HomeMy WebLinkAboutCLE200800060 Review Comments Zoning Clearance 2008-06-24Application for - _
Zoning Clearance
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
511106 Page 2 of 3
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OFFICE USE ONLY
Zoning Clearance = $35
CLE #
Check # IQj Date:
PLEASE REVIEW ALL 3 SHEETS
Receipt # Staff:
PARCEL INFO , = TION /
Tax Map and Parcel: 6 / Existing Zoning
Parcel Owner: /L r° f"f ef, zz, '
9
Parcel Address: ,Z3erGr�,�r.- ✓.7gi . City State - Zi %/
(include suite or floor)
PRIMARY CONTACT /% / `� lc
Who should we call /write concerning this project? �Awrew
Address: 36D Y�'-s���� e �''( City � `�!�� State L Zip �`2gy
Office Phone: Q_�) Cell # (�� �c/�j Fax # X73 =`!°��� E -mail 9S7`✓7a�� Gl /� C
APPLICANT INFORMAT PAN
Business Name /Type: / /bC'1����� �j� ✓6i7 �ofy r/J S�Ci���f Cw�za� ., ,f1� -�,�h Gi�i�
Previous Business on this site
Describe the proposed business, including use, number of employees, number of shifts, available parking spaces and any
additional information that you can provide: '.. /_ �clic`�l W "ice
*This Clearance will only be valid on the parcel for which it is approved. If you change, intensify or move the use to anew 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. Ialso 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 Iwill abide by them.
Signature � /�/�,z�,� Printed�%/"el�/
APPROVAL INFORMATION
Approved as proposed [ ] Approved with conditions [ ] Denied
[ ] Bacicflow prevention device and /or current test data needed for this site. Contact ACSA, 977 -4511, x119.
[ ] No physical site inspection has been done for this clearance. Therefore, it is not a detennination of compliance with the existing
site plan.
[ ] This site complies with the site plan as of this date.
Notes:
Building Official Date
Zoning Official Date Z& &2
Other Official Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
511106 Page 2 of 3
i
+ Intake to complete the following: Reviewer to complete the following:
I ❑ YES ❑' NO Square f otage of Use:
H
Is use in LI, � orr'DIP zoning? If so, give applicant a Certified
Engineer's Repoft (CER) packet. F2 YES ❑ No
"'Permitted as:
❑ YES M NO qq
Will there be food preparation? Under Section:
If so, give applicant aHealth Departmeritform.
- _
Zoning review can not begin until we receive approval from Health Supplementary regulations section:
Dept. FAX DATE
❑ YES ❑ NO
Is parcel on private wel(ealth public wate .
If private well, provide Departm t form.
Zoning review can not begu receive approval from Health
Dept: FAX DATE
EiYES ❑ NO
Is parcel on septic • epublic sewer?
F. YES ✓ NO
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit.#
0 YES ❑ NO
Will there be any new construction or renovations?
If so, obtain the proper Pe�?�jit.
Permit # n f
Coning 'l'ecll to complete the tonowing:
Violations:
❑ YES /❑ NO
If so, List:
Variance:
❑ YES NO
If so, List:
Parking foV6lla- n_
Required spaces: .34
❑ YES ❑ NO
Ite s to be verifi d in the field:
� IO,V�•C.�1U�n �ota/lG� r�d°- �
Inspector : Date:
Notes:
Proffers:
.D "YES ❑ NO
If so, List:
SP's:
' YES ❑ NO
If so, List:
5/1/06 Page 3 of 3
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