HomeMy WebLinkAboutCLE200900213 Legacy Document 2012-10-15Application for Zoning learance
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Zoning Clearance = $35
OFFICE USE ONLY
Check # It) 1 Z, Date:
PLEA REVIEW ALL 3 SHEETS
Receipt # ' 5,3,3 S Staff: (Q�I
PARCEL INFORiVIATION
Tax Map and Parcel: 06100- 00- 00123FO Existing Zoning Highway Commercial, Corn. for business /retailing
Parcel Owner: Union Bank and Trust Company
Parcel Address: 1700 Seminole Trail, Suite 101 -103 City Charlottesville State VA Zip 22901
(include suite or floor)
PRIMARY CONTACT
Who should we call /write concerning this project? Diane E. Caton / Management Services Corporation
Address • PO Box 5306 City Charlottesville State VA Zip 22905
Office Phone: 434 293 -6069 Ext. 104 Cell # 434 - 962 -4851 Fax # 434 - 244 -2870 E-mail dianecaton @msc- rents.com
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
Business Name /Type: Vector Security Inc.
Previous Business on this site Ensign Mortgage, QualCom
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: Business and sales offices for security company, 7 employees, 1 shift,
7 vehicles on a daily basis.
Site has 47 parking spaces with additional parking available through easement on adjoining property,
*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 b f wle ge. I have read the conditions of approval, and I understand them. and that 1 will abide by them.
Signature _ Printed Diane E. Caton
APPROVAL INFO TON
[ ] Approved as proposed [ ] Approved with conditions [ ] Denied
Backflow device test data for this site. Contact ACSA, 977 X++9,, 11_"
[ ] prevention and/or current heeded -4511,
[ ] 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 Datef _O a
Zoning Official Date
Other Official Date
County of Albetnarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
Revised 04/28/08 Pate 2 of
Intake to complete the following:
Y /
Is I, Hl or PDiP zoning? If so, give applicant a Certified
En Report (CER) packet.
Y N
W 1 re 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 rc wa er?
If private well, provide Flea th Depar ent form.
"Zoning review can not begin ve receive approval from Health
Dept. FAX DATE
Circle the one that applies
Is parcel on septic or p tic ser er?
Y/N
Reviewer to complete the following:
Square footage of Use:
Y/N -
ermitled as:
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Under Section.
Supplementary regu= section:
Parking formula: Z
Required spaces:
Y /N --
Items to be verified in the field:
Will you be putting rjp a new sign of any kind`? If so, obtain proper
Sign permit.
Permit # I inspector : Date:
Y/N
Will there be any n w construction or renovations?
If so, obtain the pro er Permit.
Permit #
Zoning to complete the followinfr:
Notes:
Violat• ns:
Y/
If so.Pstl
Prof
Y/�
If so, List:
V '
Y/�
If so, List:
SP'
I rst:
Clearances:
SDP's
Revised 04/28/08 Page 3 of 3