HomeMy WebLinkAboutCLE201000208 Review Comments Zoning Clearance 2010-11-05Application for Zonin Clearance
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CLE #
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Zoning Clearance = $35
OFFICE USE ONL r 1
Check # Date: 1
PLEA REVIEW ALL 3 SHEETS
Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel: 0560000001100 Existing Zoning Highway /Commercial
Parcel Owner: Stallings, Preston
Parcel Address: 540 Radford Lane, Ste 400 City Charlottlesville State VA Zip 22903
(include suite or floor)
PRIMARY CONTACT * for Hair Cuttery:
Who should we call /write concerning this project? Teri Wells (License Administrator)
Address • 1577 Spring Hill Rd, Ste 500 City Vienna State VA Zip 22182
Office Phone: 7( 03) 269 -5285 Cell# Fax# E -mail twells @ratnerco.com
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name XX New business
Business Name/Type: Creative Hairdressers, Inc. d /b /a Hair Cuttery, beauty salon
Previous Business on this site none
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: beauty salon with retail sale of hair
care related products, earliest open is 9 am, latest close is 9 pm, 8 chairs /sty1
with potential of (2) future chairs, 3 shamboo bowls
*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 ac c rate to the best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.�
Printed � /�Td Q Y t. I n
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Signatu ► S e
APPROVAL 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 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 Page 2 of 3
Lsts
Intake to complete the following:
Y /
Is us HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y /
� Wil be food re aration?
Reviewer to complete the following:
Square footage of Use: y
( IN /
Permitted as: 5;1A 1)
Under Section: �4'y 7— 1
p p
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approvai from Health Supplementary regulations section:
Dept. FAX DATE
Circle the one that applies
Is parcel on private well or blic water?
If private well, provide Hea t form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that applie
Is parcel on septic o ublic sewer?
YIN
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Y// N
ill there be any new construction or renovations?
If obtair�,the ropey Pey �
Permit #� 1(2 e 7
7nnina to rmmniptP the fnllnwina-
Parking formula:
Required spaces:
YIN
Items to be verified in the field:
Inspector : Date:
Notes:
olations:
IN
If so, List:
4.:4. C n
Proffe :
Y/ &l
If so, List:
.4-4
Vari ce.
I
If so, List:
S's:
/N
If so, List:
Clearances:
SDP's
C�J A) — yO
s-g
'n 9— /q3
a g-- /y
Revised 04/28/08, 10/13/09 Page 3 of 3