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CLE201000231 Review Comments Zoning Clearance 2010-11-15
Applicati ®n for Zoning Clearance �_�� °� 9m CLE # d f � '°� Zoning Clearance = $35 PLEASE REVIEW ALL 3 SHEETS OFFICE USE Y Check # NY Date: Receipt # Staff: - -PARCEL-INFORMATION- Tax Map and Parcel: () LD I , N( 00 0_ ©A Q0 a 0 0 Existing Zoning _ Parcel Owner: & CAP -500 Parcel Address: J I q S SeM %IUDL,,r- -TeL City C Na2CV3U: I�{ State VA Zip 2,290) (include suite or floor) PRIMARY CONTACT Who should we call /write concerning this project? 1A.AJ IMDA9k Address : ( '30 I ' uk i) DW i&O a)14 City 2e-t{U: State VA. Zip 2,2 6 t l Office Phone: 70 CtZi - Z-? IB Cell # 5A 111 Fax # E -mail APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name New business Business Name /Type: C -ItWEk Previous Business on this site N31 tS 5A AyJ i41,�L541� 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: Temp, c A LE OF C H.< iiSUKAS 3ALEiES CK.om NOJ. Z16— -DEC :24 � Z010 *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 be my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them. Signature Printed _D /iN%r z_ 6 //vfo/L D 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: c---� ' 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 Is parcel on septic or /p— lM c sewe Y/N Will you be putting up a new sign of any kind? If so, obtain propel Sign permit. Permit # u Y/N Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # r7....i.... +.� .. .,1 n +o +l.n fnlln�x�inrs• Inspector : Date: Notes: Olf� iolations: v / N so, List: Intake to complete the following: Reviewer to complete the following: Y / .N Is Us`e in LI, HI or PDIP zoning? If so, give applicant a Certified Square footage of Use: Engineer's Report (CER) packet. / N 'Permitted as: SP's�� y If so, List: Y liYfere be food preparation? Wi� r ' Under Section: ,4� M, If so, give applicant a Health Department form. - Zoning review cannot-begin-until-we receiv e approval-ftom`Health -- Supplementary regulations section: -- - ° -- - -- =- -- Clearances: f SDP's Dept. FAX DATE Circle the one that applies -• Is parcel on private well or•pablc- wafer? If private well, provide HeaLDepartment form. Zoning review can not begin until we receive approval from Health Parking formula: Required spaces: Dept. FAX DATE Circle the one that apples Y (/( N Iteik be verified in the field: Is parcel on septic or /p— lM c sewe Y/N Will you be putting up a new sign of any kind? If so, obtain propel Sign permit. Permit # u Y/N Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # r7....i.... +.� .. .,1 n +o +l.n fnlln�x�inrs• Inspector : Date: Notes: Olf� iolations: v / N so, List: Proffers: I f //� Ifs , ist: Variance: Y /� If so, ist: SP's�� y If so, List: Clearances: f SDP's Revised 04/28/08, 10/13/09 Page 3 of 3 LEASE AGREEMENT u�ra �O iG _between This_agreement of Land Lease is made thhis day, of N' (5, z , ( �E o�; ��-, , (LESSOR) and. cfC , (LESSEE} for the property described as an area at the front of i /9.S" &',,* vae i -zC more specifically described on the attached site plan. LESSOR and LESSEE agree that for and in consideration of the sum of- r",'Tjiaa 4b- Fi,* Natve6b (z'sV, 4) paid by check to the LESSOR at the signing of this document or prior to the commencement date of said lease, LESSEE may land lease the site indicated on Exhibit A hereto during the period of Mgt, zZ- mac. zy, zot o . LESSEE agrees to obtain the necessary permits from A636w c eocnn, for the purpose of selling eyetsr" 7Ra5 during this period. LESSEE agrees to provide a certificate of insurance to the LESSOR providing coverage during the above dates, naming Cwaeu *v 1� Pawy4 64N"P as an additional insured. LESSEE agrees to remove all stands, merchandise and refuse from the leased area by DEC. Z`?, z a y , and shall restore the area to the same condition it was in before lease began. In addition, Lessor agrees to holdCNwa5v* A Ae Egvie. and owners Harmless of any and all accidents, etc. Lessor will be responsible for all activities on