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HomeMy WebLinkAboutCLE201000134 Review Comments Zoning Clearance 2010-08-13cV Applicati ®n f ®r Zonin q:learance � �F_���� J �� � %RG1N�'' Zoning Clearance = $35 OFFICE USE ONLY IrT Check # Date: ' V PLEA E REVIEW ALL 3 SHEETS Receipt # ! / -� V' Staff: PARCEL INFORMATION (, Tax Map and Parcel: - -- c Existing Zoning v — Parcel Owner: <� m& J � 6o 4Y r)? e1 i Parcel Address: C i / J V ;?Z %� /1+ /�� � / City � ��l L�1 State Zip (include suite or floor) PRIMARY CONTACT CiiII r, Who should we call /write concerning this project? i M c5ky(614 h&Lll P State Zip Address :W19 Z7/'� [,OdnMOi7� City C&I Office Phone: ( r Ocell # Fax # E -mail R'S ��v'I - -44 APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name New business Business Name /Type: uJ © h Y7d e J Previous Business on this sit � G1( . �I, I � W `- -bl 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 information provided is true and accurate to the best of my knowledge. I have read the conditions of approval, and II understand ahem, and that I will abide by them. � 41. Printed 1 < <YI I �t�'l'J K IL Signature APPROVAL INFORMATION Approved as proposed [ ] Approved with conditions [ ] Denied [ ] Bacicflow prevention device and/or current test data needed for this site. Contact ACSA, 977 -4511, xl 17. [ ] 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 A 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 Pale 2 of 3 I Intake to complete the following: Reviewer to complete the following: Y / Square footage of Use: V Is usI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Z)2tted as: � � G C,- Will sere be food preparation? Under Section: 6 If so, give applicant a Health Department form. Zoning review can not begin until we receive approval from Health Supplementary regulations section: /� eQ _ = -- - Dept. FAX DATE - - — Circle the one that applies Parking formula: Is parcel on private well or p is water? If private well, provide Healt men orm. Zoning review can not begin until we receive approval from Health Required spaces: Dept. FAX DATE Y/N Circle the one that appli Items to be verified in the field: Is parcel on septic or blic sewer? N `up ftIfttain you be putting u' a ne s gn o any and proper Sign permit. Permit # Y/N Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # 7nning to cmmnlete the following: Inspector: Notes: Date: p� st: hilt Pr ffers: N Y f so, List: A / p� ((-D ^0 6 i.. 66 L. Vari n e: Y/UNLI: If so SP'&�N Y / If so, t: s r Clearances: SDP's Revised 04/28/08, 10/13/09 Page 3 of 3 I knad O�r s G�6�rr�o�S r ()porn i i I I i vr i YourBodyBalanced; Acupuncture, BodyTalk in Charlottesville Virginia. http://www.yourbodybalanced:coni/contact.cfin Contact UE) Contact: Kim Starbuck Address: YourBodyBalanced Ivy Commons Business Center 4418 Ivy Commons Charlottesville, VA 22903 -7123 Telephone: (434) 823 -5650 entail: kstarbuck @yourbodybalanced.com 1 VIC'ectlone From Charlottesville Take the 250W exit off the 29/250 bypass. Go 4 miles. You'll see Toddsbury of Ivy and Ivy Corner on your left; go under the train tressel. Turn into the parking lot after Duner's Restaurant; this is Ivy Commons Business Center. You'll see the YourBodyBalanced sign and the number 4418 over the door. For handicapped access, park in one of the handicapped spaces at the extreme left of the parking lot and come up the walkway in front of Dr. Meghan Custer's office, Ivy Commons Chiropractic; walk in front of the building by the Chiropractic office and Massage Center to reach suite 4418. i! Visit MapQuest for detailed directions. �r.• ��<�xre. +•�:rrirrr;rr.:.rr c•svr =:F;rars�evrxrim�r , .. , Copyright@2009 YourBodyBalanced. All rights reserved. 1-,l A ,dl, b tt+ 4- \jtA, %,Y) ka �- L) lofl aoj MCI INN Mal h10 7/16/2010 1:33 PM