HomeMy WebLinkAboutCLE201100215 Review Comments Zoning Clearance 2012-01-04Application for Zoning Clearance
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CLE # - 0 %j '- 4,5
F; � '
OFFICE USE ONLY jI
Check # l x%59 Date:
PLEASE REVIEW ALL 3 SHEETS
Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel: QW 41GO 3 0000 &A I Existing Zoning -
Parcel Owner: 2i" II11179Si/►1 f=il7T �C1M }� Abu L� �--�
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Parcel Address:ya ,—i5 %F-A1 a2-[A Q D1 City & O LL( k;; State` Zi�Z
(include suite or floor) 1 2 S
PRIMARY CONTACT /�
Who should we call /write concerning this project? S T iygr 0,w-- LT0/1
I�.Q • 1�. C�� g L �i �- Z2 -96
Address : City G V6 l.L(� State �%A- Zip
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Office Phone: (4,� _ Kell # Fax # <f5 lb E -mail ;� �, �L �. If [26t( /J /A
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APPLICANT INFORMATION ,
Check any that apply: Change of ownership Change of use Change of name _LNew business
Business Name /Type: M A\/ (M L-1 EALT- i+c-A L .� ���r'1211 I &us ( N c,( t,�c
Previous Business on this site C—It p,0 0
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:{
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*This Clearance will only be valid on the parcel for which it is approved. If you change, inte sify 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 accu tot the est of my lrnowledge. I have ead the conditions of approval, and I understand them, and that II will abide by them.
rV � �" Printed /7EH l 121,
Signature � . /
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, xl 17.
[ ] 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�- - -�, 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 7/1/2011 Page 2 of 3
Intake to complete the following:
Y/N
Is use in LI, HI or PDIP zoning?
Engineer's Report (CER) packet.
If so, give applicant a Certified
Y
Wil re 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 r pubT water?
If private well, provide Hea rm.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that a pli
Is parcel on septic r public sewer?
Y
Willl be putting up a new sign of any kind?
Sign permit.
Permit #
If so, obtain proper
N
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit # B 2,U i i- a
Zoning to complete the following:
Reviewer to complete the following:
Square footage of Use:��
/N
Permitted as: E Y:a
Under Section:.
Supplementary regulations section:
Parking formula:
Required spaces: j&
Y/0
Items to be verified in the field:
Inspector : Date:
Notes:
Violations:
Y /o
If so, List:
Proffers:
Y/
If so, ist:
Varian e:
Y/M
If so, List:
SP's:
Y/f
If so, List:
Clearances:
SDP's
Revised 7/1/2011 Page 3 of 3
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EXHIBIT A
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OF CHARLOTTESVILLE, INC.
195 RIVERBEND DRIVE • P.O. BOX 8147 • CHARLOTTESVILLE, VA 22906
335 Greenbrier Drive
Charlottesville, Virginia
STREET ELEVATION
OFFICE OFFICE RECEFTM
OFFICE -- �' WArt
OFFICE OFFICE
-
S
OifICE
CONFERENCE
WORK SUITE-103 TH
OFFICE STATONS _
- H.C. EA
OF�FICE
........... ....
OFGICE F
OFFICE
LE E
BATX
L01L',D WD
RA
ELO
SUITE 1l12
SUITE 101
OFFICE i
11 � LypR LORRY
OFFICE OFFICE I ECEPTIOt�
II
OFfl[E
WAFT E[EPt10 OifICE OFRCE
I (i
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
OFRCE
Offl[E OFFICE
RECEPTION j�
WAR
W?'T
RECEPTION
OFFICE
OFFICE
-
OFFICE
SUITE
205
J ��
WORK SUITE 204
STATIONS
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-
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TX CLO
RA TH
OFFICE
p y
fl4TH
lAN
-
FILE
ROOH OFFICE
OFFICE
WORK
STATIONS BATH !
EATH
ROOM OFFICE
-
CIO q
SUITE 207 m'
OLO
OFFICE
WAIT
!
I I
2 6
I OFFICE
IIECEPOOfJ
OFFICE OFFICE IA�9Y
WAIT [EPTIO
I OFFICE OFFICE
777117, I
`,
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 we believe to
oe reliable, we ao no o gran ee it.
BROKERS • BUILDERS • LAND DEVELOPERS o PROPERTY MANAGEMENT
Prices are subject to change m4lo9
REALTORS
OWNER /BROKER