcel on septic or 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 # V '2—r i� -c1 3'2-19- AC Zoning to complete the following: Reviewer to complete the following: to Square footage of Use: Irm tted as: li'wb ( f bek`h Under Section: Z,5 " 2 i Supplementary regulations section: /I IA - Parking formula: I/ 100 t/ LP`-LPl°1 CC Required spaces: l0 1r 5 - 15 S f2,:eC, _S Y /vm Ites to be verified in the field: Inspector : Date: Notes: V�'iolations: (Y)/N 1 so, List: rAppie l�«� offers: Y/N so, List: M 2 Zoo3 � Zn,� j99 23 Variance: Y/N If so, List: V�-19`�j 4 5��� 's: Y/N so, List: 5� 20o�j 31 Clearances: e SDP's S-201 Z 3 50e 200Z f 1 r-g emu( o ors �r Revised I I/I/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 app ication name and number] was provided to -9 ka ! &/ , (, C (�, the owner of record of Tax Map [name(s) of the record owners of the parcel] and Parcel Number manner identified below: Hand 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 12�Mailing a copy of the application to ts� �l %() G� �&d3t L1yt Jam' [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 /— � ` Z e e C) to the following address: Date [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]. I Signa ure of Applicio / Z, Print Applicant Name /-x'2dZ,6) Date NV -Id L1001=1 O3SOdONd - 31f103HOS HSIN13 131101 VOV - NOIIVA313 NOIN3INI O21V09 31f1O3HOS 3tin.Lxld a co VA'3111AS3110lHVHO N31N30111H 018 096L Q Z SllVN a aNd l _ 0 E i U4 ° x 0 (sea d d� z d a d sea ©� pW b J La � e W a ©m 0 a s, gem W c @ A� 1 az r � n p .OL-P .C8 1-P :.M z O H a W U W It LLJH z J_ di O a F y Q Q z O w J W w 0 w w 1— z �0000000 oOOOO = On MENEM EMMME Ea MEMMEMEM MEMMMMUM MENM� MME EMME M MMM 00000000 S o o o 0 0 F 3 0 O m w - - o w x w w ws � a X LL �a A $ R d 3 5 3 3 3 $ Q