HomeMy WebLinkAboutCLE201000133 Review Comments Zoning Clearance 2010-07-19Application for Zoni� Clearance
CLE # �l
�Zoning
OFFICE USE ON L ' •-7 U
�%� Date: `
I Clearance = $35
I'LEA9� REVIEW ALL 3 SHEETS
Check #
Receipt # 71 . Staff: Q�
PARCEL INFORMATION
D Existing Zoning
Tax Map and Parcel: 042L .
1),Ireel Owner: un- ,V L. L.
C
RIO R0 vve-- C- UL Ziw
Parcel Address-�22- 1 Cio,
(incilide sui(L 01• floor)
PRIMARY CONTACT
\-Yho should we call /write concerning this project?
�• -
f WCO() crq(%i 1 ioc 6tte LIA Zil�
Address :1 15— el�'`
, / 2
Of P11onL: Cell �'S (' ! . x "► �J��" it
et,
m6�Yi��ST
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
/ N ,
Business Name /Type:
�VC/�f� &4v
Previous Business oil this site ►J v r` --
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: 54LF o1= r-mra—��( "Cpty F
*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 infolnlation provided
is tl•uc and accurate to the best of my lulowledge. 1 have read the conditions of approval, and 1 understand them; and that 1 will abide by them.
�/'� ( Printed
Signature
APPROVAL INFORMATION �•� j° r�'✓
[ ] Approved as proposed Approved with conditions / [ ] Denied
] Bacicflow prevention device and /or current test data needed for this site. Contact ACSA, 977 -4511, x 117.
[ ] No physical site inspection has been done for this clearance, Therefore, it is not a determination of compliance will' the existing
site plan,
[ ] This site complies with the site plan as of this date.
Notes:
Building Official 153 Date I 1 I
-711�
Zoning Official Date
Other official l-1 CA Date
County of Albeinarfe Department 01 uonllnullity ULYLIOJ)Inelll
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
Intake to complete the following:
Reviewer to complete the following:
y / (v Square footage of Use:
Is ust�rrf LI, Hl or PD1P coning? If so, give applicant a Ceiiified
_ Engineer's Report (CER) packet. / N
Permitted as:
ill sere be food preparation? Under Section; .2 L/' Z, I
If so, give applicam a Health Department form.
Zoning review can not begin until we receive approval from I- Icalth Supplementary regulations section:
Dept. FAX DATE
Circle the one that applies
is parcel on private well or e�l ter9
if private well, provide Heal ent form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that applies
Is parcel op septic or p ►c sewer ?
tl I you be putting up a new sigro of any kind? If so, obtain proper
Sign permit.
Permit #
y /1\1
Will t sere be any new constt•uction or renovations?
If so, obtain the proper Pen-nit,
Permit #
Parking fornuila: /
Required spaces:
Items to be verified in the field:
Inspector : Date:
Notes:
LjUlllll" LV GV111
Violatt s;
y/
If ist:
1GLG L11G 1V11V TT-F.
Prof`rs:
y/b
If s , tst:
Vart, ice;
y / I
If so, List:
S I,
Y(:/!)
If so, List:
Clearances:
SDP's
o� �s
Revised 04/28/08, 10/13/09 Page 3 of 3
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U.S. Department of Justice
bureau of Alcohol, Tobacco, Firearms and Explosives Federal Firearms License
(I8 U.S.C. Chapter- 44)
In accordance with the provisions of Title I, Gun Control Act of 1968, and the regulations issued thereunder (27 CFI: Part 478), you are licensed to engage in the
business specified in this license, within the limitations of Chapter 44, Title 18, United States Code, and the regulations issued thereunder, until the expiration date
Shown, See "WARNINGS" and "NOTICES" on reverse. -
ATF - Chief, FFLC r ut�,5y�+
Direct ATF Jac�ng
244 Need), Road �r Y`1Unirs'T�
Correspondence To ' t 2 a J) Ai {till /rr �FGFt
Martinsburg, W� 54.OS -94�t1 . .,i, :;t rL .•4,t,A:. 1
Chief, I a Firearms t, ing Center (FFLC) ; a EW- Aratlolt j
E: y u1
Date
T
V ,
Name r ;
r�
ALBEMARLE COUNTY FI9Ery/^/7Vy)' 1212I C r p <
�fM' �,} '" +1"1 LY F� .� 1. • t.
