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Home My WebLink AboutCLE201700242 Application 2017-11-02 (3)i Zs-; Application for Zoning Clearance CLE # ZO 1-7 6 0 ,q 7 OFFICE US, fF ONLY �' PLEASE REVIEW ALL 3 SHEETS Check# - �� f�S'� Date: Receipt # { ( Staff: �� )' hA�, PARCEL INFORMATION -79-17-6 Tax Map and Parcel: Existing Zoning C1 Parcel Owner:_3 _t)_ PSI L-Lt-., Parcel Address: -314 Rol ►__iVA City CV[JLIi ll.IVSWIC State JN Zip ?,i!I 1 (include suite or floor) PRIMARY CONTACT Who should we call/write concerning this project? (� 1AA Address: Q0 City State Zip Office Phone. Fax 047- APPLICANT INFORMATION Check any that apply: V Change of ownership Change of use Change of name New business Business Name/Type: SWL t ww� ai s Previous Business this W on site Describe the proposed business including use, number of employees, number of stlifts, available parking spaces, number of vehicles, and any additional information that you can provide: tin OaVk *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 iat I own or h ve the owner's permission to use the space indicated on this application. I also certify that the information provided is true and acc a to the best f my knowledge. 1 have read the conditions of approval, and I understand them, and that I will abide by them. A1ASignature Printed,�� LLk4L- APPJk0VAL INFORMATION [ pproved as proposed [ ] Approved with conditions [ ] Denied [ ] Backflow prevention device and/or current test data needed for this site. Contact ACSA, 977-451 1, xl 17. [ L moo 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 4AIDate 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 Jn t Intake to complete the following: Y/N Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y/N Will there 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 public water? If private well, provide 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 septic or public sewer? Y/N Will you be putting up a new sign of any kind? Sign permit. Permit # If so, obtain proper Y/N Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # Reviewer to complete the following: Square footage of Use: r4 1 6a--7 Y/N 1 ermitted as: I V C101c, v6fry) ACV Under Section: 22. 2. j (t, CLIJ Supplementary regulations section: +drs `11vU F+` (fi,sl 9000 ) fIh ioo Ff (Ifm4►„der) Parking formula: 1 Z 1 J Required spaces: S Y/N Ite No be verified in the field: Inspector: 1 Zoning to complete the following: f.,n4 " -trkP -79-12 Date: Violations: Y/N If so, List: Proffers: Y/N If so; List: A so Vai(' Y; N/ If so, Est: SP's: Y / N If so, List: Clearances: SDP's Revised 11/1/2015 Page 3 of 3 33..31a�s@331�13��339.@�3�9@999373� Z31a�1��EE�l��ll�ll3�3�3��113111 IIIIIIIIIIIIIIIIIIII�I€€EII€�IIIIIL' Illllllll�l��l��llllll�lllill�i - : Illlllllllllllllllllfllll��lllll IIIIMWO ��IIIIIIIIIIIII�IIIIIIII ° IIIIIIIIIIII�IIIIIIIIIIIII �gu� "PIT [ ��IIIIIIIIIIIIIIIIIIIIIIIIIIIIII�� um � °'��IIII .�r 111111111111111111111111 K�'��IIIIIIIIIIIII IIII II IIIIII Illlf r!F k• � y hhh a O� 1 ,.. 4YIIUIILI ■ [� �� a �rrrrtrrsr��>• • EiflitsILIii 'V . i1 L E G A L D E S C R I P T I O N TAX MAP 78 A PORTION OF PARCELS 12 AND 12B ALSO REFFERED TO AS LOT C BEGINING AT A POINT IN THE FIGHT OF WAY FOR ROUTE 250 THENCE North 51 degrees 26 minutes 27 seconds West for a distance of 150.08 feet to a POINT; THENCE North 49 degrees 31 minutes 54 seconds West for a distance of 46.84 feet to a POINT; THENCE along a curve to the right having a radius of 35.00 feet and an arc length of 59.33 feet, being subtended by a chord of North 00 degrees 58 minutes 20 seconds West for a distance of 52.48 feet to a POINT; THENCE North 47 degrees 35 minutes 15 seconds East for a distance of 111.10 feet to a POINT; THENCE along a curve to the right having a radius of 131.50 feet and an arc length of 114.39 feet, being subtended by a chord of North 72 degrees 30 minutes 26 seconds East for a distance of 110.81 feet to a POINT; THENCE along a curve to the right having a radius of 175.00 feet and an arc length of 95.65 feet, being subtended by a chord of South 66 degrees 54 minutes 51 seconds East for a distance of 94.47 feet to a POINT; THENCE South 51 degrees 15 minutes 20 seconds East for a distance of 89.07 feet to a POINT; THENCE along a curve to the left having a radius of 330.00 feet and an arc length of 37.44 feet, being subtended by a chord of South 54 degrees 30 minutes 21 seconds East for a distance of 37.42 feet to a POINT; THENCE South 12 degrees 33 minutes 00 seconds West for a distance of 62.77 feet to a POINT; THENCE South 86 degrees 25 minutes 48 seconds West for a distance of 17.02 feet to a POINT; THENCE South 38 degrees 38 minutes 23 seconds West for a distance of 205.48 feet to a POINT; THENCE North 49 degrees 31 minutes 54 seconds West for a distance of 81.16 feet to a POINT; Together with and subject to covenants, easements, and restrictions of record. Said property contains 1.7532 acres more or less. 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, was provided to [County application name and number] [name(s) of the record owners of the parcel] and Parcel Number manner identified below: = Hand delivering a copy of the application to the owner of record of Tax Map 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 [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 I �� I� 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]. Signature of A p icant \j �-eou, l j:L/ Print Appli ant Name Date ffirolwo Department of Community Development 401 McIntire Rd. Charlottesville, Va. 22902 RE: Application for Zoning Clearance Location: Rite Aid #11233 314 Rolkin Road Charlottesville, Va. 22911 Dear Department of Community Development , Walgreen Co. Corporate Office 302 Wilmot Road Ms #3353 Deerfield, IL 60015 www.walgreens.com Walgreen Co. will acquire the pharmacy located at the address above. The scheduled opening date of Rite Aid #112331 at that location will be Novemberl7, 2017. Please find enclosed the application for zoning clearance for this location. Also, please find a check in the amount of $54.00to cover associated with this application. Upnn approcval, please mail clearance to the following address: Walgreens PO Box 901 Deerfield, IL 60015 Attn: Lisa Hansen If you have any questions, please do not hesitate to contact me at the phone number or email address below. Thank you for your assistance with this matter. Sincerely, t. 1� Lisa Hansen Walgreen Co Licensing Specialist (847) 527-4669 1isa.hansen kwal green s.com