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HomeMy WebLinkAboutCLE201200212 Legacy Document 2012-10-08Application %r Zoning Clearance ov n�.��, � zri. '`- �'h811��T PLEASE REVIEW ALL 3 SHEETS OFFICE USE ONLY Check # 1 �(D Date: 0 ` # Staff: Receipt PARCEL INFORMATION_ _DMA Tax Map and Parcel: �° X75 "�" --t%— );xisting Zoning Parcel Owner: LuuC a r^ L-LC- Parcel Address: i I o RU t lC +� C_E7 City t��icsr�o � %�� State VX Zip��`P11 (include suite or floor) C'. `1 C� S PRIMARY CONTACT � this x >✓ ��� Who should we call /write project? rconcerning Address: � RS �ii�Er(���d �r^t�v•� City �����vts�/��. State t//V Zip.22911 ! / Office Phone: 69Yj 974.OF/ Cell # 9C4? "25 o?' Fax # �� ^ ��� E -mail eo�C�y�n3r tulo�KdC'lilkpct✓�y, ce APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name New business jj n/) Business Name /Type: �t�ndv Yti i rui t,�v� v��t s; rvlen� c' 0 �hoty Previous Business on this site An e- Nno Al'cw - Describe the proposed business including use, number of employees, number of shifts, available arking spaces, number of vehicles, and an additional information that you can provide: pf"4'A rii � %.. 1tC ^cj�S *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 anJam te, the est of av�e read of approval, and I understand them, andthat I will abide by them. �knowl�edge. �hecond�itions Signatur � Printed ACZ&W c 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, x117. [ ] 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 Date h (.1 t 1 Zoning Official ����7�1 �✓ Date /� Other Official Date County of Albemarle Department of community Deveiopmeni 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 Revised 7/1/2011 Page 2 of 3 u J d Intake to complete the following: Y /(M Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y /( Will there 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 o4 4E water? If private well, provide 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 septic o public sewer? Y /0 Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # Y/N Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # [ Zola A L'I Q© G r7--!.. r... ,.1„4— 141.^ f^11.. y-n- Reviewer to complete the following: Square footage of Use: 6/N Permitted as: Under Section: 2 2 Supplementary regulations section: Parking formula: Oil Required spaces: Y/N Items to be verified in the field: Inspector : Date: Notes: uv as aaa Violations: Y /0 If so, List: Proffers: &5/ N If so, List: •z-,4i,4 n3 -3 Val nce: Y /0 If so, List: SP's: Y / If so', fist: Clearances: SDP's Revised 7/1/2011 Page 3 of 3 CABINET FLOOR. TO ? PROPOSED FLOOR PLAN 1410 ROLKIN COURT SUITE 202 1283 SQ.FT, 0911712012 000 ❑T-3 SCALE: 118 " =1' -0" m 0 t rn CONDO MANAGEMENT OF CHARLOTTESVILLE, INC