HomeMy WebLinkAboutCLE201000197 Review Comments Zoning Clearance 2010-10-06Application for Zoning Clearance
U
_ G >RGIN�N
❑ Zoning Clearance = $35
OFFICE USE ONLY
Check # Date:
PLEASE REVIEW ALL 3 SHEETS
Receipt # Staff :�
PARCEL INFORMATION
Tax Map and Parcel: V v ld � 1 1 '10Tz, E -IJ"LLg GU"'LLI-� -
Parcel Owner: tnC �, 2�{u �� C �- C b �ayu s=ex/ L
Parcel Address: �� P� �1 �, f�_�7- ✓l�v✓� City a Ld - } 'eQvi State Zip 221 y
(include suite or floor)
PRIMARY CONTACT
V11 Gl G
Who should we call/write concerning this project?
Address: 15 5 Lrmsshncz� . City rJi 0-12 \' earn A State \/A Zip al
cEd
Office Phone: 6 1) a U Cell #— Fax # E -mail Q S h leNe fed /'4ii �n'gna j6 QA 4_ (.a
APPLICANT INFORMATION
Check any that apply: Change of ow, n/ership Change of use Change of name New business
II
Business Name/Type: ��G�1�'l�'yn �cne�i C✓LGLS
Previous Business on this site �z y\,P=4122
Describe the proposed business including use, number of employees, number of s iftgoyailable parking spaces, number of
vehicles, and any additional information that you can provide: tau✓ 1°I ZO
V Dw✓ G21G n 2 ISU - U 0 l I Z o'er s,� 0 20 ce d
m z pt e., can c,ir— ioI s i s v C-a —�o /Z- 1
*This Clearance will only be valid on the parcel for which its 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 accura+ to the best of my knowledge. I have read the conditions of approval, and I understand them, and that Twill abide by them.
Signature Printed w ' '1 - G�1L
APPROVAL INFOIIMATI
[ ] Approved as proposed [�/] Approved with conditions [ ] Denied
Backilow 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, +t is not a determination of eompliance with tiro existing
Site plr�.
[ ] 1h s site cotnplie a3'iti2 laeNsit lan as of th dateZ0 o
'4-MC/J'A'4;�r CT"I, e.
Building Official, Date
onmg Of= =cix1 /�/+'� D:ste
other O lci al Date
County of Albemarle Department of Community Development
401 McIntine Road Charlottesville, VA 22902 Voice: (4134) 296 -5832 Fax: (434) 972 -4126
Reviser] 04/28/08, 10/13/09 Page 2 )E3
r
Intake to complete the following: Reviewer to complete the following:
Y / Square footage of Use: fL-1
Is use m LI, HI or PDIP zoning? If so, give applicant a Certified- - -- ✓U X
Engineer's Report (CER) packet. Y / N �-
Permitted as: 4z""✓1 w 'negti
Y /
Will ere be food preparation? Under Section: 2 • I ��
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 5 2 s
Circle the on lies Parking formula: � 1b � 7 ZS b SPAS
Is parcel on ivate ell or public water? S r
If private wel , provide Health Department form.
Zoning review can not begin until we receive approval from Health Required spaces: 15 O
Dept. FAX DATE
Circle the on applies
Is parcel on ptic r public sewer?
IIN
Wil you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Y/
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
7.nnina to rmmnlPtP the fnllnwinu!
Y/N
Items to be verified in the field:
Inspector : Date:
Notes:
Violations:
Y/4
If so; List:
Proffers:
Y/
If so, ist:
Varian e:
Y/
If so, List:
SP's:
Y
If so, ist:
Clearances: }
L� L-r)
SDP'__ s
Revised 04/28/08, 10/13/09 Page 3 of 3
w (,$7:r 'C c J'• s jd( j S y N v1� �_ ri X a
o I'F8s't �j oa I9� .y pi t t;• 'fiep✓ x C� o
FU
o wf o r O r Op ��ti rn O
t� s l (0
v v V
ii o .�, - m p p °
',1 n z• ,,pp .' W :: { m Cpl) (A D (A r" 01
,•7 ..I' 0. CL .(JDCn OmO (n %
ro Z N 00 C)
13 Z r )•
I o f� o - °a. no, pNr .'11
ED
2 2 2. a Z. N.4P '•, j p
•000",
'' X 0' 1 O Obi •• 7 W O N N ONO in O N�.• -L
Y
co
!-Ai t' Cl of m rn DO0 vOr
'n v 79 � � rn C1 !nMC)
�j (p N (p O r Q
Gj
0 4t En
CA
°v °v 3� 11 rIL co qi X ° n °' (v J 4�
0. W N 0
a� 65 U7 ° rn N N I w m a N 0 w 0
N tTl (D 00 w 1
eta' ... cn rn
o- (one l io p p:p N W O
0 IS
Sf y a, $ °
r�l 41 Yts O 4t c �r .�Cj W
1 01 rr, {' N (D co W' 4+ p
co
m O O m G+
CD
10 1 .71
t � y ''� •(Y� 41 I. iq4 ( i 4 kpa O A C O G y W m n
r C x f N O 1
a°_ 1 °o
vi tw °ilk y 7' r i, s 1 #i r F' 1
m o
G-) m
0 At noo(n -t -<Z<C
w�Dx��r
cn zvcim m (n,jrj0-
Ln *iA om o
D -I m o A
l - P
w m �A
Co m<
. -um vc — r.
—mm
. z
fi o
z cn
0 N D -(Dtnm. Vl�-I
„ _ C -t
�fnO ➢n T OD�1�
O
Z
, co m —
- m
,
• rn >
: ro -(m DNrm� rp_
1 0
o rn
,, a• _ _ o to
•r
•
r
-1 0 o rn
I' -i cmin 836 xoc)v� mN
co C]. I rn 2 m w Z -t
so r- > j�N� mrt
;earl; sf'1"0_; o8N °
Ca z , -rt o
r
m -a °
W
p �? tzi (n � :c rz*�
�:N ►L1 I / j �': o z
m 0
��
m rrn< ° mm
cn' mo m xxom -tmnm°
c O, z n�mOCV�i�z<
n Z°
i 2 x uzi coi, o0 >- z+�ozzl 0
i.. a7 -0 0 =tnZtnAOm =o C: Q
J— -
e---
A
�
V
V
O
_3
F�i