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HomeMy WebLinkAboutCLE201900176 Approval - County 2022-06-24GPPROVEU h� ^•!bemarie County Dpprimpnt Application for Zonhig-U arance " CLE #_T��— FRCEL ''. OFFICE USE ONLY PLEASE REVIEW ALL 3 SHEETS Check# 5u o A Date: Receipt # Staff: INFORMATION Tax Map and Parcel: C) t{(o &2 -O( - Cap ^ Of2� /:2O Existing Zoning ?U i7 �r Parcel Owner:_ fl 4 3 Pro'p-Ats LG G_ Parcel Address: �S.�y �CsrSur^cr_ycc �a«o City i� rsv � State VW Zip a?9i/ (include suite or floor) PRIMARY CONTACT Who should we can/write concerning this project? �tcyeor-- %� / a Address:1i`> " City e�rc..-�7/r5'r��� State l/79 Zip.��29// � 43Y Office Phone: ,�/J L97,? elF1 Cell# IOL2yW Fax# E-mails'�'�at�y;r�r,„;a�n,�mn.Pan�co 4 LICANT INFORMATION k any that apply: Change of ownership Change of use Change of name ✓ New business r 11 ess Name/TYPe�Kher4n I"'ga.r; �� ]Lrvic�zus Business on this site —'De ''kE( �7?tcE Describe the Proposed business including use, number of employees, number of shifts, available parking spa es, number of vehicles, and any additional information that you can provide:prax 4 [o p ha< I o E t; I Ski R-S 7 u�l I d4 dQy s y '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 tp the best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them. Signature �O �.c,.`�o f""� Printed 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, xi 17. [ ] No physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the site plan. existing [ ] This site complies with the site plan as of this date. Notes: .... l Building Official /- Date Zoning Official $� �/ 7- V t c� 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 Intake to complete the following: Y/© Is use in LI, HI or PDIP zoning? Engineer's Report (CER) packet. If so, give applicant a Certified Y / Will t 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 Reviewer to complete the following: Square footage of Use:._�� /• Pbrmitted as: I C e Under Section: 20. I —,f 2 Z.. Z • ' Supplementary regulations section: /V I Pr Circle the one that applies Parking formula: I -zoo N S F Is parcel on private well or public water? 5 t f e. tpI A n If private well, provide Hea epartment form. Zoning review can not begin until we receive approval from Health Required spaces: 1 Dept. FAX DATE / Y/ Circle the one that applies Item be verified in the field: Is parcel on septic or public sewer. Y / N r la cC5 .., a�K S uccr Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. A� �K• ^� Permit # Inspector : Date: Y/p Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # Zoning to complete the followine: Notes: viol", as: Y / IIV/ If so, ist ^ /ook tV Pro" ('N// If soZist: N Vari nce: If so, tst: No^c. SP's-,� If so, ist Clearances: G LE zoo (S SDP's s o P i y y B 12 9 (.LE ?p1�Z?D- Revised l l/1/2015 Page 3 of 3 4 Kevin McCollum From: Steve Melton <steve@virginialandcompany.com> Sent: Thursday, August 08, 2019 9:29 AM To: Kevin McCollum Subject: RE: Zoning Clearance Lutheran Family Services CLE201900176 Kevin — This is an administrative office for Lutheran Family Services, a Hospice group. The employees spend much of their time outside the office working with people under their hospice care. This office will be used for a home base for those in the field to come in and file reports and conduct meetings. Please do not hesitate to contact me if you need additional information. Thanks, Steve From: Kevin McCollum <kmccollum@albemarle.org> Sent: Thursday, August 8, 2019 9:18 AM To: Steve Melton <steve@virginialandcompany.com> Subject: Zoning Clearance Lutheran Family Services CLE201900176 Good Morning Steve, I am in the process of reviewing your requested zoning clearance for Lutheran Family Services of Virginia at 1534 Insurance Lane and I was hoping you could provide me with a description of the use. The application says there are approximately 9 employees but does not include any information about what the business or service is. A description is needed for me to determine whether or not the use is permitted. Thanks, Ke iti McCv� Planner, Zoning Albemarle County Community Development kmccollum(@albemarle.ore 434-296-5832 x 3141