HomeMy WebLinkAboutCLE201300277 Legacy Document 2013-12-09Application for Zoning Clearance
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CLE # Z013-29q
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PLEASE REVIEW ALL 3 SHEETS
OFFICE USI NLY
Check # q Date: 1-22-0
Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel: _07800- 00- 00 -055DO Existing Zoning
Planned Development Mixed Commercial
Parcel Owner: LUXOR OFFICE PARK LLC
Parcel Address:-1430 Rolkin Court, Suite #203 City _Charlottesville _ State VA Zip _22911
(include suite or floor)
PRIMARY CONTACT
Who should we call /write concerning this project? Jared R Feury
Address : 488 Antioch Springs Lane City Scottsville State VA Zip 24590
Office Phone: 4( 34 )569 -5559 Cell # 434 - 569 -5559 Fax # E- mailjfeury@bankofthejames.com
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name X New business
Business Name /Type: Commercial Bank
Previous Business on this site New Construction
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: Commercial and Consumer Financial Services (excluding taking of
deposits) 6 employees; 1 Shift; 20+ available parking spaces, up to 6 employee vehicles.
*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 acc a to the best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed Jared R Feury
APPROVAL INFORMATIO
>4.. 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 17— )12,0
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 /ON
Is use in LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y/O
Will there 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 ublic water
If private well, provide 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 septic o ublic sewer.
Y /(S)
Will you be putting up a new sign of any kind?
Sign permit.
Permit #
If so, obtain proper
ill there be any new construction or renovations?
If so, obtain the proper Permit.
Permit# 26/3- 7-Sy7
Zoning to complete the following:
Reviewer to complete the following:
Square footage of Use:
� / N /� 1
Permitted as:
Under Section:
Supplementary regulations section:
Parking formula:
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Required spaces:
Y/
Items to be verified in the field:
Inspector:
Notes:
Date:
Violat ns:
Y/
If so, ist:
Proffers:
&/N
If so, List:
Varian e•
Y /
If so, ist:
SP's:
& / N
If so, List:
(7�/7
G1-
Clearances:
SDP's
Revised 7/1/2011 Page 3 of 3
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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,
[County application name and number]
was provided to _LUXOR OFFICE PARK LLC
[name(s) of the record owners of the parcel]
and Parcel Number _07800- 00- 00 -055D0
manner identified below:
the owner of record of Tax Map
by delivering a copy of the application in the
X Hand delivering a copy of the application to Denise E. LaCour, Manager of Luxor Office Park, LLC
[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 -28 -2013
Date
Mailing 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
to the following address:
[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].
gnaturppl icant
ared R. Feury
Bank of the James
Print Applicant Name
10 -28 -2013
Date