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HomeMy WebLinkAboutCLE201000070 Review Comments Zoning Clearance 2010-05-28Application for Zoning Clearance CLE # ❑Zoning Clearance = $35 OFFICE U NLY Check # Date: q-10 PLEASE REVIEW ALL 3 SHEETS Receipt # 1`(� 1 Staff: Wv a A PARCEL INFORMATION Tax Map and Parcel: 04300- 00- 00 -021AO Existing Zoning Parcel Owner: Foxfield Racing Association Parcel Address: 2215 Foxfield Track City Charlottesville - _State- VA - - -- Zip 22901__ (include suite or floor) PRIMARY CONTACT Who should we call /write concerning this project? Deborah Burgess Address : 4303 Tabscott Pines Road City Columbia State VA Zip 23038 Office Phone:( 804) 457 -4636 Cell# 804- 647 -0601 Fax# 804- 457 -4886 E -mail redclaygsp@earthlink.net APPLICANT INFORMATION Check any that apply: Change of ownership Change of use X Change of name New business Business Name/Type: Charlottesville - Albemarle Kennel Club (not for profit organization) Previous Business on this site vacant land 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: American Kennel Club sanctioned dog show event June 5 -6, 2010 *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 of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them. Signature Printed 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, x117. [ ] 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 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, 10/13/09 Page 2 of 3 Intake to complete the following: Reviewer to complete the following: Y / Square footage of Us Is LisEin LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y / (N ) - - (5 / N Permitted as: Will there be food preparation? Under Section: If so, give applicant a Health Department form. Zoning review can not begin until we receive approval from Health Supplementary regulations section: Dept. FAX DATE Circle the on tha e Parking formula: Is parcel on p� vat public water? If private well, provide Health Department form. Zoning review can not begin until we receive approval from Health Required spaces: Dept. FAX DATE Y/ Circle the o. a at applies Ite be verified in the field: Is parcel septic r public sewer? Y/O 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 construction or renovations? If so, obtain the proper Permit. Permit # Zoning to comnlete the following: Violations: If /A If so, ist: Proffers: If / (I � If so, ist: Variance: Y/� If so—, List: S 's: /N f so, List: Clearances: SDP's""�� Revised 04/28/08, 10/13/09 Page 3 of 3 i v ,v c r 91 =Ae sdopan o C 0' V © 0 v Q I o o v o � 'mot C) Ferce, 9 Maop Nome, '-(P46 l )umpst-er wuv w:z \- O6 v'� 9 cQG j }ra � � c 1.1 ! 1 .......... ka. m� 0 v °