HomeMy WebLinkAboutCLE201300099 Legacy Document 2013-05-21 (2)I
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Application for Zoning Clearance
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CLE# Lb : q
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PLEASE REVIEW ALL 3 SHEETS
OFFICE USE ONLY / F /J •�,
Check # �'- Date:
Receipt # Staff:
PARCEL INFORMATION
QA
Tax Map and Parcel: - 0A�'D Q "'� D -`0 _IOTA 0 -, -- Existing Zoning - - CMX=PdCC ,-
Parcel Owner: Uu+cj2 y'1 A �,jA V
Parcel Address:, SA Vi � �j I Nnkrcity ad 1 Bate Zip 22
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? I
Address :33( E L.aQr� • City State Zip
Office Phone: 4M � Cell # U9-719--Fax # E -mail
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
Business Name /Type: G) (:)+ (-OM
Previous Business on this site 2 - I
Describe the proposed business including use, number of employees, number of shifts, available parking spaces, number of
vehicles, and any additional information that you can, provide:
*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 acc a to the best of my knowled I have read the conditions of approval, and I understand them, and that I will abide by them.
re Printed
Signature
APPROVAL INFORMATION
Approved as proposed [ ] Approved with conditions [• ] Denied
[ ] B�Ackflow prevention device and/or current test data needed for this site. Contact ACSA, 977 -4511, x117.
[ 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 (�
Zoning Official r Date ra
t
Other Official 6&"ate
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
X01
Intake to complete the following:
Reviewer to complete the following:
�
Y OLL
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Square footage of Use:)l,Vi_.�`
Is HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y N
Permitted as:
Y / Nru�1
Will there be food preparation?
Under Section: Ill (AVM
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval from Health
Supplementary regulations section:
Dept. FAX DATE
Variance:
Y/N
If so, List:
SP's:
Y/N
If so, List:
Circle the one that applies
Is parcel on private well or public water?
Parking formula:
If private well, provide Health Department form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Required spaces:
'V
Y/N i
Circle the one that applies
Is parcel on septic or public sewer?
Items to be verified in the field: 9
Y/N
Clearances:
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Inspector : Date:
Y / N
Notes:
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
APP o
ZoninE to complete the following:
Violations:
Y/N
If so, List:
offers:
Y/N
so, List:���
n�
Variance:
Y/N
If so, List:
SP's:
Y/N
If so, List:
Clearances:
SDP's {
Revised 7/1/2011 Page 3 of 3
OWN91WA.
.Application for Zoni g Clearance
CLE # 2613 -
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OFFICE USE ONLY y� Q j
PLEASE REVIEW ALL 3 SHEETS C
Check # Utr" l
l� D
PARCEL INFORMATION
Tax Map and Parcel: � Q
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Parcel Address: Vi o 1 }h I I � rl Y_ �lty i ate )Ltd •Z'p ! 22
County of Amnemarme Ueyiff tueul vi a.vuauauu..� ,. r -•-
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5532 Fax: (434) 972 -0126
is
Revised 7/1/2011 Page 2 of 3
S.
Rebecca Morris - Fire Rescue
From:
Shawn Maddox
Sent:
Tuesday, May 14, 2013 7:25 PM
To:
Rebecca Morris - Fire Rescue
Cc:
Shawn Maddox
Subject:
RE: need FM approval for event
Approved with these comments:
1. Any tents in excess of 400 square feet must be permitted by the Fire Marshal's Office.:
- 2. - Nothing else submitted on the plans would require a permit from the Fire Marshal's Office -
3. Our office would be glad to provide safety recommendations if desired.
From: Rebecca Morris - Fire Rescue
Sent: Tuesday, May 14, 2013 4:03 PM
To: Shawn Maddox
Subject: need FM approval for event
Importance: High
FM Maddox,
Please approve /disapprove and comment regarding attached Zoning Clearance Application by way of email to me. I will sign and
attach your response to the application and return it to Community Development in your absence.
Thank you,
Rebecca Morris
Fire Rescue Department
Extension 3101
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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
orpner.
I certify that notice of the application, A Q() I � C c-kc�n RY'2or% 1
1 ` [County application name and number]
was provided to S G-} S n l W' `_- L LC the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number _ 04500-OD-00- y delivering a copy of the application in the
manner identified below:
Hand delivering 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
Mailing a copy of the application to &5F Q , D � l ` L L C-
[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 51)11,7 to the following address:
Date C l.e.b o Corn m��c�'a,P %'�� eS
Le
84 sv� �1 zzaol
[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].
