HomeMy WebLinkAboutCLE201100091 Review Comments Zoning Clearance 2011-05-09Applicati ®n f% Zoning Clearance
CLE #
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OFFICE U E ONLY
PLEASE REVIEW ALL 3 SHEETS
Check # Date:
Receipt # Staff:
PARCEL INFORM I q
Miff) Tax Map and Parcel: -� - Miff Existing Zoning
Parcel Owner:
-- ^-
Parcel Address: City C j �U State Zip W-7,01
(include suite or floor)
PRIMARY CONTACT
Who should we call /write concerning this project? 1I p• l�CQW�
f
Address: M'dn0 City U State V Zip
Office Phone: '11S 43U,_ Cell # �� qWG Fax # 434113 ]C(o � E -mail �G1�c ieWS uGhDO> tON`
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
l
Business Name /Type: Phi 1.4 Ak;,)
Previous Business on this site�iS,Q'�"6" 1 V f n 1
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:
4 MIS
*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 o or h vo the owner's permission to use the space indicated on this application. I also certify that the information provided
is true and accurate to th b t fumy knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed ] g q ire ua
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 I `�
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 1/1/2011 Page 2 of 3
Intake to complete the following:
Is Y u in LI, HI or PDIP zoning?
Engineer's Report (CER) packet.
If so, give applicant a Certified
Y /
Wil 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 u t
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 u lic sewe
Y /N3
Will you be putting up a new sign of any kind?
Sign permit.
Permit #
If so, obtain proper
Y/
Will ere be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Zonina to com fete the following:
Reviewer to complete the following:
Square footage of Use:
/N
Permitted as: 3e" Y
Under Section: 4,jm,tJ
Supplementary regulations section:
Parking formula:
Required spaces:
Y/
Itei to be verified in the field:
Inspector:
Notes:
Date:
Violations:
6) /N
If so, List: / n
Prof s:
Y/
If so, List:
Variance:
Y/
If so, ist:
SP's:
Y/
If so, ist:
Clearances:
SDP's
Revised 1/1/2011 Page 3 of 3
.• County Community Development Department
Albemarle County 401 McIntire Road Charlottesville, VA 22902 -4596
Planning Application Voice: (434) 296 -5832 Fax: (434) 972 -4126
PARCEL /OWNER INFORMATION
TMP 045CO -02 -00 -00100 Owner(s): AMY C MARTIN LLC
Application # CLE201100091
PROPERTY INFORMATION
Legal Description WOODBROOK PARCEL A
Magisterial Dist. Rio Land Use Primary Commercial
Current AFD Not in A/F District Current Zoning Primary Highway Commercial
APPLICATION INFORMATION
Street Address 11885 SEMINOLE TRL CHARLOTTESVILLE, 22901
Application Type . Zoning Clearance
Project
Received Date
Closing File Date
Revision Number
Received Date Final
Submittal Date
Submittal Date Final
Entered By
Judy Martin
05/06/2011
Total Fees 50
Total Paid 50
Signature of Contractor or Authorized Agent Date