HomeMy WebLinkAboutCLE200800228 Legacy Document 2013-03-18Application for Zoning C Darance
uIr
A �:1..
iri •'�r C�'. ,:�,';v�7',r'�'': x�:.._•:.• .��..
RJA; A " "ALLIA.�I. V♦�141� �i.{'�\V. %.�: .;.. +,� r.4
A. •ai:
:''l�ate,:'i 'D
:'�".�.
,�i _
'F, Sri. Ads} r• 4 ?� /.f..,1�.�;Y;�:Vi�•'AJLL�'%a: ,{1,. 111.1,•7: "��:.�••,..''r'•'��•'.
.f�.;�'••
1.r . .1 .I
PARCEL INFORMATION L
Tax Map and Parcel: 017906 'Do " Do � C� ��L+C) ExWing Zoning, A 141�e/1`0_ -_A!�7 Vl L h i
d IMA
.._ d vt u OA0-'h 4rYi Parcel Owner:
ParcW Address: $"D D M^ Ict (t o �otl
ki City tlPl,V 1 d ge4'g [ 14 state ✓ Zip s
(Include sulte or floor)
PRT.MARY CONTACT �A
Who should we tali /write concerning this project?
Address : ' C'3 goy 3J10 City I/r state Vkq- Zip Paz.
Office Phone: a& °f 7 ! Ccll _..'j..+�' c 3J S�YIgFnx L+' -mail A,1 Me YAh M ;!!Lt4a4 ell, 4T
APPLICANT INFORMATION
.1,(."•1R1�... i;ili>rl:yi:l�rt�::,s!1? .r��'... :,:.< ���n�erpl ur�...n.c�.rs�lll�:::.1� ..• _:+�"li�irtge'id�iC�:ia50>;�. <� `:���.�•1�l�tia t�;�.q'.�.��:'• ' J.
Business Name/Type: OK . 'e e l l o �! r P,Y1 1 �1_r•1r._.
Previous ]Brashness on this site_
Describe the proposed business Including arse, ►aaamber of employees, number of shifts, available parking spaces, nutnher of
vehicles, and any additional information that you can provldo: Lou.y'a;s m .[:3 �,� - o ,
ty'F 2yyt (GIteCs` �l1 S1�C <LrtRd..W1%k S2A5elwt�5 a�ari4,lrn�ti 513ae -fie 4" 1!.*
,fScLlr 'CA'Aa S - -Q_�_t cG1„C�Jy i w1 .�G1 IAA a (k V" *� �, A1{ the) A _
: hiA Clearait& Will only he valid on the parcel for which it is ap al raved, If a ehange'.41 ensify or mnve (he rise to a new location, as new Zoning
Clearance will be required.
'I hereby certify that .I owaa or have the owner's permission to uac the spaco indictaWd oil this application. I also certify that the information providod
is true and accurate best of my Icnowledge. I have road the conditions of approval, and .I understand them, ar)d (hot I will abide by ilteaxl.
et,too�(lie
Printed / V t pL!'j r
C'Iv,:Pl::.:v AProvc " ... .
�' •: ;: •..: • � •, �:witll•:cutid�tiota�:.. •..• • •.:.• t.' • . •'; '. C' '•�.;�rnied
•. • .:
:Sacklarv,'pfiw�eiitiuri Vide :stall /ax :Cu rrt rest; da {A. ri�drl74dt #Ills' life,: ;nistitrrl ASA;'9 7751 I a�:11.9.
I. • p •y,3iciil:i l e;.;t.tis a fin ,lisss,;( "ern doiie fdr311i9rc.l��ir4kn ,: sliere biro ;a.1 is:'n¢ 'a'det rYn:iiiaCi6n of om fiance wilhrll #in" 1
;[':.';]'T1is; site:; coliyFili 'ii!itl�:flYe':slto'•1'hiaS oL`"tihi t#Atc.:.: ;
i ifblc itfg :Cl x ia1.:.." ::: Dibb.
Z'oni.:g Oki cial
Uther'Or fit„]': r .. ;;. Date
--
County of Albemarle Department of Community Development
401 Ylelntire Road Charlottesville, VA 22902 Voice: (434) (434) 972 -4126
Revised 04/28108 Page 2 o£3
ae
Intake to complete the following:
1' /
Is us . I, Hl or PDIP zoning? If so, ifte applicant a Certified
Engineer's Report (CCR) packet.
Y N
Wil . re be rood preparation?
If so, give applicant a Hea.lfb 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 wall 2E�arnt
if private well, provide 1 orm.
Zoning re view can not begin until we receive approval from I °Iealth
Dept. FAX DATE
Circle 1tlat applies
is parcel on, Sep . or public sewer?
Y/N
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit tt
Reviewer to complete the following::
S,,gpara rootage of Use: —[ �—q "
Y // N
as:
Under Section: A- 4 7'(
Supplementary regulations section:
c
Parking formula:
Required spaces:
Y/N
Itotns to be verified in the ficld:
Inspector:
Y / N 'Dotes:
Will there be any new construction or renovations?
,If 5o, obtain the proper P knit.
Permit
Zoning to eornplete the following:
Dante: T�,M .....
Viol dons:
Y
if 6'-68t:
Proft'ers: �
Y /A.
If so, rst:
Var; ce:
I :rs T
:
�s;
N
-so, List;
T
T
Clearntrces:
SDP's J
. 9
Revised 01/28/08 Pago 3 of 3