HomeMy WebLinkAboutCLE201200214 Legacy Document 2012-10-239 1
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Application for Zoning Cl�""A e
CLE #101 Z - z r 4-
OPFICRU jo-4-12-
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PLEASE REVIEW ALL 3 SHEETS
wGh� Date:
Recelpt Staff.,
PARCEL INFORMATION
Tax Map and Parcel: TM61W, Paxels3-198,23,24,26 Existing Zoning NMD
Parcel Owner: ALBEMARLE PLACE EMP, LLC
Parcel Address: 1954 SWANSON City CHARLOTTESVILLE State VA Zip 2290I
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? Rick Adams
Address :1732ROgalLarte I City Knoxville State TO!" Zip 37918
Office phone: (2LO_) 468.3441 Cell 9 (770)712-1611 FaX g t 779)466 -7891 &mail
APPLICANT INFORMATION
Check any that apply.,_ Change of ownership _Change ofuse Cliange of name -�j ew business
Business Name/Type. REGAL CINEIAA I MOVIE THEATER
Previous Business on this site NONE
Describe the proposed business including use, number of employees, number of shifts, available parking spaces, number of
vehicles, and anyadditional information that you can provide: WvAe TraM.AppmXh%AWY60 eaVoYees. Open 7 days opprwdffolty M,00-12:00. Enum lot ((X
paWnq. 6 - 10 employ" cars at one Ume.Standud movie theatre operation.
*This Clearance will only be valid on die parcel for which it is approved, Ifyou change, jritansil - or move the use to a naNy 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 400-Urm'"o the best of =e read die conditions of approval, and I understand them, and that Iwill abide by them.
Signatwe Printed RIC* Adams
APPROVAL INFORMATION
Approved as proposed Approved wilt conditions Denied
'prevention
Backflow device and/or current test data needed for this site. Contact ACSA, 9774511, x117.
No physical site inspection has been done for ties clearance. Therefore, it is not a deterniinafion ofcompliance, with the existing
site plan.
[ j This site complies with the site plan as of this date,
Notes:
Building Official Z
—Date —1-
Zoning Official Date- lb
Other OMeial Date /L/) 4z
County 6f Albemarle Department or Community Development
401 McIntire Road Charlottesville, VA 22902-Voice: (434) 296-5832 Fax., (434) 972-4126
Revised 7/1/2011 Page 2 o£3
Intake to complete the following:
Y /
Is us LI, IIi or PDII' zoning? If so, give applicant a Certified
//Engineer`s Report (CER) packet.
Yom/ N
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-0 pt =r?
If private well, provide Health Department form.
Zoning review can not begin unfit we receive approval from Health
Dept, FAX DATE
Circle the one that applies
Is parcel on septic U *I sewer
YIN
Will you be putting up a now sign of any kind?
Sigri permit.
Permit# $ ""2012, 'i
Y/N
Will there be any new construction or renovations ?'
If so, obtain the proper Permit.
Permit# OW W W0- 03-0O 00
If so, obtainproper j
17 "'I ,,r fn nmmn7nto ilia fnllnixiinvt
Reviewer to complete the following:
Square footage of Use: -_C% -7 92
)0 /N
Permitted as: �"hcIrui i p -n l
Under Section: 4 ,t.j,t .(,X
Supplementary regulations section:
Parking formula: �l�
Required spaces: l //
Y /NN
Items to be verified in the field--
Inspector
Notes:
Date-.
Violations:
Y 16
If so, List:
offers:
CV / N
If so, List:
Y /1 Ce;
If so, lst:
Sy1 6)
If so, List:
Clearances;
SDP's
e'\7� �
f% /9
Revised 7/1/2011 rage 3 of 3
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 ALBEMARLE PLACE EAAP, LLC the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number TM61 W, Parcels 3- 19B,23,24,25 by delivering a copy of the application in the
manner identified below:
Hand delivering 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
X Mailing a copy of the application to ALBEMARLE PLACE EAAP, LLC
[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 Oq - 28 - 12 to the following address:
Date
7200 WISCONSIN AVE. STE 400, BETHESDA, MD 20814
[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].
< � �, 0
Signature of Applicant
Rick A& m4
Print Applicant Name
CA-2$- kI-
Date