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Home My WebLink AboutCLE201300271 Legacy Document 2013-12-09Application for Zoning Clearance 0 PLEASE REVIEW ALL 3 SHEETS OFFICE USE .0 Check# Date: Staff: Receipt # PARCEL INFORMATION 61,- Existing Zoning Tax Map and Pat-eel: II -9) ( �y27o (1160 arcel Owner: Z,,,Z6- / F�7� � Parcel Address: llf'4 • City C ) State ��° Zip (include suite or floor) / PRIMARY CONTACT CGS Who should we call /write concerning this project ? Address: )'0- C6An oj.1bW 6 U.,P 3 °2'City /4'P (Z�t/� tiState 11A- Zip 2,W'01 Office Phone: L21'L Cell #3' �L5 Fax # E-mail loS�7'I APPLICANT INFORMATION Check any that apply: Change of ownership Change of use ,---"Change of name New business C _ Business Name /Type: '<`� �% ti`C(3r( PR --r- S Previous Business on this site Vf1z) N !��q� 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: --iC &I-Llp � l F noati O r9 *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 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 ynS'6:!°% )-I- S,n- CLLf-S APPROVAL INFORMATION >,I 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 Other Official Date County of Albemarle Department of community meveiopment 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 Revised 7/1/2011 Page 2 of 3 {6.- c- I Intake to complete the following: Is N Is m LI, HI orPDIP zoning? If so, give applicant a Certified Engin is Report (CER) packet. Y/N Will t 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 or ub-1 c water? If private well, provide Heal6J)e art ent form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE Circle the one that applies Is parcel on septic or pu lic sew Y/N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # Y/N Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # 7nninrt M nmmnlafa *ha fnllnwinv! Reviewer to complete the following: Square footage of Use: >/N Permitted as: S i'OfV ) �R�es Under Section: /gAMin% Supplementary regulations section: Parking formula: Required spaces: Y �1 Items to be verified in the field: `Inspector : Date: Notes: Violations: Y/A If so'—'List: Proffers: Y/O If so, List: Variance: Y / If so, Est: SP's: Y/ If so, ist: Clearances: SDP's Revised 7/1/2011 Page 3 of 3 ,U 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 j;A IJ4< • (cles ) the owner of record of Tax Map [name(s) ofthe record owners of the parcel] and Parcel Number 60 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 (Mailing a copy of the application to U` [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 1. to the following address: Date 1�_, 114_ Zz 'Te 1 [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]. - Z7��X - / - — Si tur ofApplicant 3��6-/- �p N j'�SM 6-LL Print Applicant Name WM3 Date e J NI Peoz, 014 ncnr_i� 0 Q —� a n bauuadOr r � ob HI I ,Ili b 9� DEB n r9 Sl Q�HI p 5 �N IJ !J c� l l 0- J !7 O oRE N CIO o L4 � C •5 o � Ri o w � U 0 U w U N „ Lease Name (DBA): J.B. Enterprises, Inc. Tenant Name (Legal): J.B. Enterprises, Inc. .Office Address :1510 Clarendon Blvd. # 302 ;Arlington„ VA 22209 Tenant's Telephone Number: 703.725.5011 Contact Name: Yoseph Asmellash SIC /MIX Code: :Other Retail - Misc :(2651) Lease Agreement Table 1: SummarV of Material Terms Total Contract Amount: $6,000.O0 Total Taxes: $0.00 Grand Total: $6,000.00 Lease Number: 4661- 0513 -SBV -322 Lease Date: 05/22/2013 .. . ....... .... ............. ...... _ .. _.. Start Date: :End Date: 11/20/2013 .12126/2013 .......... _...._... _.. -- ... Landlord: SHOPPING CENTER ASSOCIATES, a New York general partnership, its managing general partner :Shopping Center Trade Name and Address: :Charlottesville Fashion Square :1600 East Rio Road Charlottesville, VA 22901 Remit Payment to: .Charlottesville Fashion Square :1600 East Rio Road Charlottesville, VA 22901 Sole purpose for which space can be used by Tenant: For the promotion and sale of Christmas Trees, wreaths and seasonal holiday decor during the period November 20- December 26,2013, including setup and takedown time and for no other use whatsoever. J. B. Enterprises is required to obtain all permits as required by law for such a sale and event. J. B. Enterprises is responsible for all expenses incurred for the event. All displays and set ups must meet with mall :management approval and no pavement penetrations are allowed in setting up event equipment. The primary event 'location will be the overflow parking lot facing Hwy. 29. :Management must approve all displays. If this Agreement contains a Media Rent Table, the display posting period for any advertising medium or component shall be limited to the respective dates therefor set forth in such Media Rent Table. ..... .. _.__..._ .._.......... Security /Damage Security /Damage Deposit Due Deposit Amount: Date: $0.00 Space Rent Table Shopping Center Name City /State Sub Use Type Location Sq. Ft. / Dimen. Charlottesville Fashion Square ICharlottesville, VA 10utdoodParking Lot 113te. 29 Overflow Lot 110000 Shopping Center Name City /State Space Start Date I Space End Date I Subtotal I Sales Tax I Total Charlottesville Fashion Square Charlottesville, VA 11/20/2013 12/2612013 $6,000.00 $0.00 $6,000.00 Payment Schedule 1 Lease Agreement for J. B. Enterprises, Inc.