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HomeMy WebLinkAboutCLE201100175 Review Comments Zoning Clearance 2011-10-10Application for Zoning Clearance �_�'�'� CLE # �D 1 ` ` 1 `1 PLEASE REVIEW ALL 3 SHEETS OFFICE USE O L Check # iq Date: 10-3,11 Receipt #_ Staff: MV.) PARCEL INFORMATION 1n� p�- Tax Map and Parcel: -11- Existing ZoningRannd b,VLl Parcel Owner:ea�CL -1 1 / Parcel Address: y a© S�u� t �a �"� City C �r f��U5 J��U- State V A Zip d.2 b) (include suite or floor) PRIMARY CONTACT Who should we call /write concerning this project? Address: 5 �`3 l v �,es �Q, ^� PL City State Office Phone: CI-71D )_N8 -6 98 CeII #765'- ?6-()- 048 Fax# 57l -z*6d V E -mail (2�113AnQOA C1/C.�"', Ov" APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name New business Business Name /Type: mcks)04.. EhV-r ctiG�i�t�e�13�1 �v"1�)54" o�hL Spy; S�!UiceS Previous Business on this site 4 S Fa c VQ. 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: SPv, S� ^l✓T red . 31-yo p�v(g _6 %rc]4; *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 o the best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them. Signature —� Printed &1`0111Zf �bb)11511� APPROVAL INFORMATION Approved as proposed [ ] Approved with conditions [ ] Denied [ ] Backflow prevention device and /or current test data needed for this site. Contact ACSA, 9774511, 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 _A Date (a Z Zoning Official Date %F Other Official Date County of Albemarle Department of uommuntty 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: Y / () Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. N Y /O Will there 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 or ublic water If private well, provide Health Department form. Reviewer to complete the following: Square footage of Use: .3 SU OIN Permitted as: C_A Under Section: Supplementary regulations section: Parking formula: Zoning review can not begin until we receive approval from Health Required spaces: Dept_ FAX DATE -- - -- - - Circle the one that applies Is parcel on septic or public sewer N Will you be putting up a new sign of any kind? Sign permit. Permit # If so, obtain proper , Yt)/ N Will there be any new construction or renovations? If so, obtain the proper Permit. n Permit # &loo � ^ 01 � 1'7 Zonin¢ to complete the following: Y/ Items to be verified in the field: Inspector Notes: Date: U lations: N If so, List: Proffers: YIN If so, List: Variance: /N so, List: SP's: /N so, List: Clearances: SDP's Revised 111/2011 Page 3 of 3 Idea I5 1�1,% I ifig. Rahn; 1 pit R 1! 111 1 easseesse It id a a a If O Ell gg ry oil 41 L—ZEM 2124 r rrnn F LU LU oil� W¢ G Ow y cj Ze do N Z ® z � Q r O o oz Ld Q J O• O w Q� d• W N _� 1 �i. W O W uj H = a N V V d V '� S .a• r — -A Egg s s .eA a3 R R g g Bg § �r gi6ll," 3 0 IN I t Z L E S Y E oil a I i a 8 8°N R it IN jib s�a� 9a�i�Ry 9 111H I y *g F III § 3 ® I �� r j'i!a �bC�� ° ;Q 9 �1§ Q §§ a� � k' d akp qg i§ 99 7F#fj�6 ull III gill � H §�j §��Si �Sgy g4 it gR9 g@ I ig¢g Y E tl 6C §$ i 1 ollgg 5 �°p 3 §�8 SRy § �� • { qFHg 9I �Q yygg gel g $§111 §3 NMI 1R 11�! 84$ 11H $8 8 S i I yy n kgg€ S ypd pi b5y dg �dR IN �e5 [� yM pry{ pp �� $�R �g� �� � �� 5 3 �� •�3 � y §��� yygSY €3�kR � � � � � . E g F5• Eyg3 ;�J�j4 ��II ���B g � 3pp`w B�Q�Q$ §5 2� °� §s tl2§ E.Q IN § gg ® ® ®EK g 4 d g� @3y @k °` •��� R� §� § �� qBq ��� �g ! � Bp'§��5�� 3ggp999 §�i6 ��� �� N Y d4 15 4d @44■ R . §4 � @p 5§ S<b1 EEEEEbgg9 ij y B � 583®p8eCS�k3 � g $� 5 5 R pp 82 l R o g g � C § H i H Hg a H 1 @§ 8 3 39 d 8 i Print Subject: Zoning Clearance Checklist From: Aaron West (aaron .west@focus — architects.com) To: CSmith @federalrealty.com; chrismeryl @yahoo.com; merylrx @yahoo.com; Date: Thursday, September 29, 2011 3:32 PM Chris & Meryl, 10/2/11 5:38 PM Attached is a Zoning Clearance Checklist form for Albemarle County that you will need to fill out and submit for approval. I was told, when given the form, that this is a fairly simple process and ensures that the County has record of your new occupancy. Below I've noted some items you need to be aware of as you fill this out. Page 1: • Filing fee is $50 • Albemarle County will help you determine Item #1 but your new address will be: 0 420 Shopper's World Court 0 Charlottesville, VA 22901 • For Item #2, simply print out a copy of the A -0.1 and A -1.1 sheets that I have attached. You do not need full size drawings, 8.5 "x11" or 11x17" should work. Page 2: • Parcel Information — Fill out address portions, Albemarle County will assist with Tax Map & Zoning issues. • Parcel Owner is Federal Realty Investment Trust • Primary Contact information is your contact information. • In the Applicant Information Section check the box that says "New Business" and fill out the item lines being requested 0 The Previous Business on site you can put down "retail ", unless someone knows who was there before (not Whole Foods) • Everything else will be filled out by Albemarle County Page 3: about:blank Page 1 of 2 CERTIFICATION THAT NOTICE OF THE APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER 'his form must accompany Zoning applications (Hoine Occupation, Zoning Clearance, Zoning Administrator Determinations or Appeals, Sign Permits, Building Permits) if the application is not the o3Vitei'. I certify that notice of the application, Z(--)n n5 Cec.•rc-,nLz C\2s-1 ��'��/ �ni't x 's,, f-r Z-11 [County application name and number] was provided to fkA-* rtrA the owner of record of Tax Map [name(s) of the record owners of the parcel] and Parcel Number 56� fi (—rU t�,z� by delivering a copy of the application in the manner identified below: Hand delivering a copy of the application to CrC1 ry S, J11 -- ;�,erz, I (1;,)1Y [Name of the record owner if the record owner is a person; if the owner of record is an entity, identify the recipient of the record and the recipient's title or office for that entity] oil jo 2- ll Date Mailing a copy of the application to [Name of the record owner if the record owner is a person; if the owner of record is an entity, identify the recipient of the record and the recipient's title or office for that entity] on Date to the following address: [address; written notice mailed to the owner at the last known address of the owner as shown on the current real estate tax assessment books or current real estate tax assessment records satisfies this requirement]. Signature of Applicant Print Applicant Name /Z /tY Date