HomeMy WebLinkAboutCLE201000217 Review Comments Zoning Clearance 2010-11-08Application for Zoning Clearance��
°�
CLE #a It) ' o"Z
` /RGIN�P
oning Clearance = $35
OFFICE USE ONLY
Check # le207 Date: J a / ( 10
PLEASE REVIEW ALL 3 SHEETS
Receipt # 9 m 6ga Staff:
PARCEL INFORMATION
Tax Map and Parcel: 0 - -(0 -00- W 6;kQ0 Existing Zoning POD
,�hx.1
'^
Parcel Owner: R lCA W'e-J-� U m li-e&
Parcel Address: —3 IG[ City CAW 6#EQ i ( `Ie State V A— Zi d t
(include suite or floor)
PRIMARY CONTACT Me,\,O&A
Who should22we call /rwr,,it�e concerning this project(?
I,, 'r �j
Address : J � � West ° b �UC City 1 ``y l e State y A—
Office Phone: 9N ?30513 Cell # 6'9-1q Fax # 7�E -mail 0e- (J-g6W( :P a0(--C6
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use of name New business
Business Name/Type: (gym MLO -)1�ir�
�yy c, /Change
�f�t,Ylcx 5) r U F- / G ng , [�-
Previous Business on this site ltggs d�dr w*� M6 h 15' al ilo n
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: LGtY� Su r U �2 l h F-VYI (C) TE-e $
Id tg a'F prk -w\G , yy"Orp.. tva" LL),-- yye -.e& c9p ein
*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 II understand them, and that I will abide by them.
d'
Signature h% / t�Ca��/� _ Printed
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 C (1,1� o
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
Intake to complete the following:
Reviewer to complete the following:
Y / C� Square footage of Use:
Is use in LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet. O/ N pp
Permitted as:
Y / �
Wil ere be food preparation? Under Section:
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 I f2 7 , � .
Circle the one that applies
Is parcel on private well o is wate .
If private well, provide Hea ment form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that applies
Is parcel on septic or erg
Y/N
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Y/N
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Zoning to complete the followinLY:
Parking formula:
Required spaces:
Y/
Items be verified in the field:
Inspector : Date:
Notes:
Viola ns:
Y /Y
If so, List:
Prof
Y N .
Ifs , ist:
Var' ce:
Y/g
If so, List:
SP's:
/N
If so, List:
73
Clearances: 7 J2Y�
SDP's _
Revised 04/28/08, 10/13/09 Page 3 of 3
Page 1 of 1
Gi Kj — 7—
k.." t1- mae /ag
1,- lao
li gay
j i zo
i
I Isn
u
http: / /gisweb. albemarle. org/ ShowImage .ashx ?t= s &f--S0000047 \SO023360 10/19/2010
...........
� jx�
owl-
NO ki
M
�4
;;t' JA
110 0 'all 11
EANIEM
11 Zr
o
Ty-
-----
...........
� jx�
owl-
NO ki
M
�4
110 0 'all 11
EANIEM
11 Zr
H 0:�
V
�: Elf t !Sh • • + � '�. 'y„ � �. ;.•
, it i�(,i +�t r •�; tc�;r
�• a t�i�l� `'�`'`�' - ___- _..,._ ?rtu !� ?.
„', _� ta7i '',s9'y'. 3 •,.i ,�;•' -.
. . j i 1 SI;'' j� .. 1 . Tom•_ Z J • .
�}��{'
El
RK
t`r��
Ell
Y L •!{ T
• , f, •C
:a; +,y�,yy�l Vil�, (• .fit P` � .
t
t•
rr yf �!•"J•�` rrfpj -ge iti;4 j- f'}' r tT f• i "'t;. :p ^r;.r✓,v'S��,rr•m,C F
=e 5''f.3J -L' 'r "S•I'i!xuf: ,•wj'i , F,h. -t4�R; „� ">.bti•'. ?+urt,}; i. iit4i.:.;��.. "a,.,*' {:I;•y.v � Piet'.
�,;.•.•:,. °.'
y i CCEf.^ "+ wy��n �,.••• //�:iT,� +j��• , - t•y:r, ty, t .
q. •S °''' {'•J•', ''•:.'b::.�;• ",i -rr• .c±?,k,
� }y Y":r' �iJ. •��Tt "iM.i,N ni'<+t�Rtrt� xh.l'4� '.•tj3,ri �t's`.i, J• I.. i:: -'. x. ! � :<, j.,e'i ,rt •, •'�r.'.J tj,,,; ::.•y ..,,J)�' :�[I�
r. �;M� 'ir+M'?�Jt',� ti.1J . <i'. ,.Tn. x. li:�.n�vr„s ?Y•. ?Jy:i.•S/.''et :r.. .,,5 i '`•,pl,,il ^',.x,r..S•,jr: "3,'�i• � ... ,
d$,'r' -'4. \ .r. „ •' S''•T:�', S s�:1;'r}�. I ",�U:'1' :.; "•�I :•
.. :;, ,,..�;',•- 1�rjJ:;; "��;:;' },•r.� . ,......:;• ,:� :•say, -�;
rljJ III ,•