HomeMy WebLinkAboutCLE201300246 Legacy Document 2013-11-01Application for Zoning Clearance
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PLEASE REVIEW ALL 3 SHEETS
Check # / Date:
Receipt # 012)979 Staff:
PARCEL INFORMATION
Tax Map and Parcel: 45 -109 Existing Zoning Highway Commercial
Parcel Owner: Rivanna Plaza, LLC
Parcel Address: 315 Rivanna Plaza Drive Suite 115 City Charlottesville State Virginia Zip 22901
(include suite or floor)
PRIMARY CONTACT
Who should we call /write concerning this project? Paul Lubking, Facilities Manager- Mariner Finance, LLC
Address : 3301 Boston Street, Suite 201 City Baltimore State Maryland Zip 21224
Office Phone: 443 451 -0950 Cell # 717- 683 -9750 Fax # 410- 558 -4396 E -mail plubking @marinerfinance.com
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name xxxx New business
Business Name /Type: Mariner Finance, LLC Consumer Lending
Previous Business on this site N/A
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:
USE: Consumer Lending NUMBER OF EMPLOYEES: 3 -5, One shift M -F, 9 -7 PARKING SPACES: 146 & 6 HD
*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 th est of knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed Paul Lubking
APPfi0VAL INFORMA ION
[ pproved 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 j ii4 (:�_( (z�
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/l/2011 Page 2 of 3
L
Intake to complete the following:
Y/N
Is u m LI, HI or PDIP zoning?
Engineer's Report (CER) packet.
If so, give applicant a Certified
Y /
Will re 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 u_ blic water?
If private well, provide Heal ment form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that appl'
Is parcel on septic or (public sewerV
YJ/ N
Will you be putting up a new sign of any kind? If so, obtain proper
Sign perm.
Permit # n,r
Y/N
ill there be any new construction or renovations?
If so, obtain the proper Per it.
Permit # jpjp}(j Q 5 "'0F
Zoning to comDlete the following:
Review& to complete the foll
Square footage of Use: 1 (Qbf)
er �/ N �Q
mitted as: f�
Under Section: 1 •�
Supplementary regulations section:
Parking formula: I
Required spaces:
N
to be verified in the field:
Inspector : Date:
Notes:
ti
Viola �o s:
Y/
If so, ist:
Proffers:
If/N
If so, List:
Var nee:
Y /
If so \, st:
's:
/ N
PY o , List:
` , r It ley VLAJ
—�'6�
12- d\
Clearances:
SDP's
Revised 7/1/2011 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 Clearance, Zoning
Administrator Determinations or Appeals, Sign Permits, Building Permits) if the application is not the
owner.
I certify that notice of the application, Application for Zoning Clearance
[County application name and number]
was provided to Rivanna Plaza, LLC the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number 45 -109 by delivering a copy of the application in the
manner identified below:
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
xxxxx Mailing a copy of the application to Rivanna Plaza, LLC Attn: Mark Green
[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 10/18/2013
Date
to the following address:
109 Robinson Woods Charlottesville, VA 22903
[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].
�L
Signature of 4hlicant
Paul Lubking
Print Applicant Name
10/18/2013
Date
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