HomeMy WebLinkAboutCLE201100210 Review Comments Zoning Clearance 2012-01-04Application for Zoning �.+earancc � x1
CLL 4.26 1
O)PPICL VSL' ONLY
PLEASE REVIEW ALL 3 SIMFTS Check P, -3bltq Date: 12-2( -Q
Receipt # staff: —
PARCEL INFORMATION � Planned Development/
Tax Map and Parcel: 76 -17 B1 existing Zoning
Parcel Owner: University of Virginia Foundation
560 Ra C. Hunt Drive
Parcel Address:_ 6 tP QO • City 0harinttesvi 11 estate VA Zip22903
(include suite or floor) - —
PRIMARY CONTACT
Who should we call /write eoncerning this project? Mary M. Lane
Address: 560 Ray C. Hunt Drive, Ste. 400CityCharlottesville state • VA zip 22903
Office )?hone: &L4) 924 -0143 cell #434- 242 - 87971~ ,sx # 434 - 243 - 1816E -mail uvimco@virginia. edu
APPLICANT INFORMATION
Check any that apply-, _ Chang vnership Change of U e � Change of name New business
BusinessNam.ef ype: University of Virginia Investment Management Company"
Previous Business on this site See Above - No Change
Describe the proposed business including use, uUmber of. employees, number of shifts, available parking spaces, number of
vehicles, and anj? additional information that you can provide. 30 Fmplovees e One Shift, Office Space
'This Clearance will only ba valid on the parcel for which it is approvod. ]f you ehane, intensify of move the use to a new location, a naw Zoning
Clearance will be required.
I henk 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 tme ?nd accurate to tbo best of my knowledge. T have read the conditions ofapproval, and I understand them, and that I ml*t abide by them.
Signature — , XAA -A _Printed. Mary..M. Lane
APPROVAL INFORMATION
Appro "ed as proposed [ ] Approved with conditions [ ] Denied
] Backflow prevention. device and /or current test data needed for this site, Contacr ACSA, 977 -4511, x117.
[
',No physical site inspection has been dome for this clearance. Thercfbre, it is not a determination of cOalpliance with the existing
site plan, .
[ ] This site complies with the site plan as of this date,
Mores,
19aUding Official I
Date
Zoning Official _7157
_ Date / %3
Other Official Date
County of Albemarle Department of CUmtrtunity Development
401 McIntire Road Charlottesville, VA 22902 `voice: (434) 295 -5832 Fax: (434) 972 -4126
Revised 7/1/2011 Page 2 of 3
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Intake to complete the followving-
Y / ( —N5
Ts use in LI, HI or PDIP zoning? If so, give applicant a Certified
Engineers Rcport (CER) packet.
Y/
�Vii_1`t7'ere be food preparation?
If so, give applicant a Hcalth 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�'public water?
Ifprivate well, provide Health-Mpariment form.
2oning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that applies M
Is parcel on septic o public s`e r.
Reviewer to complete the follotiving:
Square footage of Use:
'V / N
Permitted as:
Under Section: ;— j A , °Z
Supplementary regulations section:
Parking formula:
Required spaces:
Items to be verified in the field:
Y / 1V
Will you be puiting up a new sign of arty Kind? If so, obtain proper
sign permit.
Permit Ynspector : Date:
Y / N Notes-
Will there be any new construction or renovations?
If so, obtain the proper Permit, µ,
Permit# yo'7 --435� A U .,
Zoning to commlete the following:
Vfolatians:
Y /�?9/
If�so, ist:
Proffers:
If so, List:
Y I ()
If so, List:
Y /
If
SDP's
Clearances:
Revised 7/1/2011 Pago 3 of 3
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