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HomeMy WebLinkAboutCLE201300109 Legacy Document 2013-06-21n Other Official Date 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 Application for Zoning Clearance.11 "`'� OFFICE U �j�(�1,.'Y_ ' PLEASE REVIEW ALL 3 SHEETS Check # I "1(Q Date: Receipt # Staff; J PARCEL INFORMATION Tax Map and Parcel: Existing Zoning L - ------- - - - - -- --------------- - - - - - - - -- - - -- Pareel C` -_ - Parcel Address: - /_/ (include suite or floor) ° PRIMARY CONTACT Who should we call /write concerning this project? Brandi Sites i Address : 1180 Seminole Trail, Suite 290 City Charlottesville State VA Zip 22901 Office Phone; 4( 34) 244.5300 Cell # 434.465.1657 Fax # 434.973.1209 Email brandi@jwsiegwines.com APPLICANT INFORMATION Check any that apply: Change of ownership x Change of use Change of name New business Business Name /Type: J.W. Sieg Wines/ Distribution Previous Business on this site C 9A At ;-')i J/-- 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: We currently already distribute wine, and will be adding a small line of beer distribution to our business as well. We currently have 34 full time employees, and nothing else will be changing in our business. *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 knowled e. I have read the conditions of approval, and I understand them, and that I will abide by them, w %o�fmyy Signature l/�/ Printed_ . � •' +Ai t) i G r►� APgR6VAL INFORMATION [ Approved as proposed [ ] Approved with conditions [ ] Denied ] Backflow, prevention device and /or current test data needed for this site. Contact ACSA, 977 -4511, x117. [ ] 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 Date Zoning Official Date Other Official Date 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 Intake to complete the following: Y/N Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. n- Y Will t ere be food preparation? If so, give applicant a Health Department form. Zoning review can not begin until we receive approval from Health Circle the one that applies Is parcel on private well or blic water? If private well, provide Healt ent form. Zoning review can not begin until we receive approval from Health Dept, FAX DATE Circle the one that apps' s Is parcel on septic or p blic sewer? Y / Willae putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # Y /1`th Wil a be any new construction or renovations? If so, obtain the proper Permit. Permit # Zoninu to comnlete the fnllnwino! Reviewer to complete the following: Square footage of Use: 'Permitted as: Under Section: Supplementary regulations section: Parking formula: i I AAA -A a _ . Required spaces: verified in the field: Inspector : / Date: Notes: Violations: Y/N If so, List: A ' R Prof Y/ If so, ist: Variance: Y/N If so, List: YIN f so, List: Clearances: SDP's Revised 7/1/2011 Page 3 of 3 CERTIFICATION• THAT AT €NICE OE THE APPLICATION HAS BEEN PROVIDED TO THP LANDOWNER 'his form must accompany zoning applications (Howie Occupation, Zoning Clearance, Zoning Administrator Determinations orAppeals, ,sign Permits; Building Permits) if, ihe application is not the owner, , 5 t G�- 0) I certify_ that notice of the application, _c1 a r , _ [County application name and number] was provided to 0;4;' a 1t ;�. ° [naine(s) of the record owners of thd'parcel] the owner of record of Tax Map and Parcel Number by delivering a copy of the application in the manner identified below: Hand delivering a copy of the application to C• [Namne of the record owner if the record owner is a person; if the owner of record is an entity, identify j the recipient of the record and the recipient's title or office for that entity] on,,'� Date f Mailing a copy of the application to [Larne 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 to the following address: Date [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]. r Signature of fy, ` . ' licant /A 51; �k.** ) ; l / ; ;' ,, s Print Applicant Larne Date d O O QD 0 ID SO GO G .0 0 @0 G) 0 0303 O 0 0' 0 Q 0 (D (D 0 0 U ol 0 O C, ors O ol .z 0 0 0 @ OFFICE SPACE: 1,640 SF WARE14OU5E SPACE.- 5,403 SF TOTAL: 7,043 5F 0 O 0 O fl ol i& G — — — w -a w u v u el W Qi1w U 19 G) 0© 0 G, Q G) (D (p oe G 0 O0 Go 0 ol 0 - K' lEEMV E Y a CO, ARCHMECTS SEMMULE I Ml PROPERIES, L��o ROUTE 29� NORTH M. MEG DAM MUM WOWS -qa"L- WaL RONALD M IM31EY. PA NOARA COT. M DMIN GY6. CHECKED BY., aACHEM VIL km* of 14Y&mtj!o R=d 04ARLOTMSVUE VIRGWA FOR LMSE EMM KiG MOnM VSACHEM PLACE SUrrEtil � 2M SEMINOI F TRAIL PROPERTIES, LLO. Pitpimr NM Tebohom (434) 978-2000 Fox (4W 978-74W IM BLUE RDGE ROAD 0105 EX B CRAR-OTTESALF, VFaM 2M