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HomeMy WebLinkAboutCLE200800072 Legacy Document 2013-01-11COMMUNITY DEVELOPMENTI Fax 4349724126 Application for Zoning Clearance Mar 26 2008 01:29pm P003/004 w Zoaimg Clearance = $35 OFFICE gVSWb7 Y � CLE # b � Check # Tate: PLEASE REVIEW ALL 3 SETS Receipt # V6 46 Staff: 212 PARCEL INFORMATION 'pax Map and Parcel: d !`. ' 0(: 6 �J�_ Existing Zoning ' xOmt FarcelOwner: _J� Parcel Address: U✓ Chu U�JI V�• Cxty �%(�/cState Zip (include suite or floor)5,, ; J. loo oMA,�X CONTACT 'T Who sl }ogld we call/write concerning this project? � VA Address : �� (� U /Y�l l ,( Clly j/ ,lJ'U State Zip Office Phone: Cell # — _�. Faa # '- -mail r pwee'k; APPLICANT INk (J�]17ATIQNT 1 , I ' I -ICES Business Name /Ty eF .` r ,F V l6 Previms Business on this site none, Describe the proposed business, including use, number of employees, number of'sbxfts, available parking spacel and any adclitional inn rmation ttat you can provide: T f o rm — J *7b is Clearance will only be valid on the parcel for which it is approved. if you change, intensify or move the use to a new locatiom, a now Zonin g Clearance will be required. I hereby certify that I own or have the ownez s permission to use the space indicated on this application. I also certify that the inforruation provided is true and accurate to the best of my knowledge. I have read the conditions of approval, and I wadc(rstandd them, and I wjiJM abide by them. 1that Signature Rnat�& 6) LLD Printed ' -Par e, .J• Wee kS APPROVAL INFOKgATION [ J Approved as proposed LA Approved with conditions [ ] Denied V]' $ackflow prevention device an&or current test data needed for this site. Contact ACSA, 977 -4511, xl 19. [ .] No physical site inspection has been done for ibis clearmoc. Therefore, it is-not a determination of compliance with the existing site plan. / [ J This site complies with the site plan, as of this date, ?dotes: Building Official Date Date Zoning Official Other Official Date County of Albemarle Department oz Community Development 401 MdAtiire Road Charlottesville, VA, 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 511106 Page 2 of 3 Intake to complete the following: ❑ YESo NO Is use in LI, HI or PDI.P Zoning? Engineer's Report (CER) packet. COMMUNITY DEVELOPMENT1 Fax 4349724126 Mar 26 2008 01:29pm P004 /004 If so, give applicant a Certified CJ YES ©-M Will there be food preparation? If so, give applicant a Health Dopartmennt form - ,Zoning review can not begin until we receive approval From Health, ]dept. FAX DAT)) ❑ YES ❑ No Is parcel on private well public vat ? If privatc well, provide IIo ent form Zoning review can not begin until we receive approval from Health Dept. FAX DATE ❑YES El No Is parcel on septic w lie sc�v M'YES ❑ NO Will you be putting up a new sign of any land? If so, obtain proper Sign permit. - il��il�/i�i�4�1 rGXJil�j +6 do hex t # U U YES U'Na Will tinere be any new construction or renovations? If so, obtain the proper Penzxn t. 1?anmit# Ol�— �/ z5 A cr 2onwe Tech to complete the followin Reviewer to complete the Mowing.- Square footage of Use: 7 VYES ❑ NO Pcrrrtitted as: 44v2)- � ✓ e-- Under Section: ZZ ' 2' Supplementary regulations section: Parl�ing formula: Required spaces: pr6 LJJ ❑ YES P NO Items to be verified in the field: Violatiol7s: YES ❑ NO If so, List: proffers: ❑ YES NO If so, List. Variance: ❑ YI✓S� NO If so, List. SP's: [I �'�S NO If so, List, 511106 Page 3 of 3