HomeMy WebLinkAboutCLE201900075 Approval - County 2022-06-24fit
Application fonr^1Zon*n Cle"'anc'e tb 50-i9
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CLE # Oc�J1q -
OFFICE USE ONLY
PLEASE REVIEW ALL 3 SHEETS Check # 0" Date: i�p • (q
Receipt 4 ]] l staff:
PARCEL INFORMATION
Tax Map and Parcel: 055EO-01-3C-000AO Existing Zoning NMD
Parcel Owner: OLD TRAIL HEIGHTS LLC
P'avc*ei Address:5405 AsA'.+'arAye,',17wte c'LJa` ? 'OVY c^,+s� Suite VA &p 22932
(includeuuiteeor floor)
PRIMARY CONTACT
Who should we call/write concerning this project? Reid Murphy
Address :400 Locust Avenue, Suite 3 City Charlottesville State VA Zip 22902
i Office Phone: (_434) 977-AOG Cea# 434-925-1560 Fax # 434-977-1,604 E-rftait re.gl@brncho$dngroup.com
APPLICANT INFORMATION OWNER ON BEHALF OF TENANT
Check any that apply: _ Change of ownership _ Change of use Change of frame X New business
Business Name/Type: WebRTC,
Previous Business on this site NONE
i
Describe the proposed business including use,number ofemployees, .numbenofshifts,srailable parkingspaees numberof
vehicles, .and.anyadditional information that you can pro1'vide: iCG } O eir5 jS i
7 Op am `I 00 rsv Cruet d�tLG S OYt; SC C l*64
5 re �oaclCfvxti a feevvxen w I u� t-tS
*This Clearance will only be vali on Ih arcel for which it is approved. If you change, t tensify or move the use to a new location, a new Zoning
Clearance will be required.
1 1 hereby certify that I own or have the owner's perroissiore In use the space indicatedon 14is anolication. I. also certrly that the in,Sornaation, provided, i
is true and accurate a best of my knowled . I have read the conditions of approval, and f understand them, and that I will abide by them:
Signat Printed Reid A. Murphy
APPROVAL INFORMATION
[LrApproved as proposed [ ] Approved with conditions [ ] Denied
[ ] Backflow prevention device and/or current test data needed for this site. Contact ACSA, 977-4511, xi 17.
f 1 No physical site inspection has been done for this clearance. Tberefore, it is not a determination of compliance with the existing
site plan.
[- ] This site complies with the site plan as of this :date
Not= s n►�
Building Official Date
Zoning Official Date
Other Official Date (t
I
i.auury or Albemarle Ifepartment of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
6 Z o(?- c)Z 6 9 S Revised 11 /02/2015 Page 2 of 3
Intake to complete the following:
Y /
Is u LI, HI or PDIP zoning? If so, give applicant a Certified
Engrcer`s Report (CER) packet.
WiirWil ve be food preparaziott?
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 4hat aprldes
Is panel -on privatewell.or- Iic
If private well, provide Hea � artment 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 lic sewer?
Y/N
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
VilN
l there be any new construction or renovations?
If so, obtain the proper Permit.
Ptrmit� ZOrq'026�rS
Zoning to complete the following:
Reviewer to complete the following:
Square footage of Use: / j '( 1 S 1
Y N
'tted as: Offi re
Under Section: -zmA 20(S`6( C:Orp %able ct
Supplementary regulations section:
IEek; . IZ-5110OD /7 y107L�j
Parking formula: 0MIe % tA,0 Wzi C 8 S iLe3�
Required spaces:
Fic, • b 51C'�CeS
Y/N
be verified in the field: 15Y Sp-4-f
Inspector
Notes:
Date:
ViolVJ�* ns:
Y,
If so, ist:
Proffers:
Y/N
If so, List:
zl1-1A ZCrS-cr
Vari ce:
Y/
If so, List:
SP's:
Y/
If so, ist:
Clearances: 41�' "le F.e 7 /
SDP's
S Ay 7e-? 1 ^ Z 0
IF
2O13 - yt(
00g�
�2
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 ora'ppealk, .sign Permits, R_uilding Permits] if the application is Prof the
owner.
I certify that notice of the application, I E 2 0(e7 — 7 5
[County application name and number]
was provided to the owner of record of Tax Map
nalwa(s ) ofrOe reco?V ow gers of!Aeiwl eerl
and Parcel Number 05SE0-t5(-3C-000A0 by delivering a copy,of the application in the
manner identified below:
Q Hand delivering 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 entityl
t•C
Date
Q Mailing a copy of the application to
if the owner of record is an entity
office for that caztity]
on
Date
[Name of the record owner if the record owner is a person;
identify the recipient of the record and the recipient's title or
to the following; address:
[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].
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DRAwNBY: Ks BMQ DESIGN
5 o w CHECKED BY: BP
418 E. MAW STREET^" i'
o a m 5: CHARLOTTESVILLE. VA TENANT IMPROVEMENT - r ,
434- AT OLD TRAIL HEIGHTS _'