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Home My WebLink AboutCLE201300106 Legacy Document 2013-06-21FLl A 0 . I ' Application for Zoning learance� <'�iCdl 'a CLE # 2013 -1 � .,1j PLEASE REVIEW ALL 3 SHEETS OFFICE USE ONLY �� r �� Check # Date: y , Receipt # NU r 20 Staff: VYMTX PARCEL INFORM_ _ATION L4 _ Tax Map and Parcel: Existing Zoning-- Parcel _O-wner_: , ✓ i, c v,/ - N l °-I (z=f�',l,�l j S -1'� b IC-' Parcel Address:`�C0] ( (��-r�t�G�✓ i vC•' City U' Q_001"C��1 kate VCZ-- Zipzz1?01 (include suite or floor) PRIMARY CONTACT j d Who should we call /write concerning this project9 i r r-1 Address ��• C:> -X I Z�2 City c%�Q��i�SVi f State �f� Zip Office Phone: ) �7T ' 25 � Z Cell # L 34! ? 40_ � Fax # Q4' I�t -Z7.(o3E -mail � y��l dm%'ui 1r'wc0C6 t APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name New business Business Name /Type: P[Xi ryiP v-/ Previous Business on this site -tea- -� m ��r�rl i S LILA IJ 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: 4r)r),. c d Crnr %✓ 4-L 1 59-- -k:) ea A- CI -h. -kD r rat-- ci Eno c4 +Q 6GY✓C6 •2ln rrn ✓ x-ri `�r r-A-i , %c>0 *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 o n or h er's permission to use the space indicated on this application. I also certify that the information provided is true and accurate to he best o ledge. I have read the conditions of approval, and I understand them, and that I will abide by them. yveoeo Signature Printed AP OVAL INF ATION [ Approved as propo ed [ ] Approved with conditions [ ] Denied [ ] Backflow preventi n device and /or current test data needed for this site. Contact ACSA, 977 -4511, x117. [ ] No physical site i pection 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 `1 Zoning Official Date V5 Other Official ACP D Date PX County of Allienlarle 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 Intake to complete the following: Reviewer to complete the following: Y N Square footage of Use: Is u n LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y / N Uermitted as: Y/N _ Will there be food _pre paration? _ ____ _ __ _ _ Under Section_ r , 14t - _ _ - - -- -I If so, give applicant a Health Department form. Zoning review can not begin until Ve receive app oval from Health Supplementary regulations section: Circle the one that applies Parking formula: Is parcel on private well or public water? If private well, provide Health Department form. Zoning review can not begin until we receive approval from Health Required spaces: Dept. FAX DATE i 1 Y/N Circle the one that applies Items to be verified in the field: Is parcel on septic or public sewer? Y/N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Inspector : Dat Permit # Y / N Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # 3 7nn;nrs +n rmm ln +n +hn fnllnwina• -I--, Violations: Y/N If so, List: Proffers: Y/N If so, List: Variance: Y/N If so, List: SP's: Y/N If so, List: Clearances: r J SDP's �O nj Ag� 1Z � � s Revised 7/1/2011 Page 3 of 3 „ Vjs http : / /maps- 900971o.cordmapstms ?i e= UTF9 &hl= erg &msa= 0 &41 =3 8.07,- Maps . ---------- ?� '% .•ice v+ �r C3 .. ,� ,' J � ooh, ••. '•�� • ' '• .•d,. i4i ` p2 tin . 1. It . „� �'.. 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"'''`.i• },� \ +��,• .2. �f . }`tiff i' (�� d• . , ;�1.�:,c•;• rte, ,l.r' `�� .�.�� ,r k• ; a: oia 8rcakRq •••'- •ob?r ._. fcatio� ei'" .2, rgt.° e br, tiilYsd$�g,. - 't�� O�i /•z,:Jq�,+,'•�� .