HomeMy WebLinkAboutCLE200900215 Review Comments Zoning Clearance 2010-10-26Application for Zoning Clearance_��:
CLE #
� �RGIN�P
OFFICE USE ONLY
Zoning Clearance = $35 _
Check # Date: 16L-0-05
PLEASE REVIEW ALL 3 SHEETS
Receipt # Staff.
PARCEL INFORMi�ATION
Tax Map and Parcel: 04500- 00- 00 -068D5 Existing Zoning Highway Commercial
Parcel Owner: Wal -Mart Real Estate Business Trust
Parcel Address: 975 Hilton Heights Road City Charlottesville State yA Zip 22091
(include suite or floor)
PRIMARY CONTACT
Who should we call /write concerning this project? Amy Miles, Permit Coordinator, -ob2 Architecture
Address : 710 West Roselawn Drive City Rogers State AR Zip 72756
Office Phone: 888 656 -3545 Cell # Fax # 479.621.5202 E -mail amy.miles@pb2ae.com
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
Business Name/Type: Subway at Wal -Mart #1780
Previous Business on this site N/A - Subway existing at store
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: N/A - All employees, shifts, etc. existing
*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 accurap to the best of m iowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed AbW
APPROVAL INFQYMATION
Approved as proposed [ ] Approved with conditions [ ] Denied
[ ] Backflow 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 determination 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 %(b zz_�e!�
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 04/28/08 Page 2 of 3
Intake to complete the following:
Reviewer to complete the following:
Y / (9)
Square footage of Use: �� 2
Is use in LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
O/N
Will there be food preparation?
1 / N / II
Permitted as:
Under Section:
If so, give applicant a Health Department form.
I- in review can not be-ln until we receive approval from Health
g YY~
Dept. FAX DATE
Supplementa� regulations section:
Supplementary b�
Vari e:
Y
Ifs ist:
Circle the one that applies
Is parcel on private well or blic wa r?
Parking formula:
�J
If private well, provide Heal artment form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Required spaces: `�
Y/
Circle the one that applies
Is parcel on septic or 1'c se er?
Ite o be verified in the field:
SDP's
Y/N
Will you be putting up,a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Inspector Date
Y / N
Notes:
Will there be any new co struction or renovations?
If so, obtain the proper ermit.
Permit #
Zoning to comDlete the following:
Violations:
Y
If s st:
Prof_ rs:
` � N
If so, ist:
Vari e:
Y
Ifs ist:
P's:
/N
f so, List:
Clearances:
SDP's
Revised 04/28/08 Page 3 of 3
County of Albemarle
Planning Application 1
I
I TMP
Application #
Owner(s):
Community Development Department
401 McIntire Road Charlottesville, VA 22902 -4596
Voice: (434) 296 -5832 Fax: (434) 972 -4126
- Legal Description ACREAGE TRACT A WAL -MART
Magisterial Dist. Rio Land Use Primary Commercial
APPLICANT'/,'.CONTACT INFORMATION
Owner /Applicant
Name WAL -MART REAL ESTATE BUSINESS C/O WAL -MART STORES #1780 Phone #
Street Address PROPERTY TAX # 0555,1301 SE 10TH ST Fax # ( ) -
City / State BENTONVILLE AR zip Code 72716- -0555
E -mail Cellular # ( ) -
Signature of Contractor or Authorized Agent Date
Fax sent by : 4349724318 thomas jefferson 91/94/18 13:84 Pg: 1/1
COMMUNITY DEVELOPMENTI Fax 43d9724125 Dec 17 2009 09:d5am P002/002
-- ��plica tion for Zoning Clearance
CLE # � I 1) Le
OFFICE Usl; X
- zoniiz z C)earauce - S35 _ _ _
PLEASE REVIEW 3 SHEETS
Check - Date:-
Receipt # Staff: [ �q
ALL
PARCEL INFORMATION
TAXN1&p9LndJParcel: 04500- co- oo -o69AS lEXi9tingZoning Wiohway Commercill
Parcel Owner, wel -Mart Real Estate ausi,necc Trust
Parcel Address., 975 Hilton Heights Road City Charlottesyi � State V,� Zip 12091
(include smile or floor)
KTMARY- CO- NTACT
VFbo should we calllwrite concerning this project? Amy Miles perrr�t �oordinatn -r. Aschitej r_ure
Addrals : 710 Vest Roar-lawn Dr:iVv_X City Rogarc State A• xlp 72756
Utfice Phone: BD® 65�- 545 Celt 0 Fax # . d79.621, 5202 Frme�ll Qml' mil eeaapb2ac ,tom
APPLICANT INFORMATION
Check any th-st apply: Change of ownership Chainge of use Change of name Ncw business
8u.yiness Naruellype: Subway a t wal -Hirt 01780
iprcwious BgsitlePS op this site N/A - subway existing at store
Describe the proposed business incigdiAjr use, number of twpioyees, number of shifts, available parWA9 spaces, number of
vehleles, and any additional lbforwitttotl that you calm provide; N/z 61' em-ployees shit: cs etC axininQ_
"This Clearance will only be valid on the parcel for which It is rpproved, if you 6vigo, intensify or move the use to a new location, a new Zorunt
Clearance will be requim>
I hereby certify chat I own or have the owner's permiss9on to use the space indicated on this application. I also certify that the information prodded
is true and ■ccurn to the bast of m owledge. l have read the conditions of approve), and I understand them, and'liar I will abide by them.
Signature Printed N1 ! i fs
APPROVAL INFO TXON
L ) Approyed as proposed [ ) Approved with conditions [ ] Denied
[ ) Backflow prevention device and/or current test data needed for this site. Contact ACSA, 977 -4511, x119.
( ] No physical site irtspecgon has been done for this clearance. Therefore, it is not a detem).1nation of oomplianee with the existing
site plan.
[ ) This site complies with L1'lc site plan as of this date.
Now:
Buildiuug Official Date
Zoning Official. i 1) to
Other Official ate ILTIZZ=
-C 17 7 F-/
County of Albtlanarle )Department of Community Da el4meat /
McIntire Road CbarlottcBvillc,'VA 2Z907 Voice- (434) 296.5832 Fax, (434) 972 -4126
Revised 04/28/08 Page 2 of
Fax from : 4349724126 12/17/99 99:47 Pg. 1