Loading...
HomeMy WebLinkAboutCLE200900123 ApplicationCOMMUNITY DEVELOPMENTI Fax 4349724126 Rub 10 2009 11:23am P002 /002 Application fa Z uin Clearance � A CLE ^ ^xv5,=[:'-- �..u��' _- w{:�n ° °_urg :lai n: d at _::;a • ::sxrlt: .'._trav — .fir-;?; •�v,. .,'':'ic:f�^i %i: k:'. lLl �; tea`,_' ='n `�- � r -�� �E � . : � ' ,:�„ t. , �r•t• .�..:,'• - �,7fih , �_',._r'" zl�ly"rs• ,i � >J{' xv''/ �y _ � _ nn "1,: ...!c =i ,t - -. ar,_t,4 L�+'s'�I l: uy',� ,r `.,.. n- ir-_,' °_`�c�•._".`_!Ss6n_�•,-,,�c��?_ '{lux. y- - i:i• -- i,Wa"`�•„_.V .�su p9n - -:sx - alrutr �.•' :"i ;�w �- •' �a5�c n�`:�.�I+fiiu ✓ ��an .,R.�.:: :. ;?�L -,,:: _ _, ��•, y _EGp ;J' - �._:'.:'- �;;4'• :._ur�'i'- _.:._ -Irr � %: ''c:o':r . - . � =��6�i ' ���� � �9 � ; s�t ' - "�:.�.s`- •.?+�:.E�- - - nrr..m„�f„4�., .9i •,I m 'rb -� P_ ?:'a:nna9rv,iiw'• - - ' '- �q;�''i' ^'..��".:':4=4a'rr-_. .. •._- ^nr;�.':,W' ".:' "1 ":rWPmy .. _ �'�8 "�::�7 Yr. _ - - - al,iSliiir-ICm.'i N r &Ir.:•. PARCEL INPORMA ' .� �t)r�- �Al'Csj ` Ac �a lllfap an Fa.rcel: Ci Q� i ilJ °— "° E�istilug � img. 10 Ae / /"C Parcel Owner: 11 �1 1.��(%d' t t(?�/�/ `14A1, Parcel A.ddress:1 lo Lil�{4)Vr L'i1S '1'� Cite ''✓ oi: (5�/I6 "� State VA Zip � (ln elude suiti or floor) PRIMARY CONTACT Who should we call/write concerning this �' Address : &60 f t oil City State Zip ��C7yi Office Phone: ` vM2 Cell # q #- 37) Fax #7� r '2 E -mail q14 J «►L � �C//i�Y.IC!)LZ L'�%�r1L�u APPLZCAN'T INFORMATION r• a =rau:— = =iii w '_ . r:•_:; YI�II _ "° _ = _- "= ° =_;,.: "�_ Bess; ;. : Business Nanxe/rl'ype: n � j--1;l .. V Previous Business on this site Vescribe the proposed business including use, number of employees, nuxnbe of hi , avallable parking spaces, number of vehicles, and any additional iuformatio4 that you can provide: S CZ 911 K. *This Clearance will only be valid on the parcel for whioh it is approved. Ifyou change, intensify or move the use to a new location, a neNv Zoning Clearance will be required. I hereby certify that I own or have the oNamer's pennission to use the space indicated on this application. I also certifi, that the information provided is true and accurate t e best of my lai N d I have read to conditions of approval, and I understand totem, and,tha I will abide by thern. 7 signature Printed,Gi .. tta�'• .:rfy +' WI �i '�i, i. : �• - .r . t.`x::4.. ': .:. :.. ....n.. i'n ;b::'.i - J nr1X:J_. _ 'h uI T.G:iv ,. . ,F _.. p� :.:��.:� :s:p' � is 1.a��r_ - v.m•:�= :•.:I_. F•:!,, •' ^�' %n•: - yj.: xC ?'' ,'alli �Nr�i Jr:rl I'�nk +iLYwJlrr ��: : :Tr •. li1'C_., r ��Y r' l _ • - r." _ U •' =� -- y— �cl[..� .n1,)�{�yy: (.y� — nr_�r•— flu:: "': ,,;A'. w.n •. T._ ,.Gli.._.�.::. '• �,a•.+ : 71h.11+. �iVihtlelin .=sr n1r_'_ - ..I {r �. __ �� • b�1.�Fi M:';nl - _ i,.. , r'+�$ ,. � I'�'',' _r .- _ — _ _ __ _ ___ :u. • u�X,- n0�.,f.... ,�.l ml[�'.]:fi��•�,.r �_:; nAiS4.l7� "�F:I_ ':� - �' L �': ��ie:_!, `--� .- x•.. � _ •4,�q� �. +?�Fo . h5 u fi ?r� 'ifi'a/ '��_�,, ::'�•:r.s.l�;�Sa:n:.._...' -jW 'Y��:�fw••y- .e.'Sri {���k';'�;; — -'i -�.A_'•'- -_?'� _ 7'��/,1�:,Lj.'•t� �'b ='__ mi'. :: e�l yY,�'�4 Gn4':� .- }yi �'�/� -w' �r� y]�yy�lltl�..�I�u.,l'hit �I� 'L:`:t•.�}' i,�i^�iMyUl_ �:i., VI4�M'�T •ilJ�:M�i d, rt'.N�W'r'SCf • AY13YN ''_^�i ^.11'.IAI_,✓iX•iiy4212•:. - 'tit:`o-rs� -,:T :•"`a"•i c, n•r.�,;, - - - _ _:a. ._I�G. ko:: u�Sw.•s.- .,u._.._ onm; ; �. -x:- , a —_ _ U '�... is v 'k:w:4a :• _ _ v__ i_ _ __ x: i,'��'• t. w`_�i�?;:= ...,r: _ _ ___ _ __ _ sih�. 