property related to there business operations. DATE: I l i2 / a WITNESS: iV6- DATE: 1111,2110 WITNESS: LESSOR: Signed: LESSEE: Si pe °Arrow a,. CERTIFICATE 'OF LIABILITY INSURANCE °sP ° WAl pA11 10 o PRabuoeR McCrea —Hale 2n$uxance Agency, Xna. 10680 -A Crestwood Drive Mmassas VA, 20109 Phone., 703-368-8158 rax:703- 368 -3039 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS -NO RIGHTS UPON THE CERTIFICATE HOLDak, THIS CERTIFICATE DOSS NOT AMEND, EXTEND OR ALTER-THE COVERAGE AFFORDED BY THE POLICIES- BELOW. INSURERS AFFORDING COVERAGE INSURERA' Western World YASUranae CC NAIC0 INSURED $ ason5 of Change LLC 842 0 Suna, 't Dfive Manassas VL 20109 _ INSURERS: INSURER C: GENERAL ry- INSURER D: INSURER " i -- ODVERAGES- THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIRBMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THETERMS, GXGLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS. LT S P pAE O I LIMITS A X GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY 04AIMS MADE OCCUR NPP1253025 09/25/10 12/26/10 EACH OCCURRENGE PREMA WISES(Eb D=mna $1r000,000 3100,000 *$ X MED EXP (Any one pemh) EXCLLTtMED PERSONAL & ADV INJURY $ I 000,000 GENERALAG(OREGATE $2,000,000 b INCLTJDED _ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY .1ECT F7 LOO PRODUCTS - COMP /OP AGO DED 500 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTO$ SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS _ COMvOINED SINGLE LIMIT (Ea amdanl) S BODILY INJURY (Por Person) S - BODILY INJURY (Perac;Wdent) $ PROPERTY DAMAGE (Per mkonU S GARAGE LIABIUTY ANY AUTO AUTO ONLY - EA ACCIDENT ¢ OTHER THAN EA AGO AUTO ONLY; AGG $ S EXCESSIUMBRELLA LIABILITY OCCUR F7 CLAIMS MADE DEDUCTIBLE RETENTION S EACH OCCURRENOE AGGREGATE 5 S $ WORKRRS COMPENSATION AND EMPLOYERS' WA@ILIT f ANY PROPRIETORMARTNER /EXECUTIVE QFFIG6RIMEMSER EXCLUDED? If "s, d*=Ibo under SPECIAL PROV161ONS below OTHER TORY LIMITS ER $ E.L EACH ACCIDENT E. L, DISEASE. EA EMPLOYEE $ E,L. DISEASE - POLICY LIMIT b DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADPJED AY ONOORSEMENT I SPECIAL PROVISIOtIS Re Christmas Tree Stand November 220, 2020 - December .25, 2010 located at 1195 Seminole Trail Charlottesville, VA 22901 Charlottesville Power Rquipmnt is named as Additional insured CERTIFICATE HOLDER CANCELLATION GEES SHQVLD ANY OF THE ABOVE DESCRIDBD POLICIES BE CANCELLED ®AFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAPL 10 DAYS WRITTEN Charlottesville Power NOTICE TO THE CERTIFICATE 14OLDER.NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL Equipment IMPOSI= N4 06LIGATION OR LIABILITY OF ANY KING UPON THE IN$rURKk ITS AGENTS OR 1195 Sit mole Trail Charlottesville VA 22901 REPRfi$EN7ATIVfiB, kkl 0)k i Ii I I USED CAR I • :Irl I 3 NEW CAR DISPLAY AREA •)ISPLAY ARFA'1 r- 1 I IIf I EXIST CO :. v � � I itI s Il4 1 �•� N PROPOSED I 1 STORY ROOF CANOPY HEIGHT = 22.7' \ I _2•I v� PAVED AREA EDGE OF PROPOSED CANOPY { •-' it / \ .. F „. .�, p i {..�� ,it,',•.t. a x E (fT 7dN FI 1 a6 1 at', rh ...... ............................... 2XII3TING ...... ............................... ... . ................. h1 ! ME1ALrf3bOF ......... ::::::::::...::::::::. ........................ ........ 41. ......... MAIN :......::::::::: w a u ✓`: • I I, -- EXIST. WATER LINE I.. - 1. W „ SIGN POST -- W �; :.• "Ej .... .................. ...........::::::: A F , 4 C .. . D. 1.: 461 00 Fc z . F UJ I W O tN Q I W V Y� N.. .. .. .... .. .... 2 O 7 li I )=:i m. RggF,;. 1. :: RPPF�'::: �:::::: ::::::::::::::: :::::::::: :::::: m \ pJ(PPrIN :P6�r ::: ....... ........................... . ! t7 ...... ............................... O I ` W }•� fis` a%�ridu }i•...r }.. ;�.' ) f`f• ..... ...............EXISTING .EXTERIC I .r 460.85 - �I N. .I z :I \ x 461 12 EXIST K a l� It :I PAVED AREA o =.l o a: z.I • SIGN POST NEW CAR DISPLAY AREA Y EXIbT ING GUAfl DPAIL _LIGHT POLE— T T T T =T T T T T T T TT T T T T T T T I --' —I EXIST:. WiM �— iD ,E %IST GA M. 62.07 X1 _ 1 I \ BENCH 'ARK,: P;K.. NAIL IN LIGHT POLE EtE -Y : 462.05830 ( ' I I .I j