HomeMy WebLinkAboutCLE202000006 Application 2020-01-15APPROVED
by the Albemarle County
C,ommun�CM
' DeMop � t Department W S� 37S (4 - 7 32 3
Dame
application for Zoning Clearance'
CLE #
OFFICE USE ONLY
PLEASE REVIEW ALL 3 SHEETS Check# CL Date: ( 2U2o
Receipt # Staff:
PARCEL INFORMATION �
Tax Map and Parcel: 04561-06-00-001 BO Existing Zoning 7 1
Parcel Owner: Jefferson Equity Partners, LLC and Oak Hill Partners, LLC (c/o Jefferson Realty Partners, LLC)
Parcel Address: 2335 Seminole Lane, Suite 9000 City Charlottesville State VA Zip 22901
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? Patrick Barbier , W M , -see - h/ co, t14��
Address : ,0 If�1IN City kt(A4M&J> State V/ Zip - qo
Office Phone: (SD`d) Cell # °q 2V-�y0 Fax #0 610! E-mailer iWl:� t`i>/&Rd
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
Business Name/Type: University of Virgini , den School Foundation
Previous Business on this site Storage, S-2 (no change of use)
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:
hotel, 86iatec! stoxa Alo # titxtg etloyees
rnmmnn narl<inn moron
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.
1 hereby certify that 1 own or have the owner's permission to use the space indicated oil this application. I also certify that the information provided
is true and accurate tV the best of my kn wled� 1 have read the conditions of approval, and I understand them, and that I will abide by them.
J/
Signature Printed ii if �C
,o
APPROVAI. INFORMATION
[ Approved as proposed [ ] Approved with conditions [ j Denied
( J 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
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
0 2 01 cj- 03 2 C,-3 - ACRevised i 1/02/2015 Page 2 of 3
01
Intake to complete the following:
YO
isLI, HI or PDIP zoning?
Engineer's Report (CER) packet.
If so, give applicant a Certified
Y
Wi 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 4
public ater?
If private well, provide Hea epartment form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that ap
Is parcel on septic public ewer?
Y/N
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
ZN
l there be any new construction or renovations?
If so, obtain the proper Permit.
Permit # 026 (`l-OZZ 3 Ae_
Zoning to complete the following:
Reviewer to complete the following:
Square footage of Use:
Y ^ ,
ermitted as: t! !✓er
Under Section: 2-4tt Z t ( C 20
Supplementary regulations section:
Parking formula: 1�WC7
Required spaces
S55,p,�r6eS
Y/N r
Items to be verified in the field:
2
qggL.) 9
Inspector : Date:
Notes: 4,rq - 4p
ViolaYy�ns:
Y //N)
Ifs rst:
A
U10
Proff j
Y /V:
If so, List:
ariance:
/N
I' o, List:
`
c
5 r Gt5�
Y N
If so, List:
l—®i
G
��'t �61� t CR✓
stove
IQs
Clearances:
SDP's
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Revised I I/t/2015 Page 3 of 3
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
Tlus form must accompany zoning applications (Hoare 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, B2019-03203
[County application name and number]
was provided to Jefferson Equity Partners, LLC c/o Jefferson Realty the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number 045B 1 -06-00-001 BO
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
Mailing a copy of the application to Norman T. Brinkman, Manager, Jefferson Realty Partners,
[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 January 3, 2020
Date
to the following address:
2315 Seminole Lane, Suite 101, Charlottesville, VA 22901
[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].
a
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Signature of Applicant s="
Print Applicant Name
I /:= �Ozo
Date
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