HomeMy WebLinkAboutCLE201000109 Review Comments Zoning Clearance 2010-07-14U14 9v7
Application for Zoning Clearance
CLE # ;?012 ��I
n
`�RCINIP
Zoning Clearance = $35
OFFICE USE ONLY
Check # f 7� Date:
PLEASE REVIEW ALL 3 SHEETS
Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel:` OD-450-OZ-0-0- OoYA Q Existing Zoning
Parcel Owner: 114'1 A Zi,,Je Uoj -,-ef 7.7C
.;
l
Parcel Address: l 1-7 9 5e,, f to o% / n City C4 4,1o� � 11C State 11A Zip^riZ 9 u
(include suite or floor)
PRIMARY CONTACT ) ,,A j
/{� /�y
Who should we call /write concerning this project? j/1 / 14 , � / I t, / ' e
Address: t(o/ 1����„�,�j S'eL�aCity `a f' /w���, State Zip3G3Sy
Office Phone: QZW 32-5'- L123 z /Cell # Fax # E -mail W k*�7 0 J/0
APPLICANT INFORMATION
Check any that apply: Change of ownership _1L Change of use Change of name New business
Business Name /Type: 6J.4- A-le, Z- n 4 ,+, r ; 5 ,c
Previous Business on this site h1
Describe the proposed business including use, number of employees, number of shifts, available parking spaces, number of
',7i
vehicles, and any additional information that you can provide: — 4/P > 1
*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 Imowwlledge. I have read the conditions of approval, and I them, and that I will abide by them.
understand
Signature At 1119A2elt k Ze^Ly± �u.c C� ! `�if� Printed A—Af ✓u /�
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 / 1
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
C6,:41
Intake to complete the following:
Y 0
Is use in LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y /
Wil ere 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 public w
If private well, provide Hea apartment form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that applies
Is parcel on septic or public sewer?
Y/N to
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
N
ill there be any new construction or renovations?
If so, obtain e roper Permit.°�,
Permit # ®� - ' "T U—+ —Ab
O� i10 S�
Zoniu2 to complete the following:
Reviewer to complete the
/,�following:
Square footage of Use: 4(11 5 4)
Y)/ N y�'�,� � °� r
ermitted as: TlY lbG�iC.I; r, ks'hhLb (�J�
Under Section: 015 e U m 10 )
Supplementary regulations section:
Parking formula: + IS o 1
Required spaces: I <j /,,'
Y
be verified in the field:
Inspector: Date:
Notes: I
Vi atio s:
Y N
If so, i
Pr a s:
Y N�
If so,
V "i ce:
Y N
If Lis :
SP'
Y N
If s , L' t:
Clearances:
SDP's
Revised 04/28/08, 10/13/09 Page 3 of 3
storage
office / lobby !JF
call center Jv
22;
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.. ........... .
1579 Seminole tr
charlottesville va
proposed
storage