HomeMy WebLinkAboutCLE200800025 Legacy Document 2013-01-03Application for
Zoning ClearanceBu,1 di ng Permit
#B2007- 01965AC
® Zoning Clearance = $35
PLEASE REVIEW ALL 3 SHEETS
OFFICE USE ONLY
CLE # q�
Check # 0117 Date:
Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel: 32-19J Existing Zoning PD I P
Parcel Owner: University of Virginia Foundation
Parcel Address: 1001 Research Park Blvd. City CharlottesvilldState VA Zip�291 =1
(include suite or floor) Suite 200
PRIMARY CONTACT
Who should we call /write concerning this project? Michael Stumbaugh
Address: P.O. Box 400218 City Charl o .tesvi 11 PState �IA Zip 220 4
Office Phone: 4( 34) 982 -3777 Cell # 531 -1938 Fax # 982-4U2 E -mail s tumk i rg i n i a . edu
APPLICANT INFORMATION
Business Name /Type: CACI Enterprise Solutions, Inc.
Previous Business on this site none
Describe the proposed business, including use, number of employees, number of shifts, available parking spaces and any
additional information that you can provide:
ice pace
*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 theme, and that II will abide by them.
Signatur Printed t v 6 k
APPROVAL INFORMATION
[ /] Approved as proposed [ ] roved with conditions [ ] Denied
[ ] Backflow prevention device and /or current test data needed for this site. Contact ACSA, 977 -4511, x119.
[ ] 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
/I
Zoning Official Date � y
Other Official Date
County of Albemarle Department of Lommunity lieveiopment
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
5/1/06 Page 2 of 3
4218
Intake to complete the following:
YES ❑ NO
Is use in LI, HI or PDIP zo ' . If so, give applicant a Certified
Engineer's Report (CER acke
❑ YES [�O
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
❑ YES 9-- O
Is parcel on private well or public water?
If private well, provide Health Department form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
ES ❑ NO
Is parcel on septic or public sewer?
❑ YES [E NO
Will you be putting up a new sign. of any kind? If so, obtain proper
Sign permit.
Permit #
❑ YES ❑ NO
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit # ��—
Zoninll Tech,to complete the following:
Reviewer to complete the following:
7 Squ a footage of Use: f q,
b
YES ❑ N
Permitted as: i
Under Section: �• a7.a y I`T/
Supplementary r gulations section:
A/
Parking formula; ,Loo &F4
Required spaces: Is
❑ YES ❑"NO
Items to e verified ' th ieJ,fl:
Inspector
Notes:
Date:
Violations:
❑ YES NO
If so, List:
Pr ffers:
FA YES
If so, List:
❑ NO
Variance:
❑ YES EK NO
If so, List:
SP's:
❑ YES
If so, List:
NO
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