HomeMy WebLinkAboutCLE201000124 Review Comments Zoning Clearance 2010-07-06Application for Zoning Clearance
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CLE #�
OFFICE U X
Zoning Clearance ' $35"
Check # Date �-
FLEA_ E I2'v�T,L C1'ETC
Receipt# Staff..
PARCEL INFORMATION (� �� C
Tag Map and Parcel: (� l F b Existing Zoning
Parcel Owner: % v1T(A A E53 LA V b T R U S
Parcel Address: _1 8 *_Y3 S ?dT )VA- F RA_ • City C4A.eZ L Q TE'SV41k X)A Zip Z2,5 t f
(include suite or floor) Suae A+13
PRIMARY CONTACT
Who should we call/write concerning this project? 5 � o f_ VYI i-LTD W
Address: � ("1 5 e 1 ( SEA D bV City U 0l l_L - State I%A- Zip2Z`� ! �
Office Phone: ( 979-f911RA# 9 0 - Fax # -3 5 t 6 E -mail V LLAAE _ 041 • C.
APPLICANT INFORMATION
Check' any thatapply Change of ownership . Change of use:., _Change of.name . New business
Business Name/Type:
Previous Business on this site U1)`(„l k-.
Describe the proposed business including use, number of employees, number of shifts, available parldnq spaces, num4er of
vehicles, and any dditional inform ti that •you can provide: r 1CA FF 1 E
*This Clearance will only be valid on le 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 accur4if. 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 E� . ��� _ Printed P K/ / )LICU d -
:
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, xl 19
j No physical site inspection has been done for this clearance .Therefore, it is not a determuiation.of compliance with the existing
site,. plan,.,
I ] 'This.site complies with the site plan as of this date..
Notes
Building Official 5::� Date
Zoning O fficial
Date j
Other Official Date
County of Albemarle Impartment of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fag: (434) 972 -4126
Revised 04/28/08 Page 2 of 3
1-0"
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Intake to complete the following:
Y / AI ..
Is use in LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y /(N)
Will 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 C�tht-Djqp&tEe—i�t ic water?
If private well, provide H form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that applies
Is parcel on septic
Y/N
Wil ou be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Y f t)ad
Wi re be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Zonin,a to complete the following:
Reviewer to complete the following:
Square footage of Use: �/6 %-7
Y/N /
Permitted as: A�Q,4A
Under Section: Z V . 1—
Supplementary regulations section:
Parking formula-
Required spaces:
Y /
Items to be verified in the field:
Inspector•
Notes:
Date:
Violations:
Y/
Ifs , ist:
Proff rs:
Y rN
If so, ist:
Variance:
Y OList:
If s
SP's:
Y /�
Ifs , Li
Clearances: /
SDP's
Revised 04/28/08 Page 3 of 3
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