HomeMy WebLinkAboutCLE200900181 Review Comments Zoning Clearance 2010-01-06Oct.20, 2009 4,29PM KINGSMILL RESORT AND SPA No,1334 P. 2
_Application for Zoning Clearance
d
-CLE#
loGoniug Clearance = $35
OFFICE USE ONl✓Y
Check # —c,-,
PLEASE REVIEW ALL 3 SHEETS
Receipt # Staff:
- PARCEL INFOR TI -1 -- 00 -VQX0 --
Tax Map and Por�c/ejl. Existing Zonin
parcel Owner: 1 t C�(rC , � � P � •� C
)Parcel Address: T1 rt`rc7� l]'` RIM CityCm -Zc ` State Zfp
(include suite or floor
PRIMARY CONTACT
Who should we}} call/write concerning tbls project? t
.Address : 90(,) Cx o' tS 8 fyd City state ZIP
Office Phone: (Uj A glgb Cell # `q M Fax #1-0 W74LIM E -mail L.z - _60 P,
APPLICANT WORMATION
Check -any that apply: Change of ownership Change of use Change of name New business
�'
--64(l
Business Name/Type"
�/
Previous Business on this sit&11�t
Describe the proposed business including use, number of employees number of shifts Available arking spaces, number of
a
vehicles, and any additional information that you can provide:
_6. 4 —
*This Clearance will only be valid on the parcel for which it is approved. If you change, intcnsiVi or move the tcse to a now location, a now Zoning
Clearance will be required.
X hereby certify that I own or have the ownc's ponnission to use the spaceindicated on this application. I also certify that the information provided
is true and accurate to the beat of my knowledge. I have road the Conditions of approval, and I understand them, and that I will abide by them,
Signature Printed y t: S � CEZLW
APPROVAL INFIORMATION
[P] Approved as proposed [ ] Approved with conditions [ ] Denied
977 9+- // �?
[ ] 13ackflow prevention device and/or current test data needed for this site. Contact ACSA, -4511, x1
[ ] 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 as of this date.
Notes: 6 206 - 8q qA C.
Building Official Date
Zoning Official � .� Date
Other Official Date
County of Albemarle mpartment of communtty uevetopment
401 McIntire Road Charlottesville, VA 22902 Voice, (434) 296 -5832 Fax: (434) 972 -47126
Revised 04/28/08 Page 2 of 3
Oct.20, 2009 4:29PM KINGSMILL RESORT AND SPA
No. 1334 P. 3
Intake to complete the following: Reviewer to complete the �follovving:
Y/ - Square footage of Use.
Is uA-K-LI, -HI or PDIP zoning? If so, - givcapplicant a Certified -- - -- --
Engineer's Report (CER) packet. trr�nttedas: �.{.�`� � C, �U.In,�v
Wil Nert be food ptepatation? Under Section., (i0� - (�7 d'-T �In
If so, give applicant a Health Department form.
Zoning review can not begin until we_ receive _approval _from Health_ Supplementary regulations section:
Dept. TAX DATE,
Circlethe one that applies
Is parcel on private well or public water?
If private well, provide HeaTTtTMpMVn-6 riform.
Zoning review can not begin until we receive approval fiom Health
Dept, 17AX DATE
Circle the one that applies
Is•parcel on septic or public sewer?
Y;/ N
ill you be putting tip a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
(X)/ N
mill there be any now construction or renovations?
If so, obtain the proper Permit.
Permit #
7nt,9ti,tr +n +11afAII(It l-lo.
Parking formula: .I J 1 � f� bw A yx� 1
Required spaces:
Y/N `T0
Items to be verified in the field:
Inspector;
Notes:
--
Date:
'Violations:
Y /
Ifs ist:
•
ffers:
Y N
so, Li
�. F
Vari ce:
V /(
Ifs ,List:
S 's:
EN
,List:
Clearances:
SWIS
Revised 04/28/08 Page 3 of 3
10/20/2009 TUE 16:37 FAX 1 434 974 9898 Legacy Management 0003/003
10/20/2009 TUE
16:37
FAX 1 434 974 9898
Legacy Management 0002/003
a
o N
>
rn
--
yAo
o -
w
H
r "a
Nei
n a
h
f
D
m
A
m
Z
RE
M
I(_
!RIM M
l ,
1N31 (M] Uhl FN
s� Lei f� I
u
Oa:
L�
M