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HomeMy WebLinkAboutCLE201000120 Review Comments Zoning Clearance 2010-06-24Application for Zoning Clearance CAE# .. �,RGR3IP ❑ Zoning Clearance = $35 OFFICE USE ONLY / Check # 6 Date: PLEASE REVIEW ALL 3 SHEETS Receipt # %l Staff: U PARCEL- INFORMATION - Tax Map and Parcel: 06100 -00- 0002700 Existing Zoning CO Parcel Owner: Carr Wood Products LLC Parcel Address: 277 Hydraulic Ridge Road, Suite 103 City Charlottesville State VA Zip 22901 (include suite or floor) PRIMARY CONTACT Who should we call /write concerning this project? N uty I u � &Y_6/-V I (.z City State V Zip Address: _1zU6YNES8Q � Y11T Office Phone: (_} Cell # -� 0. J__4gFax # E -mail /�(3 f V 1 12-We (0 APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name X New business Business Name /Type: pq Lnj �} �,�1+ �- eh��oI �� im C',--,M -FeX Previous Business on this site Music and Arts Center 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: 4 +0 an � 4 ' -f0 Ua.-PrVA&L?` [2 1 CLP-e— C-+ VP h 1 <IC�'_Q — C_ zM ee - *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. 1 also certify that the infonnation 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 r V f Printed -J'(2 i "� V I MUM . APPROVAL INFORMATION ,PI'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 detennination of compliance with the existing site plan. [ ] This site complies with the site plan as of this date. Notes Building Official —A .�_ Date 6 Zoning Official Date _4 f'74 � 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 G hta) f -Rnai H (r-.-r7 C rvS. Application for Zoning Clearance ° CLE # ,20(C)— PO x r ` /RGIN�p' ❑ Zoning Clearance = $35 OFFICE USE ONLY / Check # Date: 6 'aA PLEASE REVIEW ALL 3 SHEETS Receipt # Staff: U 0 PARCEL INFORMATION -- Tax Map and Parcel: 06100 -00- 0002700 Existing Zoning CO Parcel Owner: Carr Wood Products LLC Parcel Address: 277 Hydraulic Ridge Road, Suite 103 City Charlottesville State VA Zip 22901 (include suite or floor) PRIMARY CONTACT pp Who should we call /write concerning this project? rq Uty I Address : u �t l'LYA/V 1 1.2 City CAJ.- yrj)F�,8Q State Vfl- Zip 22eyo Office Phone: Cell # �i 0 q3S laggFax # E -mail /7111'1!1 12!4 R I vVCC a7? APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name X New business Business Name /Type: A I�M 0}- /A-+- ,0 C. C b e)Q) L P a, t n I m 9i epm --pe* - Previous Business on this site Music and Arts Center 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: *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 infonnation 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 ) (f _ Printed --P() RV f m Un) f . APPROVAL INFORMATION o[i<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 detennination of compliance with the existing site plan. [ ] This site complies with the site plan as of this date. Notes: Building Official 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 4/ Intake to complete the following: Reviewer to complete the � following: Y (/'0 Square footage of Use: `7 Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Onln�tted as: Y /( Will there be food preparation? Under Section: 2. 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 one that applie. Is parcel on private well. r public w er? If private well, provide Heal went form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE Circle the one that a Is parcel on septic or ublic sewer Y/N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # Y/N Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # 7.nnincs to rmmnlPtP the fnllnwinu- Parking formula: Required spaces: Y /-F) Item o be verified in the field: Inspector : Date: Notes: Vio a�tions: If so List: Proffer-k: If so;q..ist: Varia� nce: Y /1 If s ist: S 's: / N If so, List: 05 -2 -- r, �riG a oil Clearances: SDP's Revised 04/28/08, 10/13/09 Page 3 of 3 I