HomeMy WebLinkAboutCLE201900252 Application 2020-02-12,-T�,,z-)(42-;`? l t6iV1z-sue
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" icaiion for Zoning Clearance'
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CLE# �C�IG�- a�C,�
OFFICE USE ONLY II
PLEASE REVIEW ALL 3 SHEETS
Check # Date:lb
Receipt # Staff:y
PARCEL INFORMATION
Tax Map Parcel: 07800-00-00-005FO Existing Zoning
and
Parcel Owner: Pantops LC c/o Henry Liscio Co.
Parcel Address: 1242 Richmond Road City Charlottesville State VA 'Lip 22911
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? CASCO + R15 (Deyin Branson)
Address : 12 Sunnen Drive, Suite 100 City St. Louis State MO Zip 63143
Office Phone: 3( 14) 821-1100 Cell # 910-382-8379 Fax # 314-821-4162 E-mail devin.branson@cascocorp.com
APPLICANT INFORMATION O'Reilly Automotive Stores, Inc.
Check any that apply:__ Change of ownership Change of use Change of name X New business
Business Name/Type: O'Reilly Automotive Stores, Inc
Previous Business on this site Goodwill
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:
The sale of automotive parts to businesses and public Total of 52 parking spaces including handicap parking. Total
of 9 employees working 3 shifts with 2-3 working vehicles
*This Clearance will only be valid on the parcel for which it is approved. If you change, intensify or move the use to anew location, anew 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 best my luiowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
-the
Signature ' "-' Printed Devin Branson
APPROVAL INFORMATION
[ pppoved as proposed [ ] Approved with conditions [ ] Denied
[ ] Backflow prevention device and/or current test data needed for this site. Contact ACSA, 977-4511, x11.7.
[ ] 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
Revised 11/02/2015 Page 2 of 3
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Intake to complete the following:
Y /
Reviewer to complete the following:
Square footage of Use: �, 0 y 3
Is us m LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet. V/ N �( 1 �J I /
Permitted as: `�[ L,t Y D / K Vf� � l� S
Y/ v 1
Wi ere be food preparation? Under Section: Z �� Z Z l C 6 J
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval from Health Supplementary regulations section: �--
Dept. FAX DATE
Circle the one that applies
Is parcel on private well or p c wa
If private well, provide He partment form.
Zoning review can not begin untt we receive approval from Health
Dept. FAX DATE
Circle the one that applies
Is parcel on septic or i er?
Y/N
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
V
/N
ll there be any new construction or renovations?
If so, obtain the proper Permit.
Permit # f� 2C(q`Oz6 6 $
Zoning to complete the following:
Parking formula: (
XQD
K
Required spaces: ,J Z Se
Y/N
Items to be verified in the field:
Viol ons:
Y/0T
If so, List: --
Proffers:
Y / 6>
If so, List:
Varia ce:
Y/
If so, ist: /
SP's:
Y/N
If so, List: `—
Clearances:
SDP's
s ��►� ��� �(u�
r
DP 2n� A g q
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, - #B2019-02668
[County application name and number]
was provided to Pantops LC c/o Henry Liscio Co. the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number 07800-00-00-005FO
manner identified below:
0 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 Pantops LC c/o Henry Liscio Co. (Michael McGowan)
[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 10/22/2019
Date
to the following address:
7464 Oak Grove Road, Marshall, VA 20115
[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].
Signature of Applicant -
Devin Branson
Print Applicant Name
10/21 /2019
Date