•'. -rap's rNoiihfietds' : +'a;' aCbi SFr Waketreld �8r' '• ;+ �� off; p '. 1p �' a��' , • •t? ; 1 '+ „�f .a t r,. •Ij.Z ';.�icl ; .�Jc`.~ �"'7 , a�-., S m 4 •. .• fqq`, ; a \�.� f� r� t j ? . rw "Ip 4611007 NA,VTF -Q "A �OD%GOO�IpJ -.- •'1}01�iG•L rL,Sr.., rr ir:.+ Loading Print Preview ... • 7J1Af7nn'7 i,�a n1.e F( Rebecca Ragsdale " From: Miller Stoddard Sent: Thursday, May 23, 2013 9:47 AM To: Rebecca Ragsdale; 'Seale, Dennis L.'; 'Batten, Teresa (VDH)' Subject: RE: CLE 2013 -106 Fairview Swim Club 5k- 7/20/13 To All, I have reviewed the information provided and spoke with Mr. Neale. This event, the Fairview 5K, is approved by the Albemarle County Police Department. Two contractual police officers will be present to close the roadway for a short -period -of -time. If- there - area ny-questions- p lease -e ma ii- me- or -caII me. 434= 8724575. - - - — - - Thank You, Sergeant Miller Stoddard. From: Rebecca Ragsdale Sent: Tuesday, May 21, 2013 11:16 AM To: Miller Stoddard; Seale, Dennis L.; Batten, Teresa (VDH) Subject: CLE 2013 -106 Fairview Swim Club 5k- 7/20/13 Please see the attached zoning clearance and race route map for your review /approval. Thanks, Rebecca Rebecca Ragsdale, Senior Planner County of Albemarle Department of Community Development - Zoning Services 401 McIntire Road Cb.arlottesville, VA 22902 -4596 (434) 296.5832 Ext. 3226 E -mail: rra &,sdale @albemarle.or i F. pfd^ ,.��jj'',��JJ .. YY■■ �y�'¢�r S- e S ? j .Y >■ - '�. ��V v, i, V g Czearan ee�rN�� pY. iJL CLZ<; PLEASE REVIEW ALL 3 SEED' TS OTRICG USE ONLY Check # ��(�� Dater ReceiptH �j Staff: PARCEL L. INFORMATION] Tax Map and Parcel: (Q-10A Lt xisting Zonis Parcel Owner; � tr�1 e�� M ~c-- r'1r'l L k P-i`7 ParcelAddress:rlCY`g VC" City iQ1��iJ G�Vc ��'tato Vim-- Zipzz?o{ (include suite or floor) PRIMARY CONTACT J; n C7- Ic-- Who should we, cell /write concerning this project? , rY-r - Address c'— i Z city 0-)0_XI614:Sy1 E le state �C�- Zip Office Pltone; Q�- j�l`i"752,� Ce }( #, 5�5� rax #�!3�'�`tZ�'zxta3E -mail �t�r��t�m�C�tirwax�i APPLICANT INTORMA.TION Check any that apply: Change of ownershlp Cltange of use Change of name, New'bushness BusinessName/Type; Previous Business on this situ ---0 1 m ✓nom { S Gi�� Describe the proposed business including use, number of employees, number of shifts, available parkingspaces, number of vehicles, and any additional information that you can provide; .44nnk. -o-i cnr. ,�z t 5i~ �• + 112101-1'3-4- cf -c a l cd ton ow *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 o vn or h er's permission to use the space indicated on this application, I also certify that the information provided Y.'o Is true and accurate to he best o ledge. I have read the conditions of approval, and I understand them, and that I will abide by them, Signature Printed APPROVAL INF ATION [ ] Approved as prop [ j Approved with conditions [ Denied rddevice [ ] Backflow prevent! and /or current test data needed for this site, Contact ACSA, 977 -4511, xl 17, [ j No physical $}tc in n has been done for this olearance, Therefore, it is not a determination of compliance with the existing site plan. [ ] This site complies with the site plan as ofthis date. Notes: Building Official Date -4_2�Z Zoning Official Date 9�'� Other Official a"Q JG Date 61;3.t 13 l.:onnLy 01 Atgemat'ie 1Jetla1- li11eu6 V1 %- UILI1nw111 J LGr6lvtnucln 401 McIntire Road Chnrlottesvl}le, VA 22902 Voice; (434) 296--5832 Fax: (434) 972 -4126 Revised 7/1/2011 Page 2 of 3