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CLE202200052 Application 2022-04-26
Zoning Clearance Application FOR OFFICE USE ONLY Fee Amount: $ 61.36 Application fee: $59 + Technology Surcharge: $2.36 Receipt #: Clearance Number: Date Paid: By: Check #: By: Applicant - Fill out the entire page below and return to: Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902 OF Albemarle County Community Development ©l� 401 McIntire Rd, North Wing ?e• Chedotte.ille, VA 22902 F CLNIP Phone 434.296,5832 Name: Galleria Carpets & Rugs E-Mail Address: kevin@ga Mailing Address: 1099 14th St. NW Washington DC 20005 Phone #: 202-86: Tax Map and Parcel number and/or Address of the Business: 2415 Ivy Rd Suite 130 Zoning: Staff will fill out if unknown Parcel Owner: JPA Tower Investors / Hunter Craig Owner's Address: Check any that apply: ® New Business Change of Use ❑ Change of Ownership Change of Name Business Name: Galleria International Ltd Description of Business: Describe the business including,use, number of employees, number of shifts, availability of parking, and any additional info. Retail Home Furnishings - Rugs Previous Business on Site: John Deer Tractor Floor Plan: Please attach either an architectural drawing or a sketch of the proposed business indicating the location of uses, the uses of rooms, the total square footage of the use, and any additional information. Total Square Footage Used for the Business: 2723 square feet Is the Parcel Zoned LI, HI, or PDIP? Yes No If yes, fill out a Certified Enoineer's Report (CER) Will there be food preparation? ❑ Yes No If yes, provide Virginia Department of Health approval Is the Parcel on public water or private well? ❑ Public Private If on private well, provide Virginia Department of Health approval Is the Parcel on public sewer or septic? ❑ Public Septic If on septic, provide Virginia Department of Health approval Will you be putting up any new signage? ® Yes No If yes, obtain appropriate sign permit and list permit # below Will there be new construction or renovations? ❑ Yes ❑ No If yes, obtain appropriate building permit and list permit # below Please list any applicable Building Permit #s: Zoning Clearance review cannot begin until the application above is complete and all applicable forms and fees are submitted. 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. 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 Date �� /Z ev 2 2� OF ALg �_ �a Albemarle County Zoning Clearance Application r CommuniryDeve401 McIntire Rd Norm t AR Charlottesville, VA 22902 r `fROIN�P Phone 434.298.5832 D Applicant - If you are not the land owner, please fill out the entire page below confirming that you have either informed or are going to inform the owner of your zoning clearance application. A CERTIFICATION THAT NOTICE OF THE APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER I certify that I will provide (or have provided) notice of this clearance application, clearance number provided by Staff or business name to JPA Tower Investors the owner Name of landowner on record of Tax Map and Parcel Number by either delivering a TMP number of property copy of the application to them in person or by sending them a copy of the application by mail. (Please check one of the following below) ❑ Hand delivering a copy of the application to the owner identified above on Date Mailing a copy of the application to the owner identified above on Date 4/26/22 to the following address: (Written notice to the owner and last known address on our record books will satisfy this requirement. Please see staff for help determining this information if needed) r^ Signature of Applicant Applicant Name Printed / Fj.AS77'A'1 y Date y / Z G/ T Z 19 D s ` 2416Ivy Road B. Clark GathrighL LLC em Chadoge"e. VA 22903-Albarle County 4mqx WD 1M St. NE SOW 200 R O 9 EW22 2 SNLLE. VIflGINIA 22902 LEASE PLAN 434.98LI) c9E.VIR 13 Tuesday, April 26, 2022 at 9:56:06 AM Eastern Time Subject: Payment Submitted Date: Monday, April 25, 2022 at 3:22:22 PM Eastern Daylight Time From: Albernarle County - VA - Tax To: Kevin m Text PAYMENT SUBMITTED! Transaction ID 4LF00354W99953717 Total Paid $103.09 Item Number: 037FOC $100.21 Type: Community Development Zoning Compliance Notes: 2415 Ivy Rd Transaction Fee $2.88 Total $103.09 This email has been sent to you by Albemarle County - VA - Tax (or its subsidiary). Click here to unsubscribe. You will stop receiving any a -mails including bill notifications and payment receipts. Tracking Page 1 of 1