I //L ". .i rVYl: wTl,��it"GI:C/••:i .. . Yi
Premises Address k30 dafW'
722 W RIO RD STE 4 M
CHARLOTTESVILLE VA 29.9.0 -.,: r
Type of License
07- MANUFACTURER OF FiRFAFi1viS OIIih1ER THAN DESTRUCTIVE'DEVICES
Purchasing ,Ce4ificahori'Statetgeft r; —Mailing Address (Changes? Notify the FFLC of any changes.)
The licensee named above sha11 use atcopy olthts4hcense�;tA assist a transferor of
firearms to verify the identity and the'li" ' ed „sta{. -A the hc..6n ee as provlded�;by:,. 'Al., EMARLE%CO•UNTY FIREARMS LLC
5,.
27 CFR Part 478. The. signature on eabh copy�pustn a an ortslsrature.;,A �,x"J.� 17 ELMWOO,D 'CT UNIT 104
faxed, scanned or e- mailed copy of the license>ih ryJSiga,ature igt {�edp p ari'Q� jARLOEFTESi/ILLE, VA 22903 -
original signature is acceptable. The signature Jugt�e �atxof the Federal FJ he ffisnl
Licensee (FFL) or a responsible person of the FF1r "t a7 4zlh this is a true cop) : s>'7 in
of a license issued to the licensee named above to engagexrl ilbgs�s specified �zi4�r�fi Nd
above under "Type of License."sr'e rrr1 =y'un,� it
N.
Licensee /Responsible Person Signature 1?ositten/,, e • ,
Printed Name Date XIT 1 -orm 8 (5.110.11)
Previous Edition is ()bsAOlele AtOEMAHLE COUNTY FIREARMS LLC:ITL W AID HO STE /:YNDI :134 -0DO- DT.7J•077Q:SIpt,Mbrt 1.7015:07.MANUFACEUHni OF FIREARMS OATEN THAN DESTRUCTIVE DEVICES Revised Sep1ern t)er 2008
Federal Firearms License (FFL) Customer Service Information
Federal Firearms Licensing Center (FFLC) Tofl -free Telephone Number: (866) 662 -2750 ATF Homcpage: www.atf.gov
244 Needy Road Toll -free Fax Number: (866) 257 -2749 FFL e7., Check: www.atl'online.gov /fflezcheck
Martinsburg, WV 25405 -9431 E -mail: NLC@atf.gov
Change of Address (27 CFR 478.52). Licensees may during the term of their current license remove their business or activity to a new location at which they intend
regularly to carry on such business or activity by filing an Application for an Amended Federal Firearms License, ATF Form 5300.38, in duplicate, not less than 30 days
Prior to such removal with the Chief, Federal Firearms Licensing Center. The application must be executed under the penalties of per,jury and penalties imposed by 18
U.S.0 924. The application shall be accompanied by the licensee's original license. The license will be valid for the remainder of the term of the original license. (The
Chief, h'FLC, shall, if the applicant is not yuali(ied, refer the application for amended license to the Director of Industry Operations 1'or denial in accordance
with § 475.71.)
Right of Succession (27 CFR 478.56). (a) Certain persons other than the licensee may secure the right to carry on the same firearms or ammunition business at the
same address shown on, and for the remainder of the terns of, a current license. Such persons arc: (])The surviving spouse or child, or executor, administrator, or other
legal representative of a deceased licensee; and (2) A receiver or trustee in bankruptcy, or an assignee for benefit of creclitors. (b) In order to secure the right provided by
this section, the person or persons continuing the business shall furnish the license for that business for endorsement of such succession to the Chief, FFLC, within 30
days from the date on which the successor begins to carry on the business.
,utrtere �<-------- - - - - --
Federal Firearms License (FFL) Information Card
License Name: ALBEMARL,' I-- iITY FIREARMS LLC
Business Name:
License Number:
License Type:
IIREARMS OTHER
Expiration: September 1, 2013
Please Note: Not Valid for the Sale or Other Disposition of Firearms.
(Continued nn reverse side)
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