HomeMy WebLinkAboutCLE201100217 Review Comments Zoning Clearance 2012-01-03Application for Zoning Clearance
CLE # ( 0.O � — 02 �
is
PLEASE REVIEW ALL 3 SHEETS
OFFICE USE ONLY
Check # e�5 5 t10 Date:
Receipt # `15 Staff:
PARCEL INFORMATION
Tax Map and Parcel: Q(P JGD3 0(2Q0 bA Existing Zoning 0 -
Parcel Owner: ou 21"
Parcel Address: `') 1(:5 a DI City LQ r State Zip 2
(include suite or floor) N ,,
PRIMARY CONTACT
Who should we call /write concerning this project?
V.0 a �30__ g p ZZ�iv
Address : City G ,� t ('L6 State VA- Zi
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Office Phone: ( � Cell # lid - Fax # 6 Jb E-mail ,g� �, � _ V [ RCj 1J 1 A
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use vkChange of name New business
Business Name /Type: I t) in_oGk bALAYMPLE f
Previous Business on this site :&AAll/t- UL FAA &A) G yn 1) p
Describe the proposed business including use, number of employees, number of shifts, available parking spaces, number of
vehicles, and any additional information t)iat you can provide: CON5ULTIMi'l [C-►(/tl EE�.S q.yvi % P P_�
l�l l Jic. 4_ IG�
*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 accurat o e bes of my knowledge. I have read the conditio of approval, and I understand them, and that I will abide by them.
Signature / " Printed %%� •
APPROVAL INFORMATION
,kJ 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 C� �, ��.� m Date f
Zoning Official , , n 4"A Date /� 3 Z -2 , l 2/
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 7/1/2011 Page 2 of 3
Intake to complete the following:
Y LLI,Is HI or PDIP zoning? If so, give applicant a Certified
Dre in s Report (CER) packet.
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 t FL 11 e
Is parcel on "private well o public water?
If private well, provide Heal ent 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 /
Will (u be putting up a new sign of any kind?
Sign permit.
Permit #
If so, obtain proper
'Y /N
ill there be any new construction or renovations?
If so, obtain the proper Permit. a q
Permit # 91 30 � A C—
Zoning to complete the following:
Reviewer to complete the following:
Square footage of Use: ,' 75
&) / N
Permitted as: C?�C c C' ink
Under Section: `7 -7
Supplementary regulations section:
Parking formula:
Required spaces:
Y/N
Items to be verified in the field:
Inspector :
Notes:
Date:
Vio tions:
Y/ )
If Zist:
Proffers:
Y/
If so, ist:
Var e:
Y/W
If so, List:
SP's:
Y/
If so, ist:
Clearances:
SDP's
Revised 7/1/2011 Page 3 of 3
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335 GREENBRIER DRIVE
195RNERBEND DRIVE
CHARLOTTESVILLE, VIRGM 22806
50
(434) 979 -181
143A)-2W)=MQ FAX
OF CHARLOTTESVILLE, INC.
195 RIVERBEND DRIVE • P.O. BOX 8147 • CHARLOTTESVILLE, VA 22906
335 Greenbrier Drive
Charlottesville, Virginia
STREET ELEVATION
OFFICE OFFICE RECEPTION OFFICE OFFICE
OFFICE '' wart
- OFFICE
S CONFERENCE
WORK SI IITE 103 ste
OFFICE STATIONS TN
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OFFICE F, • °.
OFFICE
El LEASED
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SUITE 102
SUITE 101
OFFICE I I� LOBBY � OFFICE
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OFFICE OFFICE EC MCI) µ,Art
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ECEPFIO I OFFICE OFFICE
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Suite 101 2,475 GSF
PARKING LOT ELEVATION
Suite 102 1,295 GSF
LOWER FLOOR PLAN
Suite 103 1,300 GSF
Common Area 659 GSF
STREET ELEVATION
Total Area 5,729GSF
OFFICE
OFFICE OFFICE
RECEFFION
II
RECEFTON
OFFICE
OFFICE
SUITE
205
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OFFICE
WORK SUITE 204
STATIONS
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WORK
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SUITE 207
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OFFICE OFFICE LOBBY .f � WAIT
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CEPTIOFFICE
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I OFFICE
OFFICE OF
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Suite 204 1,296 GSF
PARKING LOT ELEVATION
Suite 205 1,445 GSF
UPPER FLOOR PLAN
Suite 206 1,244 GSF
Suite 207 1,295 GSF
Common Area 557 GSF
Total Area 5,837GSF
While the information contained herein has been obtained from sources ive believe to
Ve MIME, e, we Do not guarantee r .
BROKERS • BUILDERS • LAND DEVELOPERS ^ PROPERTY MANAGEMENT
Prices are subject to change snarov
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REALTORS
OWNER /BROKER