HomeMy WebLinkAboutCLE201100050 Review Comments Zoning Clearance 2011-06-01ellIzz
W�ri� r
Application f ®r Zoning Clearance
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CLE # _L /
PLEASE REVIEW ALL 3 SHEETS
OFFICE USE ONLY J�r/
Check # Date: 45
Receipt # J Va 1-r)E�> Staff: .
PARCEL INFORMATION / ,
^ 2_ Existing Zoning
Tax Map and Parcel: Lo
Parcel Owner: 't'_9 R 1 t
Parcel Address: q /07Jic.o65 City S(_oT71,!7Vlu_6' State VA Zip
(include suite or floor)
- PRIMARY CONTACT
Who should we call /write concerning this project?
Address : IF12- `7,'xne�;nn Ca --r ---r City CHA rLoTTEE yj,, £ State VA Zip z;z'?d
/
Office Phone: (_) Cell ZZ3 -3 ZSZL,x # E -mail
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
Business Name /Type: IA Jxlp_p RZCC S) O r-% 74P -D4'
Previous Business on this site '%JIA
Describe the proposed business including use, number of employees, number of shifts, available parking spaces, number of
vehicles, and any addi 'o al information that you can provide: OW d
A
i
*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 kn.. piledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature 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, 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 Ian a. of this date. n
A-
Notes: � L O►
Building Official r Date (6
f f r
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 1/1/201 1 Page 2 of '3
Gl
D
Int'akke to complete the following:
(
Y 'i
Is use n Ll, I Il or PDIP zoning? if so, give applicant a Certified
Engineer's Report (CER) packet.
Y
\>t/il re be food preparation?
11' so, give applicant a Health Department form.
Zoning review can not begin until Nve receive approval fi•om Health
Dept, FAX DATE
Circle the on hat apl ies
Is parcel on rfvate well r public water?
If private Nye] , p de I -alth Department form.
Zoning review can not begin until we receive approval fi•om Health
Dept. FAX DATE
Circle the hat applies
Is parcel In septic r public sewer?
Y
Veil be putting up a new sign of any kind? If so, obtain proper
Sign permit,
Permit #
Y
Will e be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Zonin¢ to comnlete the following:
Reviewer to complete the
''��following:
Square footage of Use: a
�� I �Q (✓� muted as:
Under Section: • ra
Supplementary regulations section: 5'
Parking formula:
Required spaces:
Y/N
Items to be verified in the field:
Inspector : Date:
Notes:
Violations:
Y/N
If so, List:
Proffers:
Y/N
If so, List:
Variance:
Y/N
If so, List:
' s:
Y/N
so, List:
c
YI-
Clearances: C ` Coq 5 1
SDP's
Revised-1/1/2011 Page 3 of 3
1-110-7 JACOOS P--1 v-'
-5coTMVIL,,6, V*q Z,415-470
U.S. Department of Justice
Bureau of Alcohol, Tobacco, Firearms and Explosives Federal Firearms License
(I8 U.B.C. Chapter 44)
In accordance with the provisions of Title I, Gun Control Act of 1968, and the regulations issued thereunder (27 CFR Part 478), you are licensed to engage in the
business specified in this license, within the limitations of Chapter 44, Title 18, United States Code, and the regulations issued thereunder, until the expiration date
shown. See "WARNINGS" and "NOTICES" on reverse. m °�n10°OJ�1° tm°ro
Direct ATF ATF - Chief, FFLC License
Correspondence To 244 Needy Road Number .1 54-003-01-4F-08
Martinsburg, WV 25405 -9431
Chief,
Name
WARD PRECISION ARMS;
'remises Address (Changes? Notify die
4107 JACOBS CREEK DR.]
SCOTTSVILLE, VA 24590
Type of License
01- DEALER IN FI
The licensee named above shall use a, copy of-this
firearms to verify the identity and the`hcensedsta
27 CFR Part 478. The signature on each copJ"'mI
faxed, scanned or e- mailed copy of the license. wt
original signature is acceptable. The stgnature'.mt
Licensee (FFL) or a responsible person of the FF1
of a license issued to the licensee named above to
above�an r " ype o 'c se."
ter.
Licensee/Responsible Person Signature
Date
a:signature intended tq.be an
bdlhat of the Federal Firearms,.
I certif} thatthis is a true copy
In
the FFLC of any
IS, INC.
42821sT[ gtJ !ti t�P, r) 3CDMl1 i Ziil t
'ATFForm- 8 (5310.11) - --
Printed Name Date
WARD PRECISION ARMS. M AID/JACOSS CREEK ORNE2 45991544)U3-014ROMM -1. MM -DEALER IN RREARNIS OTHER THU DESTRUCTIVE DEVICES Revised September 2008
Previous Edition is Obsolete
Federal Firearms License (FFL) Customer Service Information
Federal Firearms Licensing Center 9TLC) Toll -free Telephone Number: (866) 662 -2750 ATF Homepage: www.atf.gov
244 Needy Road Toll -free Fax Number: (866) 257 -2749 FFL eZ Check: www.atfonline.gov /fflezcheck
Martinsburg, WV 25405 -9431 E -mail: NLC @atfgov
Change of Address (27 CFR 47852). Licensees may during the term of their current license remove their business or activity to anew location at which they intend
regularly to carry on such business or activity by filing an Application for an Amended Federal Firearms License, ATF Form 5300.38, in duplicate, not less than 30 days
prior to such removal with the Chief, Federal Firearms Licensing Center. The application must be executed under the penalties of perjury and penalties imposed by 18
U.S.0 924. The application shall be accompanied by the licensee's original license. The license will be valid for the remainder of the term of the original license. (The
Chief, FFLC, shall, if the applicant is not qualified, refer the application for amended license to the Director of Industry Operations for denial in accordance
with § 478.71.)
Right of Succession (27 CFR 47856). (a) Certain persons other than the licensee may secure the right to carry on the same firearms or ammunition business at the
same address shown on, and for the remainder of the term of, a current license. Such persons are: (1) The surviving spouse or child, or executor, administrator, or other
legal representative of a deceased licensee; and (2) A receiver or trustee in bankruptcy, or an assignee for benefit of creditors. (b) In order to secure the right provided by
this section, the person or persons continuing the business shall furnish the license for that business for endorsement of such succession to the Chief, FFLC, within 30
days from the date on which the successor begins to carry on the business.
(Continued on reverse side)
Cut Here X----------------
Federal Firearms License (FFL) Information Card
License Name: WARD PRECISlC1WARMS, INC.
Business Name:
I License Number 1 54-UO3 -01-4F 08872
License Type: 01 DEALER IN FIREARMS OTHER THAN
DESTRUCTIVE °;DEVICES
I Expiration: June 1, 2014
Please Note: Not Valid for the Sale or Other Disposition of Firearms.
----------- — ------
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