HomeMy WebLinkAboutCLE201300119 Legacy Document 2013-06-19, � n
A
Application for ,honing Clearance
CLE # ••}} /(�� i
a`I X7t`�
PLEASE RE W VIE ALL 3 SHEETS
OFFICE US ( O Y
Check* _ Date: - -
—EjjEzff Staff:
Receipt #
! PARCEL INFORMATION
g /_ Existing Zoning
Tax Map and Parcel:
Parcel Owner: S D 6 C�ib7 &� A-5S� C c/ a 5 6 t� 59 6 25/9 R- -ib L�
/Jo e , City C Y4&IC -f_r&S Zip ;aq-
Parccl Address: � �
(include suite or floor)
PRIMARY CONTACT
Who should we call /write concerning this project?
Address: ) o Gt f4 F1v_'Po rV I?L1r9 City l2Lr;N L14 State % Zip 22? -P[
Office Phone: ( az } 2!`�Sro G 1 Cell # 3' S=SA It Fax # E -mail Vo SEP 1 M
APPLICANT INFORMATION
Check any that apply., Change of ownership Change of use Change of name New business
Business NamefType: -5—C. 2 -T eK (-K= S E 'EX M 6 Es c R 1� S S A_1 (' E�
Previous Business on this site ' tas 1i+_Xn W
Describe the proposed business including use, number of employees, number of shifts, ftyailable ::parking spaces, number of
vehicles, :iind any additional information that you Can provide: _-10 me 5E
*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 now Zoning
Clearance will be required.
I .hereby certify that I own or have the ownees.permission to use the space indicated on this application. Ialso certify that The inforznntion provided
is true and accurate to the best of my knowledge. I "have read the conditions of approval, and I understand them, and that! will abide by them.
Signature 4Lizz Printed0 5�3 ! S t'L t✓s
APPROVAL INFORMATION
Approved as proposed j q"A' pprrved with conditions j j Denied
Backilow:prevention device and/or current test data needed for this site. Contact ACSA, 977 -451_; xLI7.
[ )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 ofthis date. ,
we ftt! RiC
Notes•'t., Si - Inc. -w-, ila p,r,.�rks i f�rr�t tl�
Building Offikia[ Date _
Zoning Official Date- ----��
`` 'l
-Otl r Official Date '
a
county of Albemarle Department of Community Development
401 MclntireRond Charlottesville, VA 22902'V6ice: (434)296 -5832 Fax: (431) 972 -4126
Revised 7/1 /2011 Paget of3
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10
Intake to complete the following:
Y /
Is u m LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y
Wi here 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 or public water?
If private well, provide Health Department form.
Zoning review can not b ' ' until we receive approval from Health
Dept, FAX DATE
Circle the one that applies
Is parcel on septic or public sewer?
Y/N
Will you be putt' up a new sign of any kind?
Sign permit. �.
Permit #
If so, obtain proper
Y/N
Will there be any new construction or renovations?
If so, obtain tli ro er Pe i
Permit #
7,oningr to comnlete the following:
com
Square footage of Use:
V/ N
Permitted as: 532� A-A J ��ll '�S
Under Section: ,� ,�( nn • PrAC4
Supplementary regulations section:
Parking formula:
Required spaces:
Y/
Items to be verified in the field:
Inspector:
Notes:
Date:
Viola�tiQns:
Y
If so, ist:
Proff s:
Y /vi
If so, ist:
Variance:
Y/
If so, ist:
SP's:
Y/
Ifs ,List:
Clearances:
SDP's
Revised 7/1/2011 Page 3 of 3
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Lease Agreement
Table 1:Summary of Material Terms
1"/.
J.B. Enterprises, Inc.
ILease Numben �05f&.SB�q-
r: _323
Lease 6a—t—e. �0512=013
(Tenant Name.(Legat):
P6/14/2013
__
107/05/2013
B. Enterprises, Inc.
[ Landlord:
SHOPPING CENTER ASSOCIATES, a New York general
1partnership,
!Office Address:
its managing general partner
' —
11510 Clarendon Blvd., #302
Arlington ,
j 222o�
Shopping Center Trade. Name —and AdcFriis_,.______
Charlottesville Fashion Square
1(1
r enant S Telephone Number:
�703.725.5011
600'East Rio. Road
lCharlott6sville, VA 22901
biher. R: etai[= Mis . c
1(2651)
Space Rent Table
IRemit Payment to:
Charlottesville Fashion Square
;1600 East Rio Road
ilcharl6ttesVille, VA 22901
FSole purpose 'for which space can be used
Y Tenant:
jFor the promotion and sale of. fireworks during the per . iod'
June 14-July 5 „2013, including setup and takedown time
land for no other use hatsoever"J: B. Enterprises is
!required to obtain all permits as required by law for such a
I§ab and event.
lJ. B. Enterprises. is responsible for all expenses incurred for
iheevent. All - displays and set ups must meet with mall
(management approval.and no pavement penetrations'. are
16116wed in setting
up event equipment.. The primary event
:location will be the overflow parking lot facing H".'29.
IManagement must appriDve. 611 displays. If this Agreement
c ontains a Media Rent Table, the display - posting period for
,
ItUn adVertising.rnedium.or component shalt be limited to
respective dates therefor set forth in such Media Rent
'Table.
Contract ikiii 6u, ht-:-t-2 -, - —
,250.00
Taxes: $o,()o
I Total: $3,250.00.
Amount: 1 Date:
FlaypM!]t Schedule
'ayment Dud Date
)6/141201 Amount Dui
3,
$3;250:01
-otal Due
$3,250.0(
Lease Agreement for J. B. Enterprises, Inc.
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,
[Count application �ame and number]
was provided to S 40M it CrN7'�'I2 ^5o (f C �A" he owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number
manner identified below:
e 1 —[ 35
by delivering a copy of the application in the
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
[Name of the record owner if the ecord 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 / �� 3 to the following address:
Date
)6V 9, &,;- , 4� , Ul�- ZZy-. 1
[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].
Sign r f Applicant
Yl , S Ec r )4 /+51-, cL-
Print Applicant Name
s - /--?-? ) j-�,
Date