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Home My WebLink AboutCLE201200215 Legacy Document 2012-10-08• e • Application o�� onimg Clearance jy Ot •V.i�:li CLE # �C1�JI OFFICE U � O LY r� Date: A- ` PLEASE REVIEW ALL 3 SHEETS Check # !K Receipt # Staff: PARCEL INFORM I Tax Map and Parcels �' fJ� Existing Zoning Parcel Owner: 0_ City State Vx.ZipCl (y6tj�lp Pa rcel Address: (include suite or floor) PRIMARY CONTACT Who should we call/write concerning this project? Address : G l City GG1, l l'/ ktate . Zip Office Phone: Cell # D 2V Fax # E -mail APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Y Change of name New business Business Name /Type: ° e op e ollf Previous Business on this site 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: *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. s� Printed Un d 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, 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 (b �-- Zoning Official Date �b/ j�% �✓ Other Official Date County of Albemarle Impartment of Community DeveiopmeuL 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 / Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y/N ill 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 or- eater? If private well, provide Healt epartment form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE Circle the one that a pies Is parcel on septic or a is er? Y/N 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 # 7— ;— +n nmmnlnfa fha fnllnwina- Reviewer to complete the following: Square footage of Use: 2-7 0/ N f Permitted as: ig-hA Ad Under Section: Supplementary regulations section: Parking formula: )1P w Required spaces: Y rN Items to be verified in the field: Inspector : Date: Notes: uvaaua — Violations: 61N If so, List: � Proffers: Y/ If so, List: Variance: Y/ Ifs , ►st: Ifs: /N If so, List: Clearances: SDP's ` Revised 7/1/2011 Page 3 of 3 ' r I STATE CORPORATION COMMISSION Richmond, September 19, 2012 This is to certify that the Bert f sate of incorporation of Chuan Wang FR, Inc. was this day issued and admitted to record in this oi'ce and that the saidcorporation is authorized to transact its business subject to acc Virginia Lanus appl cabfe to the corporation and'its business. Effective date: September 19, 2012 a °�re� fyPFa CISECOM State Corporation Commission attest: tcceirk "CommWsion ART1057A(FORM ST- 4)6210098(REV.02/08) COMMONWEALTH OF VIRGINIA DEPARTMENT OF TAXATION CERTIFICATE OF REGISTRATION FOR THE COLLECTION OF Vlrglnlo. gain and Use Tax Chuan Wang FR, Inc. Taste of Chlna 610 ALBEMARLE SCI CHARLOTTESvILLE, VA M01.7406 DEALERI ALES OR ONLINE BUSINESS REGISTRATION Albemarle - $1003 k i I H BEGINNING LIABILITY DATE Oct 2012 DATE ISSUED os 19 2a12 TAX COMMISSIONER THIS CERTIFICATE OF REGISTRATION IS NOT ASSIGNABLE AND IS VALID ONLY FOR THE DEALER NAMED, AND FOR THE TRANSACTION OF BUSINESS ONLY AT THE ADDRESS LISTED. IT SHALL BE AT ALL TIMES CONSPICUOUSLY DISPLAYED AT THE ADDRESS LISTED. flew Fold Hera REFER TO THIS NUMBER IN ALL f2EG15Ti7ATlt�N NUMB> =R CORRESPONDENCE 10 46099485$ FOQi To the Holder of this Certificate of Registration: This certificate must be at all times conspicuously displayed at the place of business for which it was issued, if you cease to conduct business at this place of business, the certificate immediately expires. You must notify the Department of Taxation, Registration Unit, P.O. Box 1114, Richmond, Virginia 23218 -1114 in writing within 30 days and return this Certificate of Registration. If you want to move your place of business to another location in the state, notify the Department in writing and return this certificate so a revised certificate may be issued. Department of Taxation ART1057A (FORM ST-4) 6210098 (REV. 02106) COMMONWEALTH OF VIRGINIA DEPARTMENT OF TAXATION . CERTIFICATE OF REGISTRATION FOR THE COLLECTION OF Virginia Sales and Usa Tax NAME AND ADDRESS LOCKWN ASIA INN JUN LIN RONG & DA LI RONG TASTE OF CHINA Q10 -S12 ALBERMARLE SO COURT Albemarle -51003 CHARLOTTESVILLE, VA 22901 BEGINNING LIABILITY DATE SEP 01 2006 DATE ISSUED THE NAMED DEALER IS HEREBY AUTHORIZED AND EMPOWERED TO COLLECT MONTH I DAY YEAR 06 23 2409 14NI ml Uee TAI( FOR THE COMMONWEALTH IW VIRGINIA TAX COMMISSIONER THIS CERTIFICATE OF REGISTRATION IR NOTASSIGNASLE AND iS VALID ONLY FOR THE DEALER NAMED, AND FOR THE TRANSACTION OF BU81NE58 ONLY AT THE ADDRESS LISTED. IT SHALL BE AT ALL TIMES CONSPICUOUSLY DISPLAYED AT THE ADDRESS LISTED. ARTIQ57A Solos Tax Certificate . __.._ _ _ .w.. •. rraroul revvoa P316 ART1057A(FORM ST- 4)8210098(REV.02/08) COMMONWEALTH OF VIRGINIA ONLINE BusiNESs REGISTRATION DEPARTMENT OF TAXATION CERTIFICATE, OF REGISTRATION FOR THE COLLECTION OF Virginia Sain and Use Tau Chuan Wang FFi, Inc. Tribe of Chin 610 ALBEMARLE SO CHARLOTTESVILLE, VA 220 131 -74M Albwnofe - Maas DEALER IS HEREBY AUTHORIZED AND EMPOWERED TO 1� a� I 1 s f 2012 ALES OR USE TAX FOR THE COMMONWEkLTti t VIRGINIA TAX COMMISSIONER THIS CERTIFICATE OF REGISTRATION IS NOT ASSIGNABLE AND IS VALID ONLY FOR THE ❑ EALER NAMED, AND FOR THE TRANSACTION OF 13USINESS ONLY AT THE ADDRESS LISTED. IT SHALL BE AT ALL TIMES CONSPICUOUSLY DISPLAYED AT THE ADDRESS LISTED. Pleasa Fold Here REFER TO THIS NUMBER IN ALL REGISUTItATiCy�t�4NUMBER CORRESPONDENCE ta- sass4a To the Holder of this Certificate of Registration: This certificate must be at aM times conspicuously displayed at the place of business for which it was issued. If you cease to conduct business at this place of business, the +certificate immediately expires. You must notify the Department of Taxation, Registration Unit, P.O. Box 1114. Richmond, Virginia 23218 -1114 in writing within 30 days and return this Certificate of Registration. If you want to move your place of business to another location in the state, notify the Department in writing and return this certificate so a revised certificate may be issued. Department of Taxation