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HomeMy WebLinkAboutCLE201200029 Review Comments Zoning Clearance 2012-02-17Application for Zoning Clearance CLE# 2��2-,Z p }'r 1'f /t(11��P OFFICE LY " PLEASE REVIEW ALL 3 SHEETS Check # Date: Receipt # Staff: PARCEL IN y � � Tax Map and Parcel: '' (( � . Existing Zoning Parcel Owner: TO'-�'(A e� �G V►'� �� Qn �J� Parcel Address:-) ?\cJ m.,c1 'ZcA State U0.• Zipaag0 2 (include suite or floor) PRIMARY CONTACT Who should we call/write concerning this project? Address: C)lr (« �R(A t-+ q -- City r_� ar10+eSa11 f� State Zip ;)DgA7I Office Phone: 3ti 2' ISZ02,62 (Cell# q&5--0'7:3 0' Fax # E -mail ED _ c_o APPLICANT INFORMATION Check any that apply: Change of owners�hJip' Change of use Change of name y. New business Business Name /Type: 1/i� fay [ Eafi O Previous Business on this site V\.eh �'CClcc lLAQ 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: 1 V 14> C41 I -- *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 knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them. Signature �(�c� �`� Printed La CT LJ e—eke" U APPROVAL INFORMATION [ ] Denied [ ] Approved as proposed [ pproved with conditions [ ] B3pkfiow prevention device and/or current test data needed for this site. Contact ACSA, 9774511, x117. the [ o physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with existing site plan. [ ] This site complies with the site plan as of this date. li ".Ii/1 Notes: Li 11111'�1L�.1 l 7 C1 li� I ( �PICl a !^ P C, Q 1 i �Q f1 1� C,I 1 it 1 E� J Building Official c Date l __ Zoning Official Dated Other Official Date County of Albemarle Department of uommumty ioeveiopment 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/QN Is u LI, HI or PDIP zoning? Engineer's Report (CER) packet. If so, give applicant a Certified Y / Wil �tlf ere 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 o public water? If private well, provide Hea ment form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE Circle the one that a :'es Is parcel on septic r lic sewer? Y/N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. I j� Permit # fi�.a 9 � 4D beJ Wilt�lfere be any new construction or renovations? If so, obtain the proper Permit. Permit # Zonine to complete the following: Reviewer to complete the following: Square footage of Use: 66D /N n ermitted as: Under Section: �) fi 111A 1W Supplementary regulations section: Parking formula: Required spaces: Y W -CK" ,pector Notes: in 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: 2d I .. SDP's rqO 0 Y 5 ' cafff FH 1,0 0— L ] o_. b 1° 3, ��� o� �- U�.�•v I�v��e��es r�mc�`�n . s -�� -� ,�sh�� c>a, �� �� r�v�n��es Revised 7/1/2011 Page 3 of 3 M --AA 1011114� O Charlottesville Tuffy - Tuffy Auto Service Centers \lission Statement To Provide the Best Automotive Repair Service in the Industry Through a Continuous Commitment to Quality and Customer Service. Home Car Care Tips Service Customer Testimonials Customer Survey Automotive Coupons Find a Tuffy Contact Us Franchises Employment Tuffy News Room Sign up for our Email Newsletter -- I GOB. is I SEARCH TUFFY... 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Cus#lamdr SO.W6e Award Winner 1r 2011, 10 GealerAlvards 2�}iQ' `M sA Tuffy I © 2012 Tuffy Auto Service Centers Tuffy Associates Corporation - (800) 22- TUFFY(88339) Site Map Terms and Conditions Privacy Policy Dealer Login http:// www.tuffy.comlmtreelvirginia /1- charlottesville /charlottesville - tuffy.html 2/10/2012 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. I certify that notice of the application, • [County application name and number] was provided to j 0 act CLk C,\,`M _ the owner of record of Tax Map [name(s) of the record owners of the parcel] and Parcel Number manner identified below: by delivering a copy of the application in the V Hand delivering a copy of the application to ' 0CW Y) 'e—cd 6,m [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 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 Date