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HomeMy WebLinkAboutCLE201000128 Review Comments Zoning Clearance 2010-07-01Application for Zonln learance �M 1 �'��� �yF J i! "II . v o� J _ � %RGIN�� Zoning Clearance = $35 OFFICE USE ONLY / Check # Date: F/ PLEA REVIEW ALL 3 SHEETS Receipt # Staff: �7 PARCEL INFORMATION Tax Map and Parcel: i _ / b J Existing Zoning Parcel Owner: Z >�I� V ��ylL��l LJ�y ✓J/ �� m/l wl � Parcel Address: (/� ��� /G© City 1J State 11V Zip (include suite or floor) PRIMARY CONTACT Who should we call /write concerning this project? DOR1N 8A���'�)+J Address: 1600 City t- 1JAL,L611ZSt} iL.Ay: State. Office Phone: 13 �� -91 IS Cell # qll ° %, Fax # NA E -mail APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name New business Business Name /Type: Previous Business on this sitettDL`�Ly��% J�v Describe the proposed business including use, number of employees, number of sgifts, available parkin spaces, number of vehicle , and any additional information that you can provide: j— N'. S (��r 6P to,-'l OIL Yt,c 5 114l.L Qt)V tS *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 an4ac e est of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them. Itlb Signatur Print ed to 'j T, &u'owl- 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 7 r Intake to complete the following: Y On Reviewer to complete the following: Square footage of Use: �UV Is � LI, HI or PDIP zoning? If so, jive applicant a Certified Engineer's Report (CER) packet. N P� Y Will ere be food preparation? Permitted as: Under Section: If so, give applicant a Health Department form. Zoning review cannot begin until we receive_ approval from Health Supplementary regulations section: Dept. FAX DATE SP, s• Y/ If so, List: Circle the one that applies Parking formula: / l Is parcel on private well or public w er? / If private well, provide Hea partment form. Zoning review can not begin until we receive approval from Health Required spaces: /f Dept. FAX DATE / Y/ Circle the one that app ' Item o be verified in the field: Is parcel on septic or ublic se ? Y / I 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 complete the following: Violations: / N If so, List: Pr3,ist: ' s: Y If Var' nice: Y/&) If so, List: SP, s• Y/ If so, List: Clearances: SDP's Revised 04/23/08, 10/13/09 Page 3 of 3 31.5 solar Melon Pear Fig Rain Earth Thor Vignette Vignette Vignette Vignette Vignette Vignette Vignette 11.57: Bath Salts �1oo " o Round �'ooP ` x Wood ` Table �F 35.38 Soap Bars v 1j8A,R Bath Salts Round Wood Table a �o +�P • �• <W C D D n n n So c �a 36.58