115..' JCXiI "�r"�.-h�:�.___...:�:',=�i= -- - ��c. -•_ _ __ site(y -- = ',:F:':� - - „r'= {c��--c' - rr:rnuS %_ 'rc�!r �•rx� =•-• _.:%u. ._ s••r x !Irn: ,• . ^r.�rv� ' •rtta� a�i..Tr - _ ih -.. _.olv -: - -• • - - -• _:r.- _„ ....._ . _ • _ r__ ,.,- ,w�.'? , nnrl: -. •:::117i: ::4t^ ._ X�.I_r.•I. n.> . _a- r5M'hc ,. _ ' ,r -.�,y �.I,i:"7 ^x .Y•k ' i ^.�w�.4f; "�a.,j 'i��."�E�v��' =`:. -:s: �.. o- ''r+r",.` -m�1 �. .•v-•i•N••1:'_.i. _ ,�r _ — L7`�iI''PS; ^' :irrtst�i ":__ =. • _ _ _ �:,•y«. _:;; ,a6�4:� ? : {ilv— _x , .nn_ n- _ .�'�v-v- _.rcc_S:�iry =• _ __" _:m7�' _•.rFwn•;jsG •:.r:.•..5"'.: - 1'.i5''.l!ZL•fI: 'Sl� PIE •8� _ _ '- _ _ _ - ' .:•vE?3m_.; '. :� ey - fi:�t7:'�e:'" Ili: ;u�i . •M:^d . fi��� ._"iF_..': ('r _ �A ..._. . • :r..� J ,tee ... '• •,•• ,^, ••,••+ :••iSC. ,. ".c •:.n . 1.l" '. •asrlik..., !. Wi�1111,:ry •r� a:[nal:.l. 'rrr• �Al�irzlitia =T: _ =;V: " ! �rn_, mh�ul*•.•:ai•" •: fa? i - :•L�ajxac _ rk Jiw_: _ ....F.z,' - - � r'e neYlr�:.= ' .... : ....._fr.': _. ..: . :�'•ar.._ e,,,y._.:IaIKSK .. .:r•:. •- _ IrY�.IrZ".:t:'4 ."C"L�' .S��GWfR!':..�f.�Tr• ._�_._ ._¢A... _:: ��,�,:. �::•.� r ,:_ ::.!� � • .: Ma'-; �?` aa� ; :�.;r�,.. - - _,-_car. ._•.• .._.. Lwa ._ .I,w.:. r.,'Illrwo_ . , ^.,.., ._.. "�'�.',.._... rar:c:n•s, .. ._.. .._ _,._.....,.._..__..__�r�, ,a:rrrc.. ,......1V _ Ln.l�tclrlr_.:3 .,'•.:..•5� +:".•r:_ - -- �tt:�:" �.�IS'err_:`•. r ' ;.�,, '•;;.r I .. ,f. .,. �.:,: -•... •'.' :. {rrh, ,. �. "!Y:. ,� '-5 - �rerR �,S� ;;�'�Y4 _ _ �d, -r.3C.. 1 � . �.ti:: 4 _ . �•' .�. .l •,I_r.� � -1L`' _ nX:Rer `:. _ � �- 1 ",� „', ill ' in olA' :c: ,:. .. . +nnre;r. r.CC• ::• +,._.;. ...ti _ rllm _ - - c*,Xalvr Srar' -X. •_ - _ ear. ,'R1 - or 7'y fi p`h_ • •ci.:,: - n'din;• .r- a .T,. 4 . L ." „ vir4 ..a; .�., 1'•1L!�._ ...hrt w'.rrn .. _.. - ” . 'ir,;; : •'am' - -• � _ ,__., f If., 4.,,.. x h - = -'ri 5 rr. "�.:__^.+' •'�i711v'i. � w.r. +' _. ._._` ��•- '.,_• •- w;�i ..- 7. -:" n� - - '.rp,�. "` � -- a; ' ���'r "`:•:M'r!,i'I�._ r•.�clr• ,- �.., :.•: .,.r. e .. ,' - w._... :_ rrnmlre... .. . _•: `, . __..._ ::.. —ems ...---" _ _ - -- r. I:Sr.:x �., . f _ _ w:m:xii;•: ...W f.. all .,... .Ittnl... ^�nn�rr.L.: .._, I �.._...::, .,._': �; :�:;�:.,:.; .,�, 4_._ .: a r.? ... mph. .V r. +�llCr:'..r:C::' "-'� . J` -• ^': slv" I_,:rn.:.; ^'t County of Al.berztarle Department or Community Development 401 lNlclAtire head Charlottesville, 'VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 Revised 04!28/08 Page 2 of 3 Zoning to comnlete the following: Violations: Y/N If so, List: Intake to complete the following: Reviewer to complete the following: Y Square footage of Use: Is fenr'�I�HI or PDIP zoning? If so, give applicant a Certified Ens eport (CER) packet. Y / N Permitted as: Y /N' ill there be food preparation? Under Section: SDP's If 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 ap Parking formula: Is parcel on privy well or p blic water? If private well, pr vide Heal Department form. Zoning review cannot be until we receive approval from Health Required spaces: Dept. FAX DATE Y/N Circle the one that a lies Items to be verified in the field: Is parcel on septi r public sewer? Y/N Will you be putt)nn ign of any kind? If so, obtain proper Sign permit. Permit # _ Inspector; Date: Y / N Notes: Will there be antion or renovations? If so, obtain the Permit # Zoning to comnlete the following: 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: SDP's Revised 04/28/08 Page 3 of 3