HomeMy WebLinkAboutCLE201000232 Review Comments Zoning Clearance 2010-11-17Application for Zoning Clearance
CLE #
OFFICE USE ON ���� 77�
' -Date: h 1 S I v
Zoning Clearance = $35
PLEASE REVIEW ALL 3 SHEETS
Check #
Receipt # BGCi Staff: 5
-- P-ARCEL_INFORMA.TI �cry� _
�1'� —0 —66- s
Tax Map and Parcel: � F7 --� aQ -' , d� x�isting Zoning
�qE-
Parcel Owner: D � Z4_1 & �
/
�% / t �� 6 rV 5tla&
Parcel Address; -zip'-/
(include suite or floor)
PRIMARY CONTACT
Who should we call /write concerning this project? G. i<
Address:" dZ. ��li �7 'ty /� V� ate 1p
Office Phone: � ��ell � • ' irax�# E -mail
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
Business Name /Type: l 6e-
_7l4
Previous Business on this site
Describe the proposed business including use, number of employees number of shifts, available parkin spaces, number of
vehicles, and any additional information that you can provide: i
IC2A '-, L a 1
*This Cle&AA will only be valid on the parcel for wfti-c'h it is a r ed. If you change, intensi or move h se to a new ldcatidn, a new Zoning
Clearance will be required.
I hereby certify t I own or have the wner's permission to use the space indicated on this application. I also certify that the information provided
is true and acc a to 1Pie est of m n wle ge. I lia ead the co itions of approval, and I understand them, and that I will abide by them.
Signature " inted l?leal -la!T2 :c o Z:n,
APPROVAL INFORMA.TION'
[ ] Approved as proposed Approved with conditions [ ] Denied
[ ] Backflow prevention device and/or curren test data needed for this site. Contact ACSA, 977 -4511, xl 17.
[ ] 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: ca 09 to
Building Official Date i 16 ( n
Zoning Official Date
Other Official Date d
County of Ainemarte Lepar[ment or Uommunity Veveiupill—L
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 eomplete the following: Reviewer to complete the following:
Y / Square footage of Use:
Is usMn LI, Hl or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
1
Wil ere be food preparation?
If so, give applicant a Health Department form.
- - -- - Zoning review CE[i- not beginzintil-�ve-receive- approval - from - Health
Dept. FAX DATE
Circle the one that applies
Is parcel on private well or public water?
If private well, provide Health Department 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 public sewer?
Y /O
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Y /
WilPtere be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
YIN
Permitted as: f s-Ve
Under Section: 4"el t
Suppl ementar -y- regulations- sectiona - -_
Parking formula:
Required spaces:
YIN
Items to be verified in the field:
Inspector : Date:
Notes: LYE L Co YD Z 4 CEP
/JV111LL LV l.Vill Ilivv v
Violations:
Y I^
Ifs t:
Proffers:
Y/N
If so, is :
Variance:
Y
If so, st:
SP's:
Y/
If so, ist:
Clearances: -
SD
Revised 04/28/08, 10/13/09 Page 3 of 3
The Kiwanis Club of Charlottesville and the
Charlottesville Track Club requestperpission to conduct
-e ar� nq-at-7.30-
lednesday -Jolly 4-v3f44-%..Yt I-Li
,5K race-o n �A I -
a.m. in Forest Lakes North subdivision. We have
received approval from the subdivision's board to
conduct the race there.
The start/finish line will be at the Bright Beginnings
parking lot at 3401 Woilh Crossing. From Worth
Crossing the course turns left onto Timber wood Blvd, left
onto Timberwood Parkway, right onto Gross Timbers
Drive, left onto Highland Ridge, left onto Watercrest
Drive. At the Watercrest Drive cul-de-sac the course
returns along Watercrest Drive leaving the street at a
walking path, which passes through Forest Lakes
common areas. The path ends at Timberwood Parkway.
From Timber wood Parkway the COUrse turns left onto
Timberwood Blvd and night onto Worth Crossing.
We have had ara und 3,'10 participants per year for the
past 3 years. IAN.=, iisethe Bright Beginnings parking lot
for race registration, refi-eshrnents, medical tent and prize
distribution. Parking normally bc.curs along the west
shoulder of Worth Crossing in the vicinity of Bright
Beginnings.
Carnp, Holiday Tr Ils will bie-1 the sole ben-eficiary of
proceeds frorn the r,-,-,ice.
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