Signate of Applicant
rx,.t,-Q, C e-t - tS5
Print Applicant Name
"E� /Z
Date
JVC' MCABILE
ENTERTAINMENT
JVC MOBILE ENTERTAINMENT presents
"THE ROAD TO STURGIS"
PLUGGED
ROAD TO STURGIS
Overview
Market - leading lifestyle- driven car stereo and accessories brand JVC Mobile Entertainment is
announcing plans for its sixth consecutive year of the wildly successful "TURN ME ON " - - --
campaign. The TURN ME ON campaign, which began as a_ groundbreaking viral video series,
has garnered over 45,000,000 combined views since its launch in 2008, has combined top
music artists and car stereo entertainment to deliver first -rate content, for the 16 -44 male target.
View the current campaign at: www.egotv.com /turnmeon
For 2013, JVC Mobile Entertainment presents The Road to Sturgis, crisscrossing the US,
geared towards embracing JVC Mobile Entertainment's Independent Dealer Network.
Launching in May, in preparation of the Sturgis Motorcycle Rally, the tour will make
appearances at dealer locations, activating a fun and exciting road show in their parking lots
and communities, providing new product demos and literature, tech support, live music
entertainment, motorcycle stunt shows, a model runway show, contests, giveaways, and more.
For dealers with smaller footprints, a lot /space will be identified in order to accommodate the
event at a location near the dealer location(s).
JVCME and its agencies will work with local dealers and retailers to add local elements with
local car clubs, motorcycle clubs and others to attend the event to drive excitement and
attendance to the event.
The tour will also focus on educating consumers on the many options for integrating JVCME
head units with the top music, entertainment and navigation mobile apps, such as Pandora,
iHeartRadio, Tune -In, MotionX, BBE and others.
Full activation will include:
• Stage for model runway show and live band
• Event Tent, Flags & Banners 4
• JVCME Product Display and Interactive Demos
• JVCME Product Specialist Staff
• Consumer Giveaways and Promotions
• Dealer POS Marketing Materials, including posters, flyers, counter - cards, etc.
• Live Music Performances
Marketing & Media
The tour will be wrapped within a 3600 marketing and media campaign, consisting of (1) Online
& Mobile: periodically updated video content from the road; rotating banner advertising; and
social media integration; (2) Outdoor: prime motion -based Times Square NYC billboard
placement, (3) PR, and (4) Promotional & Tour Support.
This opportunity is free to approved dealers, pending space, approval and marketing and
advertising support. We will supply materials for local customization for print, online, television
and radio.
The road show will climax with JVCME's sponsorship at the 2013 Sturgis Motorcycle Rally,
August 4 -10. Additional details and opportunities will follow.
,) n
INTERNAL REVENUE SERVICE DEPARTMENT OF THE TREASURY
P. O. SOX 2508
CINCINNATI, OH 45201
Employer Identification Number:
Date ��� (t ���� 2 7- 498 093 6
•7 DLN:
-- -------------- - - - -.. -.._ -. - - - -._ - - -- - .......17053186324001.. -.. - THE BOOT CAMPAIGN INC Contact Person:
3603 OLD JACKSONVILLE HWY DONALD G HERRING ID# 31171
TYLER, TX 75701 Contact Telephone Number:
(877) 829 -5500
Accounting Period Ending:
December 31
Public charity Status:
170(b) (1) (A) (vi)
Form 990 Required:
Yes
Effective Date of Exemption:
February 17, 2011
Contribution Deductibility:
Yes
Addendum Applies:
No
Dear Applicant:
We are pleased to inform you that upon review of your application for tax
exempt status we have determined that you are exempt from Federal income tax
under section 501,(c)(3) of the Internal Revenue Code. Contributions to you are
deductible under section 170 of the Code. You are also qualified to receive
tax deductible bequests, devises, transfers or gifts under section 2055, 2106
or 2522 of the Code. Because this letter could help resolve any questions
regarding your exempt status, you should keep it in your permanent records.
organizations exempt under section 501(c)(3) of the Code are further classified
as either public charities or private foundations. We determined that you are
a public charity under the Code section(s) listed in the heading of this
letter.
Please see enclosed Publication 4221 -PC, Compliance Guide for 501(c)(3) Public
Charities, for some helpful information about your responsibilities as an
exempt organization.
Sincerely,
Lois G. Lerner
Director, Exempt Organizations
Enclosure: Publication 4221 -PC
Letter 947 (DO /CG)