HomeMy WebLinkAboutCLE201300198 Application0 • •
Application f ®r Zoning Clearance
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PLEASE REVIEW ALL 3 SHEETS
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Check # Date:
Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel: 06 W0-65-00-001)16 Existing Zoning 111%/
Parcel Owner: 6-,4r Xe-A) )1)J9 IA& /2 I V•+wff_��
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Parcel Address: zo 5 �i'es m c� � City 45114 t,5l/0 F State V� Zip 2 Z
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(include suite or floor)
PRIMARY CONTACT
Who should we call /write concerning this project?
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Address: e -�V� C7A& \ V�Y1C ��i4f`� City r\ �, St % y� Zip
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Office Phone: (_� Cell # Fax # E -mail J 1l�..�1��-4%
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
Business Name /Type:
Previous Business on this site
Describe the proposed business including use, number of employees, number of shi s, available parki g spaces, number of
vehicles, and any additional information that you can provide: 1, i _��1 yl G:c nllLi
eyla ouk e
*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
to the best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
is true and accurate
Printed a_r,
Signature ]
APPROVAL 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
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Zoning Official y r,i Date
Other Official Date 43
County of Albemarle Uepartment of t ommunn.y Leveivyiueiii
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
ill there be food preparation?
If so, give applicant a Health Department form.
Zoning review can not begin until we receive appro a] from Health
Dept. FAX DATE 10 PVJ
Circle the one that applies _
Is parcel on private well or�OME wa r?
If private well, provide Healt epartment form.
Zoning review can not begin until we receive approval from Health
Dept, FAX DATE
Circle the one that applie
Is parcel on septic or ub c sewer?
Y/N
Will you be putting 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 the proper Permit.
Permit #
7-n in to com lete the following:
Reviewer to complete the following:
Square footage of Use:
C�)/ N
Permitted as: 2 hh �' Cc,
Under Section: 1
Supplementary regulations section:
Parking formula:
Required spaces:
Y/
Items to be verified in the field:
Inspector:
Notes:
Date:
t2 r-
,Viiolations:
V/N
If so, List:
Proffers:
Y/0
If so, List:
Variance:
G / N
If so, List:
SP's -
Y /(ivJ
If soi,ist:
Clearances:
SDP's
Revised 7/1/2011 Page 3 of 3
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COUNTY OF ALBEMARLE
Department of Community Development
401 McIntire Road, Room 227
Charlottesville, Virginia 22902 -4596
Phone (434) 296 -5832 Fax (434) 972 -4126
August 29, 2013
Hydraulic Wash
c/o Charles Smith
2405 Hydraulic Road
Charlottesville, VA 22902
Parking space for mobile food vendor
RE: SDP SDP 000 -314
Tax Map/Parcel Number 61K- 5 -0 -1A
Dear Mr. Smith;
This letter is to approve as a letter of revision the deliniation of 1 parking spaces to be reserved for a mobile
food truck as depicted on your submittal. This is your first letter of revision for this site. Please note that a
total of three Letters of Revision are allowed before all changes to the site plan are required to be submitted
in the form of a new site plan amendment. If you have any questions please feel free to contact me.
Sincerely,
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Stewart Wright
Permit Planner
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