HomeMy WebLinkAboutCLE200800158 Legacy Document 2013-01-28Application for Zoning Clearance is
OFFI,CE U +SON Y ,, �-� ��✓✓}}
❑'Zoning Clear arice = $35 Cheat # Date:. `GCS
?LEASE REVIEW A ,'L, 3 ,S1WETS Receipt # 1(Q 7 % St<lff:
PARCEL INFORMATION
Tax Map and Parcel: 0 61 Y 0– 0 0– O B –10 4 0 0 Existing Zoning NMD
Parcel Owner: BFR Properties, LLC
Unit 104
Parcel Address: 943 Glenwood Station LNCityCharlottesvilstatte VA Zip 22901
(include suite or floor)
PRIMARY CONTACT
Who should we call /write concerning this project? E. Randall Ralston
Address: 1020 Ednam Center Ste 1_02 City CharI ottesvi 1 State VA Zip22q n3
Office Phone: (434) 817- 1()4(1 Cell# Fax #220 -4894 E- mailerrCgrralston.com
APPLICANT INFORMATION I
Business Name /Type: Comcast Spotlight - Retail Sales (Advertising)
Previous Business on this site None
Describe the proposed business including use, number of employees number of shifts, available parking sp ces, number of
vehicles, and any additional information that you can provide: �f -6-Ce SVa(, P V, � - e+l,i,l SWnv' ' ►'CQ
5-in eT"P)Q1AeYS. i Shi++Ck —5 MJ
5 am' 0Wf i 60671_h Cc
i n` bo wai[ - i n
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*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 die est of in y kn ledge. I have read the conditions of approval, and I understand them, and that I will abide by them. LJ68)
Signature Printed ZIty - k
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L 1 i -4o ..pnysicai site inspection nas oeen.Qone Tor e. tnls c1eurance. 'lnermule,'11. 1S 11UL a UMtC11nn1MIUll u1,L.U111p11QIl4G WIL11 L11G GAML111r,
site plat.
[ ]
This site complies with the site plan as of this date.
Notes:
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
Revised 04/28/08 Page 2 of 3
Intake to complete the following:
Y/N
Is use in , HI or PDIP zoning? If so, give applicant a Certified
En gin r s Report (CER) packet.
Y /
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 o ublic ater?
If private well, provide Heal artment form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that appli
Is parcel on septic or p lic se er?
Y/
Sil be putting up a new sign of any kind? If so, obtain proper
Sign ermit.
Permit #
/ N
ill there be any new construction or renovations?
If so, obtaiij#eproper Permit. 1
Permit # '—G
Zonin2 to comiDlete the followin :
Reviewer to complete the following:
Square footage of Use: 13- d /
/N r�
ermitted as: pro nlnr.A)
Under Section:
Supplementary regulations section:
Parking formula:
14,11, )
Required spaces:
Y" N
Ite • s to e verified in the field:
Inspector : Date:
Notes:
Violations:
Y %�i�t
If S(5 ist:
Proffers:
Y %'
If s �L'st:
Variance:
Y/0
If so, List:
SP's:
Yr�
Ifs , L st:
Clearances:
SDP's /
Revised 04/28/08 Page 3 of 3