The URL can be used to link to this page

Home My WebLink AboutCLE201200014 Review Comments Zoning Clearance 2012-03-20V0 rw Application-for rZoning-Clearance CLE # GZi I — N PLEASE REVIEW ALL 3 SHEETS OFFICE USE ONLY Check # 6 S Date: Receipt # - cr7 0 8 Staff: PARCEL INFORMATION // �f��j1 %� C G�C� �- ` �' °_ 11f_1Qisting Zoning -Tax Map and Parcel: -- - - - - .0 - - _ Parcel Owner: Parcel Address: f\01P 1'6LI City l_ Qr 0 W011 State Zip` (include suite or floor) -- PRIMA.RY_CO TACT Who should we call /write concerning this project? /K� �,0 O / ( / Address : �B l l SP.w,-�nple .. +/�" \ City C.' (�U �`4 State Zip Z Office Phone: I LI 1 �� 1 Cell # 0 `� x # E -mail v V p�hCl ' ' `+ t'a �41n0U vC APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name New business w Business Name /Type: ] Cu1 r IAIA 0 1 Previous Business on this site I� Describe the proposed business including use, number of employees, number of s ifts, available parking spaces, number of ' ��1 � � h' fit' S Q �0 � vehicles, and any addition 1 information that you an provide ct (Y, V V P-e ou, G1M OLV lct k c C� 0 �: �^ G1 *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 to the best of my knowled e. I have read the conditions of approval, and I understand them, and hat I will abide by them. Signature V` ° lT - u' Printed C €J AP OVAL INFORMATION [t4 Appjp ved as proposed [ ] Approved with conditions [ ] Denied [ ]Bae'How prevention device and/or current test data needed for this site. Contact ACSA, 977 -4511, x117. [kX0 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 Date3 i Zoning Official 6 Date ' Date 1J' 1la- \,tither Official 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 1 the followinLr: Y Square footage of Use: Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. / N �. ermitted as: Y/ N �LI ' a 36 i] ere be food preparation? Under Section: so, give applicant a Health Department form. – -- –_ - - -- - - -- Zoning review can not begin until we receive approval from Health Supplementary regulations section: Dept. FAX DATE Circle the one that applies Parking formula: Is parcel on private well or public water? I J 6S k If private well, provide Health Department form. Zoning review can not begin until we receive approval -from Health — Required-spaces-- pr) Dept. FAX DATE - Y/N Circle the one that applies Items to be verified in the field: Is parcel on septic or public sewer? 7)/ N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Inspector : Date: Permit # Y /g Notes: Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # (JVlllll LV VV111 1V 4V 4 Violations: Y/N If so, List: Proffers: Y/N If so, List: Variance: Y/N If so, List: SP's: Y/N If so, List: Clearances: L' ' SDP s �13Y "l Revised 7/1/2011 Page 3 of 3 CERTIFICATION THAT NOTICE OF THE APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER This form must accompany zoning applications (Home Occupation, Zoning Clearance, Zoning Administrator Determinations or Appeals, Sign Permits, Building Permits) if the application is not the owner. /��% rr _ I certify that notice of the application, i /U� �U [County application name and number] was provided to the owner of record of Tax Map [name(s)_ofthe_reeord owners of the parcel] and Parcel Number manner identified below: by delivering a copy of the application in the Hand delivering 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 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 en ity] on I to the following address: Dat VA K, t (i C 1 �� [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 0- X Ho (IV 2,L 01 Print Applicant Name .0 Icy C-« Dat e Application for Zoning �Iearance Mal C CLE K; oTi o r,�'' 16' 't' N. - PLEASE REVILW ALL 3 SMFTS _ Chec . - - Recei �# 57-, Staffs PARCEL TIIFORIYIATXON w Tax 114ap and Parcel. Parbei Owner; ff�J -7 { 0 4 t o 1- t O�P. d lam__ —Ci 1. t o State zip - Parcel_Address; -�j1� i� p (include suite or floor) Y ty TI MARY CONTACT' (� Who should we caWtvrite concerning this project? t Ut9 ,' dA.11.116,1"" q' Address . `� i GA i J (� City • W-O State Zip Zr� O OfficePhone.� Llt 6�� Cell# 1 `� ;ax #F E-mail + 440 APPLICANT INYOZ2MATXON Check any that apply; Change of ownorsilip Change of use Change of name New business Business NamelType. ja Previous Business on this site Describe the proposed business including use, number of entplo�+ es, numb ofs s, available arking sp ces, number of vehicles, and. any addition l information f at yon an providF 0 e itt � S And S W A wt/ a>l� aF ti o> x k h 'T'ltls Clearoo will only be valid on the parcel for which it h approved. If you change, intensify or move the use to a ucw location, a nano Zoning Clearance will be required. I hereby colify that I own or have lbe owner's permission to use the spw indicated on this application. I also certify thm the informadon prosgded is true and sccurateto tho bolt of mp a knowled I havo read the conditions of approval, and I understand them, and hat I wi it abide by thaw, Signature "`-S t� �i Printed- 10 APPROVAL INFORMATION ( ')Approved as proposed ( ] Approved with conditions • [ ]Denied ( j Baelcflow prevention device and/or current test data needed for this site, 'Coutaet ACSA, 977.451 I, x117. ( ) No physical site inspection has been done for this clearance. Therefore, It is not a deternrinaflon of compliance -with the existing site plan, (' j This site complies with the site plan as of this date. Notes. Braiding Official 4 r� Date Zoning Official Date Othe r Official 'Date C oun0fol AivemarteJJepnrrmenr oc eromnruntry uoveloputent 901 i12clntire Road Charlottesvl]te,'VA22902Yoice. (434) 296 -5832 rax: (434) 972.4126 Revised 7/1/2011 Page 2 of 3 Rebecca Raasdale From: Batten, Teresa (VDH) [ Teresa .Batten @vdh.virginia.gov] Sent: Tuesday, March 20, 2012 11:59 AM To: Rebecca Ragsdale; Stewart Wright Cc: Cranford, Mark (VDH) Subject: Signed and approved zoning clearance Attachments: 20120320115505438.pdf Please let me know if you have any questions. Thanks, Teresa Office Support_ Supervisor 1138 Rose Hill Drive Charlottesville, VA 22903 0: 434 - 972 -6219 F: 434 - 972 -4310 1 zzzFf z2-F4 ��r J � 3 ff 29f� I ol��c �CQA wovlr•CLW G�D �I iz��