HomeMy WebLinkAboutCLE201300077 Legacy Document 2013-05-03Application for
Zoning Clearance
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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 3
OFFICE N
El Zoning Clearance= $X5x $50
J. I
CLE #
PLEASE REVIEW ALL 3 SHEETS
Check # Date:
Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel: 04300- 00- 00 -021AO Existing Zoning RA - Rural Areas
Parcel Owner: Foxfield Racing Association
Parcel Address: 2215 Foxfield Track City Charlottesville State VA Zips
(include suite or floor)
PRIMARY CONTACT
Who should we call /write concerning this project? Deborah Burgess
Address: 4303 Tabscott Pines. Road City Columbia State VA Zip 23038
Office Phone: 804 457 -4636 Cell # 804- 647 -0601 Fax #- 804- 457 -4886 E -mail redclaygsp @earthlink.net
APPLICANT INFORMATION
Business Name/Type: Charlottesville-Albemarle Kennel Club (Non- Profit Organization)
Previous Business on this site Vacant Land
Describe the proposed business, including use, number of employees, number of shifts, available parking spaces and any
additional information that you can provide: American Kennel Club sanctioned dog show event - -June 1 -2 2013
*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 have read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed
APPROVAL INFORMATION
11 Approved as proposed [ ] Approved with conditions [ ] Denied
[ ] Backflow prevention device and /or current test data needed for this site. Contact ACSA, 977 -4511, xl 19.
[ ] 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 c ' Date 4
Zoning Official Date 5�3�Z�13
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 3
Intake to complete the following:
❑ YES 7 NO
Is use in LI, HI or PDIP zoning?
Engineer's Report (CER) packet.
If so, give applicant a Certified
❑ YES 7NO
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
Is parcel on rrvate ell or public water?
If private well, provide Health Department form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
❑ YES ❑ NO
Is parcel o sep or public sewer?
❑ YES ❑ NO
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
❑ YES ❑ NO
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Zoning Tech to comDlete the following:
Reviewer to complete the following:
Square footage of Use:
JZ YES ❑ NO
Permitted as: Ad 61J
Under Section:
Supplementary regulations section:
Parking formula:
Required spaces:
❑ YES ❑ NO
Items to be verified in the field:
Inspector :
Notes:
Date:
Violations:
❑ YES ,Z NO
If so, List:
Proffers:
❑ YES
If so, List:
NO
Variance:
❑ YES ❑ NO
If so, List:
SP's:
,Z YES
If so, List:
❑ NO
7� S-r/
2� 39
5/1/06 Page 3 of 3
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