HomeMy WebLinkAboutCLE201000106 Review Comments Zoning Clearance 2010-06-01Application for Zonin Clearance
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CLE # ,20Y �- %�
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��RGIN�P
R Zoning Clearance = $35
OFFICE USE ONLY Q
Check # Date: J -f_g 16
PLEASE REVIEW ALL 3 SHEETS
Receipt # Staff: 1f
PARCEL INFORMATION
Tax Map and Parcel: 0 to jW 0 0,q- QA. 00 0 -00 Existing Zoning � r
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ParcelOwner: (`�(' 'JA) 064-56.►
Parcel Address: J Iq 5 '3E'VJJA)0U TP L- City (?1*A2L0T!5L 1& State VA- Zip 227al
(include suite or floor)
PRIMARY CONTACT ,_1_)AA) S lti f)/l��f
Who should we call /write concerning this project?
/
Address : i S� MP"A-Dow� " 60 K 1-4) City PSe e yV; 1 I State \/A . Zip ze& I
Office Phone: (25) dlZ)- Z ?J 8 Cell # 5'4/nf Fax # E -mail
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
Business Name /Type: 49111 1,,6,91, JST,�di, 5 Z Se,4SONS Ov-
Previous Business on this site /P >55.1,�+J �beeif
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: O/c CLA5-1. ``C" V316,,-Vr4 1;l0r,34D
61APjWVOAe2� &OPPI e - >5- Io Ty,PCl, '7-05--10
*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 t tie best of my k d e. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature le Printed /Ji�J/Uyi� Cam, �_117U1t/6
APPROVAL INFORMATION
L,�] °Approved as proposed [ ] Approved with conditions [ ] Denied
[ ] Bacicflow 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 'r, (1 1
s'
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:
Is / (),
Is us LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y/6
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 ublic water?
If private well, provide Health DeparCinnent form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that ap e
Is parcel on septic p sew--!b .
Y/N
Will you be putting up a new sign of any land? If so, obtain proper
Sign permit.
Permit #
Y/N
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
ZoninLy to complete the followine:
Reviewer to complete the following:
Square footage of Use: A/-M
Y/N
ermitted as: 1 bt Lf1
Under Section: �J, ,M !y rh V .A l_, ,gam
Supplementary regulations section:
Parking formula:
Required spaces:
It /(N )
Item o be verified in the field:
Inspector : Date:
Notes:
Violations:
• / N
so, List: � �
Proff�gs:
Y / tl�
If so, rst:
Variance:
If/
Ifs ,—fist:
SP's•
Y5t:
Ifs
Clearances:
Revised 04/28/08, 10/13/09 Page 3 of 3
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DISPLAY AREA
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EXIST CO r ISPLAY ARFA
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PROPOSED
1 STORY ROOF CANOPY
HEIGHT = 22.7'x•
vi
Z•_ PAVED AREA EDGE OF PROPOSED CANOPY
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EXISTING EXTEflIC
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X 461 12 I EXIST X
PAVED AREA
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NEW CAR
SIGN POST �e
� DISPLAY AREA — UGH, POLE EXISTING GUARDRAIL
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