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HomeMy WebLinkAboutCLE201000091 Review Comments Zoning Clearance 2010-07-197'2 --Y31-i Application for Zoning Clearance �lRGIN1P Zoning Clearance = $35 OFFICE USE ONLY �{ Check # Date: C/ ���' a PLEASE REVIEW ALL 3 SHEETS Receipt # 15 e5T Staff: PARCEL INFORMATION Tax Map and Parcel: i �`Z d� " CC °- 00 --0 651 Existing Zoning FD P ` law L1>( Parcel Owner: 11I, —\ s Parcel Address: I'► 4'"`( tty � �Q�� V-Myt fate Zip 229 Ll (include suite or floor) PRIMARY CONTACT Who should we call /write concerning this project? Address : yX Kvoalg City ('WIL'Le State ZipZ Off, Office Phone: ('M 1192- 37-nCell # 5*31 ` 631? Fax # LIS?' ­M d52 E -mail 1`4) VS I(OC, i/(F� IN tcm. APPLICANT INFORMATION Check any that apply: Change ownership Change of use Change of name � New business +of f Business Name/Type: l?G '� �. o l CA"T� -- l& � � f�%e `�-x��t�ll� -� �`v N�7\G i �.1!a ��9Y1 1�►�iX'T" Business i�� Previous on this site 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,r",'T'1\CtI�R�o�� '`�t� !� lE IFN9 -'- 1 P�t�l'"C� � f� ?�11 t�io�C � 0CCCJlJq; t y1S PXI MAUI \ *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 understand them, and that I will abide by them. is true and accurate to the best of my know) dge. I have read the conditions of approval, a�n(d /II Signature ( Printed 6 Its a APPROVAL INFORMATION l[/'f 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 Date Zoning Official / 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 'To IN Intake to complete the following: Reviewer to complete the following: Y /(N ) Square footage of Use: '41 '2 3 Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y /(9 / /-Tl\ Permitted as: Y -,' � Will there be food preparation? Under Section: �" ° '7 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 Z „ �fL��J G� / "L��l� ✓i:3 Circle the one that applies Parking formula: Is parcel on private well o4 gublic water? 4 C. t k^ If private well, provide Healt epartment form. Zoning review can not begin until we receive approval from Health Required spaces: Dept. FAX DATE Circle the one that applie 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 # Will N there be any new construction or renovations? If so, obtain the proper Permit. Permit # rz, -7-01 (i` 20� i Zoning to comnlete the following: Y/N Items to be verified in the field: Inspector : Date: Notes: Violations: Y Oist: s If offers: /N f so, List: Varia ce: Y/T If so, ist: SP's.• Y /(N� If so,``�List: Clearances: SDP's Revised 04/28/08, 10/13/09 Page 3 of 3 1 11I _ - I - -_ I - -_ —_ I - -_ -1 1 - -_ —_ '- -_ —_ —I rESRmuts- I— _— _-- 'T - -_ —_ I _— I 1 I I I I I I III I I � I II II I I I I I I 1 I � I I I I I 1 Dr I I I ,eNAnsvnffi I .1' ; I. . _ - -- 'ilk_----- �'_ —_— �F_— _— _— �_ —_ —_— •� -- _F ;-- -_ - -�- =� � - - -- _ -Th —_ I !I I I I I I it '. I I I I l i =-- ' -1 --- F- .' 1 I I�EI I n I •. I I i j j f nT I +I 1 I I_i _f I II I { I II III III I , I I I I I j- II I I I I �________',, _ I I I I I I II•` I ba ¢a sw— l nE I MAO. W I�DSP) E I% I ,JA��� II I I �s �� RwD911w 6E =.-.E u i I I i•t• ��e I IRDUx i II I I: i i I I II I �jlj \ dcs D E S I G N OAVIS RrIR�. 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