HomeMy WebLinkAboutCLE201300257 Legacy Document 2013-11-08Applie-ation fMr,,
&I ' g0earance
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PLEASE REVIEW ALI, 3 SFISETS -13
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Buildifig officin I
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401 Mrlmltv R'084 010HIMOWN, VA 22M'Volm (434) M-SO33 Fax: (434) 7724M
Ae•md 7 ) 2111 Prigv.! ci 1' 3
Intake to complete the following:
Y /Q
Is use in LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y/n
Wil 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 ublic 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 app''
Is parcel on septic or p blic sewer?
Y/N
ill you be putting up a new sign of any kind?
Sign permit.
Permit #
Y / N gab ��
Will there be any new construction or reno ations. o
If so, obtain e pro r Pe it.
Permit # i , Ala i Cl
If so, obtain proper
Zonina to comiDlete the following:
k
Reviewer to complete the following:
Square footage of Use: 1 1 1 6
}sei mitted as: 1 Q LI
Under Section: A iC d (PQ — fhnm v 1 # V'AJV—
Supplementary regulations section: `4 6
Parking formula: D� ID
a ,
Required spaces:
Y/N
Items to be verified in the field:
Inspector : Date:
Notes:
Vio Ins:
I fs st:
^offers:
(Y)/ N
so, List:
Z , p A r
Vari e:
Y/
If so, st:
SP's
Y /►N J
If so, ,Ii'st:
Clearances:
SDP's
�aa
Revised 7/1/2011 Page 3 of 3
CERTIFICATION THAT NOVICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
rMs fvryra mwar ascarww aay w4hog +,tyfllhwr 065 ?Haw rci:ttpall'on, 70nIng Ge awnce, .±r'0011
Admiwiatraw,lhlermfmvinrra or ApWah, S4ri Rmtl lz, Horl'dlog &ratrrAo ffthe apidleua'lrirr &.Moo the
owrer.
I cord ty'that nolkv+. +1;hr applicztinnp _.
(Cocci }- appliroHon name mid AvmLterj
was pra%�&dto N e, p ._eq; tLl_(- the uwracrnfrtxnrEnf'hatxlLl;lp
[rnc(sj vi'thc r�r�x3 0 r�:r at i'r� parcxtj
wid Parcrl Number ...�._ . _.._. __ - by d0irrring a 4"P) of i1 : ypplivalion io ahe
111 httar 4— !nti•tled
Randdclivainga copy oflhc .is;Vicjitt -Vw ',��►, ��,�,�r.w le€ hS,,.,,
[Tian of the mcord owbcr l thr'rewrd owncr i4 -p .c,.
pi:main; it ;lto 4�wtuwrfirR'eard is sn enJty, id+cnti`v The r ciplenaof the rccor� and the rmipicg's
Lift trr ariice fa, that entity} Ir,. = &, it
on r,i ._
h4aifarre a copy Of1hr, MppHCwiiaia tv
LN.vw L-l' ilrc record ovacr ii' do mt.r£dMewrxr i2 a p•cwr,
if 4,c own" (if record i� nit entity, idoi ify 11te f.Nipicral r etard 614 1910 rocipient.5 tins 0
offfw for tllae caity)
an
Dow
to the tollowla address_
(address: written ttodec crosyBsd ;o t:Tg ownc; tai rha lwri Mctwti : ddmss or the rrwnt:r al on
thtt airrt:w7 naal a we7 iax sssessmcai books or current real stole rnx rssessrncnr records snlistim
this req ;ihvment].
,.
Print ,Applicant ?dame
-- -ED -ENS.
October 29, 2013
County of Albemarle Department of Community Development
Attn. Rebecca Ragsdale
401 McIntire Rd
Charlottesville, VA 22902
RE: Duo Zoning Clearance Application
Dear Rebecca:
The attached Zoning Clearance application has been provided to EDENS, the property
owner, and the use has been approved as defined in this application.
Please contact me if you have any questions.
Sincerely,
r.
Charlie Stewart
LEASING ASSOCIATE
EDENS
7200 Wisconsin Avenue, Suite 400
Bethesda, MD 20814
www.EDENS.com
P(301)347 -3978 1 C (410) 353 -6826 1 x(301)652 -3588
7200 Wisconsin Avenue, Suite 400, Bethesda, MD 20614 / 800.680.9095 ) www.EDENS.com