HomeMy WebLinkAboutCLE201100071 Review Comments Zoning Clearance 2011-04-26Application for Zoning Clearance-
;.�r;',,
c�
CLE # I
� 11- �
�- u
PLEASE REVIEW ALL 3 SHEETS
OFFICE USE ONLY
Check # d "l / Date:
Receipt # 5-)o Staff: "I &
PARCEL INFORMATION
Q
Tax Map and Parcel: I - 1 7 b u TAQLG L 13- Existing Zoning T ,D - S Cj 0
Parcel Owner: u *T 1NV LsSTN1.EAj T Co. in L
i
Parcel Address: ;Z(C) T \[[ MP rj CAT(9 CL (, LLC State VA Zip 229f
(include suite or flo r)
PRIMARY CONTACT
`'
Who should we call /write concerning this project? STELA- WCLL'DN
Address: 10 1 V , It E Alb A, City 0 ' J)% LLC- State VA Zip
Office Phone: Cell # - 000- d 8 Fax # .294-3510 E -mail VLCSME4."t4
AO
APPLICANT INFORMATION
Check any that apply: Change of ownership ===X Change of use Change of name New business
1
Business Name /Type: MORRIS_ AAILLe Au cin o cbm si (wmeyr C&AlT''£.2
Previous Business on this site ?oA( oLUSA SrIA V 1" oOsg-
Describe the proposed business including use, number of employees, number of shifts, available parking spaces, numb r of
vehicles, and any additional informatio that you can provide: RP'('x« 5A-(�,s .• a/1('j�lQ O L
♦ r
A
A r
*This Clearance will only be NUfd on the parcel fo whi h it Is approved. If y u c7idge, 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 o th best�f my Imowledge. I have read t conditions of approval, and I understand them, and that I will abide by them.
Signature ,:= A, Printed A.
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 �41 �(1
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
*'dba h/10RGZ15 M11.L �Qv ES CDAI SIrvNMeNT
5 Revised 1/1/2011 Page 2 of
� �2p�.uS
mop,RiS n•tiLLAoCMOn/
2Co0 ?, N-rops 4NrfZ
Intake to complete the following:
Y /O
Is use m LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y l 1"i
Will t ere be food preparation?
If so, give applicant a 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 private well o rnublic 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 applie
Is parcel on septic o ublic sewer?
YJN
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Y/
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Zoning to complete the following:
Reviewer to complete the following:
Square footage of Use: .1 �- i l
0/N
Permitted as: —T-4A 1�
Under Section: -Z-57, Z,
Supplementary regulations section:
Parking formula:�
00 f� �'.• "_ Zoe
Required spaces:
Y/
Items to be verified in the field:
Inspector : Date:
Notes:
Violations:
/N
so, List:
/N
If so, List:
Variance:
Y lb
If so, List:
SP's:
Y/ j
If so, ist:
Clearances:
SD '
Revised 1/1/2011 Page 3 of 3
00
n
sg
00
x
-4 -n
A
s�
�-n
�r
O
O
'D
r
D
Z
-n r.
oa =
'O y
a �
zo
0
C.W.HURT CONTRACTORS,L.L.0
PONDEROSA
195 RIVERBEND DRIVE
ALBEMARLE COUNTY, VIRGINIA
CHARLOTTESVILLE,VIRGINIA 22906
(434)979 -8181
(434)296 -3510 FAX