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HomeMy WebLinkAboutCLE200800058 Legacy Document 2013-01-11Application for Zoning Clearance � pF n rtt�r Ott i =�;- County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 5/1/06 Page 2 of M OFFICE iLY El Zoning Clearance = $35 CLE # PLEASE REVIEW ALL 3 SHEETS Check # ° Date: TMO Receipt # Staff: , PARCEL INFORMATION Tax Map and Parcel: TeX Map 78; Parcel 31 F Existing Zoning Commercial Parcel Owner: PJP Building Two, LP Parcel Address630 Peter Jefferson Parkway, Scaiftty2 0 Charlottesville State Virginia Zip 22911 (include suite or floor) PRIMARY CONTACT Who should we call/write concerning this project? Mr. Joel Mangham Address :030 Peter Jefferson Parkway, Suite 250 Charlottesville State-Virginia Zip 22911 Office Phone: 434 73 2223 Cell # Fax #434 973 2228E- mailjoel m righarnassociates•e APPLICANT INFORMATION Business Name /Type: Mangharn Associates, Inc. Previous Business on this site CSC, Inc, (federal contractor) Describe the proposed business, including use, number of employees, number, of shifts, available parking spaces and any ;additional information that you can provide: nvestment management company. - employees; one shift, large parking o s x arT)Oflg several offices; approx 5,000 square feet office space. *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 hay d the conditions of approval, and I understand them, and that I will abide by them. Signature Printed Joel R. Mnghm QD AP 7Ba�ckflow OVAL INFORMATION Filn-fflAt �r �V><Ce and/or [ roved as proposed [ ] Approved with conditions r � e ] prevention device and /or current test data needed for this site. Contact ACSA1 st Data Needed [v]'No physical site inspection has been done for this clearance. Therefore, it is not a deter 'pt a�pllh 60,,,iffftwistag site plan. [ ] This site complies with the site plan as of this date. Notes: Building Official Date Zoning Official Date Other Official Date County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 5/1/06 Page 2 of M Intake to complete the following: ❑ YES © NO Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report ER) packet. ❑ YES v NO 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 V] NO Is parcel on private welFeggin b i water? If private well, pr( le form. Zoning review can not. until we receive approval from Health Dept. FAX DATE ❑ YES ❑ NO Is parcel on septi�r p fewer? ❑ YES 1., O Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # ❑ YES ❑k"NO Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # Zoning Tech to, complete the Violations: ❑ YES [i NO If so, List: Variance: ❑ YES Q NO If so, List: Reviewer to complete the following: Square f dttage of Use: 15-020 YES ❑ Permitted aJ,/1�1 Under Section: 43. a . Cf� Supplementary regulati ns section: Parking form la:'6 d Y1 0 Rired spaces: e w hde--41 _ '� Lj YES " NO ' Items to be verified in the field: Inspector : Date: Notes: ❑ NO so, List: spy © YES ❑ NO If so, List: 6 C �- 5/l/06 Page 3 of 3