HomeMy WebLinkAboutCLE201000198 Review Comments Zoning Clearance 2010-10-08Application fororin
_
Z-oningClearauce = $35- - -- -- -- - - -
OFFICE USE 2-11193- r ,l
-Clieck # ------ Date:
PLEA REVIEW ALL 3 SHEETS
Receipt # Staff:
PARCEL INFORMATION l°lagaG� �e+Je�o eat i-
Tax Map and Parcel: 0� '7S' o d - o o!! - ab - C7 3D QO Existing Zoning
- Parcel Owner: - -� —/ V
60C Fe%r �&Gerso, l°«rkwcy
Parcel Address: 5,41 130 � i zo City Uar +es/31,- State - Zip zz'fl 'Z
(include suite or floor)
PRIMARY CONTACT
- Who- slims concerning ��
we ca write this project? cYwleS A
rah'
Ies
Address: GOO fyeer,e�rse f''k S'�' �e 13�City C I�u� esU� I �p State 4 p Z
it ion Zi
Office Phone: CJO 220 -1695 Cell # �34 ' `I6L 511tfFax # 434 97q 3Msr:rE -mail
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
Business Name /Type:
RwIty
Previous Business 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: R c e
one. 5�;�� . zo-� J2r4A;,1 "_-o n a `4e6l es
*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 lamowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature �,, ___ (/% Printed � a M e S / V _ �� P.r>9 1 �, Jr. .
APPROVAL INFORMATION
f V]j Approved as proposed [ ] Approved with conditions [ ] Denied
[ ackflow prevention device and/or current test data needed for this site. Contact ACSA, 977 -4511, x117.
[ JJNo 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 C Date ` b (o
Zoning Official Date lei l i�
Other Official Date
%;ounty of Amemarie impartment ot c:ommunity 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
-�
- -- A - lcaton fo -p Zonin - _Clear-nee
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 Page 2 of 3
Zoning Clearance = $35
OFFICE USE ONLY
Check # I bU Date:
- -- -- PLEASE REVIEW AIL 3- SHEETS -
Receipt # Staff: fie
PARCEL INFORMATION', —7// ,�, pfl, ,�� r1
Tax Map Parcel: l'v4 '� Existing Zoning �{,
and /
= Parcel = Owner- e�'►��`- s�i���
• �'c � ty State li+'��dN �� zip
Parcel Address Ij'
S' City j�l.L;'aTe.S wi
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project?
Address: .SA nX' SP "V iel City State V+ Zip 22-1&
Office Phone: () W} - 1q33 Cell # 2-42-46,24 Fax # 2-0 3i2.7 E -mail IS19✓4'44 S4 C Km4 e (�Vz
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
Business Name /Type: S4(.,/Pk
Previous Business on this site 404 kafV3 i hvake ciiAgizTe -f Al , VA
P
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: ���1'v � tPAI Lon
� yekge;V�,
*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 I understand them, and that I will abide by them.
Signature rtll ° 4WkA_ 4n� Printed b%mitl_ 92yok-
AP ROVAL INFORMATIO
[Approved as proposed [ ] Approved with conditions [ ] Denied
[ ] Backflow prevention device and/or current test data needed for this site. Contact ACSA, 977 -4511, x119.
[ ] 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 Date 0
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 Page 2 of 3