HomeMy WebLinkAboutCLE201200222 Legacy Document 2013-01-29- - - _ - -- - Application- for Zoning Clearance
OFFICE O
W Date:
PLEASE REVIEW ALL 3 SHEETS
Check #
Receipt # Staff:
PARCEL INFORMATION.
Tax Map and Parcel: Existing Zoning
Parcel Owner: !da,, o vh 1&5
' ' Cit State ) Zip y
Parcel Address: —
(include suite or floor)
PRIMARY CONTACT
e�or .�-,
Who should we calliwrite concerning this project. �I >,1 '?
Address : 75� I ���`h� City bJ` State \/6�.` Zip Zl
Office Phone: �)� 3/ �1 Cell #�3� Fax # E -mail- �-�-C� uaL,00 . Co ✓►�
_APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
,
Business Name /Type:
jj
I`4 0 k �.
Previous Business on this site
P g p
Describe the proposed business including use, number of employees, umber of fts, ava' able arkin s a %es, number f
vehicles, a any addit' 'al informatiop that y u ca provid :
*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 or I ve the wner's permission to use the space indicated on this application. I also certify that the information provided
is true and actin to tl e be of my owledge. I have read the conditions of approval, art understan them, and that I will abide by them.
CI
Signature Printed
APPROVAL INFORMATION
('Approved as proposed [ ] Approved with conditions [ ] Denied
[ ] Backflow prevention device and /or current test data needed for this site. Contact ACSA, 977 -4511, x117.
[ ] 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. - tO n t �..
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
Revised 7/1/2011 Page 2 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, Zo, j iknv�e—�-� j
[Cou my application name and number] j
was provided to-? ct.J
i +-)Vl- Lie owner of record of Tax Map
[name(s) of the re rd owners of the parcel]
and Parcel Number 9-4liq by delivering a copy of the application in the
I r identified below:
Hand delivering a copy of the application to / &.,J M11-
[N me 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 j
title or office for that entity]
on /0 / 111L—
Date
Mailing 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
to the following address:
[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].
Sig re of Appli
nat
C
Print Applicant Name
Date
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4
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D.9.392: P. 5:0
LOT T4,P 56 91
LOT 146 1 WICKHAM11�10
4565 5F l I HOLDIH09 Lr a 'S ` �•:. %
1p 0,9.332d P. 54 �%
I
5076 SF � x
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nn 20' SANITARY
LOT 947 FP
6191 SF/ N SEWER ESA4T
ERNEST xr I
Co h I N I HEMINGWAY
lb N n ELEVATIONS �: :•� %`.. %::
F+ _ '1 y
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FF4233
B = 633.33 WINDOW
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SQUARE FOOTAGES: - WICKHAM POND 2. PHASE 2
LOTI47. BUILDING 1, 775.4 0 SF I, 332.63 SF W� i1ict LOT 947
" YARD 3,122.62 SF
HOUSE LAYOUT &
NOTES. GRADING PLAN
1. FINISHED FLOOR ELEVATIONS WERE ESTABLISHED BASED ON
AS -BUILT TOPOGRAPHIC DATA AND AS DIRECTED BY THE BUILDER, FOR: RYAN HOMES
2. IT IS THE BUILDER'S RESPONSIBILITY TO REVIEW THE FIELD LAYOUT
AND FINISHED FLOOR ELEVATIONS AND TO MAKE ANY NECESSARY GRAPHIC
FIELD ADJUSTMENTS. SCALE
J. SANITARY LATERAL LINE INVERT ELEVATIONS SHALL BE VERIFIED BY 3n 60
THE BUILDER.
4. BUILDING SF INCLUDES PORCHES, WALKS, AND STAIRS.
5. YARD SF INCLUDES THE AREA IN THE R/W UP TO THE EDGE OF THE
SIDEWALK. ( II\ FEET )
6. DRIVEWAY SF INCLUDES THE ALLEY TO THE CENTERLINE. 1 inch = 30 ft.
POHL CONSULTING, LLC MARCH 1, 2012
CIVIL ENGINEER
1603 KENWOOD LANE SCALE: 111= 301
CHARLOTTESVILLE, VA 22901
434 - 466.7458 p
434 -295 -6528 If
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