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CLE201300229 Legacy Document 2013-09-26
Application for Zoning Clearance pY d4p�,�Y � ���,r cLE # QD i 3 ZZq ,.,,�,,,1� OFFICE U { j,1N Y Date: Ia' PLEASE REVIEW ALL 3 SHEETS Checic'm Receipt # Staff: PARCEL INFORMATION ^ PIK b (P ( ©0— 0 0 ^ o V `-' ng Zoning Tax Map and Parcel: 0jek Parcel Owner: +61(:�_ L( l f 27q o Parcel Address: 1 5J 1�- '�`l(% City State V Zip (include suite or floor) PRIMARY CONTACT �� n Who should we call/write concerning this (project? �_� I �� State V �T Zip Address :_, J` Sc 1 l -'C`/� City _ Phone: CeII # " i �J"C kP l +ax # E -mail V-O VV2 Office CLm APPLICANT INFORMATION H-' S i V Check any that apply: Change of ownership C ange of hange of numer New business ' , BusinessNarne /Type: l O a.i��� �(,71 U7 Pw1_ Previous Business on this site -CI& .1,I Describe the proposed business including use, number of employees, number of shifts, available parldng spaces, numberof e VL vehicles, and any additional information that you can provide: c �5' ct *This Clearance will only be valid on the parcel for which it is approved. Ifyou change, intensify or move the use to a new location, a newZoning Clearance will be required. I hereby certify that I ovm or have the owner's permission to use the space indicated on this application. I also certify that the i iformation provided is true and accurate-to4he best of my knowledge. I have read the conditions of approval, anddII understand them, and that I will abide by them. 5i 1.ature Printed AP VAL INFORMATION Approved as proposed [ ] Approved with conditions [ ]Denied [ j Backflow prevention device and /or current test data needed for this site. Contact ACSA, 977 -4511, xI17. [ ]No physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the existing site plan. [ j This site complies with the site plan as of this date. Notes: Building Official ``� Date Zoning Official ` Date Other Official Date County of AiDetnarie.vels:tlLUIUua w � vtuiAiuwasJ ,J. ,.. p. -•�• -- 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 Revised 7/1/2011 Page 2 of 3 010 Intake to complete the following: Y(N I se m LI, HI or PDIP coning? If so, give applicant a Certified Engineer's Report (CER) packet. Y Will ere 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 o blie wat If private well, provide Health epartment form. Zoning review can not begin until we receive approval from Health Dept, FAX DATE Circle the one that appP s Is parcel on septi r public sewer? Y/N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # Y W e any new construction or renovations? If so, obtain the proper Permit. Permit # h fll Reviewer to complete the following: Square footage of Use: - -5� b N• Permitted as: G:!a i L- Under Section: Z3 Z Supplementary regulations section: Parking formula: N- Required spaces: / J Y /N Items to be verified in the field: Inspector : Date: Notes: Zanin zv t utAr 1mV L e o Ow3n . Violat' ns: Y /( If so, List: Proffers: Y ! If so, st: Variance: 0/ N If so, List: �6y _ 71 SP's' (�j/ N If so, List:y 'Clearances: SDP's Revised 7/l/2011 Page 3 of 3 CERTIFICATION THAT NOTICE OF THE APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER This form must accompany zoning applications (Home occupation, Zoning grdrance, Zoning Administrator Determinations or Appeals, sign Permits, Building Permits) 'the application is not the owner. I certify that notice of the application, was provided to \ [name(s) of the i ee ord owners of the and Parcel Number manner identified below: Hand delivering a copy of the person; if the owner of record is an title or office for that entity] r•TC1 Date . Mailing a copy of the if the owner of record is an office for that entity] on Date [address; written notice mailed the current real estate tax asses this requirement]. [County app'fieation name and number] the owner of record of Tax Map by delivering a copy of the application in the [Naive of the record owner if the record owner is a xttify the recipient of the record and the recipient's to [Name of the record owz identify the recipient of the to the following address: e record owner is a person; and the recipient's title or owner at the I ast known address of the owner as shown on books or current real estate tax assessment records satisfies ignature ofApplicant, Print Applicant Name Date 9/19/13 County of Albemarle- GIS -Web- Propertylnformation Parcel ID: 06100 -00 -00 -12800 Parcel Assessment Data (CAMA) Last Updated On: 09/14/2013 Other Parcel Data Last Updated On: 09/15/2013 GIS /Mapping Data Last Updated On: 09/15/2013 Summary Information Parcel Information Total Acres Primary Prop. Address Other address Property Card(s) Lot Property Name Subdivision 1.09 1455 RIO RD E N/A 1 PARCEL II N/A N/A Notes N/A Owner Information Owner THIRD MESA LLC C/O I T MAXWELL Address P O BOX 6551 CHARLOTTESVILLE VA, 22906 Owner as of Jan 1st THIRD MESA LLC Most Recent Assessment Information Year 2013 Assessment Date 01/01/2013 Assessment Reason Reassessment Land Value $582,800 Land Use Value $0 Improvements Value $120,100 'total Value $702,900 Most Recent Sale Previous Owner Owner Sale Date Sale Price Deed Book /Page s History COOL SPRING LLC THIRD MESA LLC 05/20/2008 $775,000 3596/244 Other Tax Information as of Jan 1st State Code Com For Business or Retailing Tax Tyke Reg. Taxable Parcel Level Use Code Office Building Appraiser RHW g isvveb.al bemarle .org /GISWeb /Propertylnfo.aspx 1/1 o� 0 �- V `� � �� `�..