HomeMy WebLinkAboutCLE201900196 Application 2022-08-18Application for Zoning Clearanceeqi
CLE # 1�l (�
_aoF''i
OFFICE US ONLY
REVIEW ALL 3 SHEETS Check # Date: g D
FPLEASE
Receipt # Staff:
FORMATION/�nCarcel:
06100-00-13100 Existing Zoning 1' p—sSHOPPING
CENTER ASSOCIATES
1600 RIO EAST RIO ROAD City CHARLOTTESVILLE State VA Zip 22901
(include suite or Boor)
PRIMARY CONTACT
Who should we call/write concerning this project? .loy Putnam, Office Manager Cole Shows Amusement Co
Address :5311 Indian Draft Rd City Covington State VA Zip 24426
Office Phone: 5( 40) 965-4553 Cell # 540-968-1059 Fax # 540-969-0170 E-mail info@colerides.com
APPLICANT INFORMATION
Check any that apply: _ Change of ownership Change of use Change of name business
_New
Business Name/Type: Cole Shows Amusement Co., Inc. / Carnival
Previous Business on this site n/a
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:
*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 to the best offmmyy�knowledge. I have read the conditions of approval, and I understand them, that I
and will abide by them.
Signature�� PrintedRC Cole, Owner
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, xl 17.
[ ] 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 aa�igqffthi date.
/ I
Notes: co� u �lS
Building Official l Date
Zoning Official
/Date_
Other Official {tom/�(�Sk�/VU/� ✓ Date
`. -•••, — --- Uqm„c Department or Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
19 Al-1-0 Revised 11 /02/2015 Page 2 of 3
Intake to complete the following:
Y /O
Is use R 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 p is wat
If private well, provide Heal Rent form.
Zoning review can not begin Ntil we receive approval from Health
Dept. FAX DATE
Circle the one that applie
Is parcel on septic or lic sewe
Y/N
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Y/N
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
02v19-02-10-0
Zoning to complete the followinn:
Reviewer to complete the
Square footage of Use:
/N �
nnitted as: Ad . ,t" , G( ,L e
Under Section:
Supplementary regulations section:
Parking formula: IN�
l= 1•q tLt
Required spaces: -VhI -01
PwAlks
Y/N
Items to be verified in the field
i lations:
/N
If so, List:
✓I®� l o(j - -L(L Capes i
Proff s:
y�
If o, t: f
60 1 F z / 6 V/O
Variince:
Ifai
Ifs ist:
SP's:
if
If soli%ist:
Clearances:
Z017-$2
SDP's
—
Revised I1/1/2015 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, Application for Zoning Clearance
[County application name and number]
was provided to Karen Weiner, Manager Fashion Square Mall the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number 06100-00-00-13100 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 entity]
m
Date
0 Mailing a copy of the application to Karen Weiner, Manager Fashion Square Mall
[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 08/19/2019
Date
to the following address:
Karen Weiner <Karen.Weiner@washingtonprime.com>
[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
R C Cole, Owner Cole Shows
Print Applicant Name
08/19/2019
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