HomeMy WebLinkAboutCLE201000191 Review Comments Zoning Clearance 2010-09-28�J I LA.
Zoning Cle arance = S35
OFFICE U LY ` V
Check Date: -
t#
PLEASE REVIEW ALL 3. SHEETS
Receipt ff Staff:
-_PARCEL INFORMATION'
Tax Map and Parcel: D / -,90 0 - Q j Z DO Existing Zoning
Parcel Owner: 4 N V /h e_jE L A L4 oTJtJSr
Parcel Address: 211S 159:9- AV- VIL, City ��UMJ VL"tate VA ZipZ29�%%
(include suite or floor)
PRIMARY CONTACT
Who should we call /write concerning this project? wre. A. AL 1ZitV M T"
Address: 1'P,oijICIJ TAAC.(E —City C -14AI OTMILLState V4 Zip'�,QQ'
Of #ice Phone: (_q," 4RJ2-4J&J Cell# 931• UUFax4 973 -0132 E -mail Si/1C jlq%Sd1i "V 0
APPLICANT INFORMATION.
Check any that apply: Change of ownership Change of use Change of name New business
Business Name /Type: !n!3CAC-M!1CJL!L' 'E DI -rLW)l
Previous Business on this site L'tt A iLt.OTCtf s�{ t `V rG.¢,�BU/LQ�T Sv1�it,Y
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: Oue *M AL I�LML1A" , LEC 2 1Z A&AeJY
1— .9i41f -T- G 4494 &d IC S ANQU I l V IC 141 C. L:
'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 taste and accurate to the be of n iowledge. I ave read the conditions of approval, and I understand them, and that I will abide by them.
Signatu Printed S v E A.
A ROVAL 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 i Date
Other Official Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5332 Fax: (434) 972 -=4126
Revised 04/28/03, 10/13/09 Page 2 of 3
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Intake to complete the following;
Y / i-
Is use ih LI, HI or PDIP coning? if so, give applicant a Certified
Engineer's Report (CER) packet.
Y/
Will t ere be food preparation?
If so, give applicant a Health Department form.
Zoning- review - can= not =begin until =we' -- receive approva —from- Health
Dept. FAX DATE
Circle the one that applies
Is parcel on private well r public water?
If private well, provide ealt epanmen orm.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Reviewer to complete the following:
� ()ik
CJ �
Square footage oz Use: Zoo sg . a b
Y/ N 0 f 19' c�1aiS ia4 kw],wo)
Permitted as: Yl�f LiA��
Under Section: (.� U� - I �a�6
Parking formula: 09h 1 a / % 6 t'
Required spaces:
5
Y N
Circle the one that applies Items to be verified in the field:
Is parcel on septic ublic sewer?
Y / N IVIC4011MV
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit m Inspector : Date:
Y /(0 Notes:
Wil sere be any new constriction or renovations?
If so, obtain the proper Permit.
Permit #
7nninv to cmmnlete the followinv:
Vio ns:
Y I
If sQNist: ,
Pro s:
Y �N
If so, List:
Van e:
Ir T
If so, ist:
'�ls'.
so, List:
D cY1 v?��
Lj
Clearances:
SDP's
— Revised 04/28/08,- 10/13/09 Page —3- of 3—
OFFICE
172 SO FT
X i WATER
COOLER
DISPLAY AREA
1112 SO FT
COl1NiER
Hio
PACKING AREA R1RN UTILI Y CLO KITCHENETTE
86 SO FT 48 SO FT
COPY ROOM
153 SQ FT
rm
L
'SUITE 8
RESTROOM
X
0
SUITE A
RESTROOM
SUITE A
TEACHERS' EDITION
2200 SO FT
130 SO FT
TOP
CL
0
16
HALL
i
ELEC CL
ELEL
)FFIC
!3SQ1
OP EN AR
243 SQ F
� I
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