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HomeMy WebLinkAboutCLE201400028 Legacy Document 2014-02-24Application for Zoning Clearance llF dl./lF�y t - CLE # 2b I A ` �•„ INIr PLEASE REVIEW ALL 3 SHEETS OFFICE USE Y Yn © `� Check # Date: t� Staff: Receipt # PARCEL INFORMATION Tax Map and Parcel: ���� l7� Existing Zoning r)ey1'6Pz2 kit' Parcel Owner: Parcel Address: �4 , U l Sh City CbUJ State V Zip (include suite or floor PRIMARY CONTACT Who should we call /write concerning this project? sb�to city ��� State Zip ���� Address: Office Phone: Cell # Fax # E -mail OA e . bm") APPLICANT INFORMATION Check any that apply: Change of ownership Change of use of name New business ('Change ry � Business Name /Type: �(� Me:> G�SI a -� 1 L""" Previous Business on this site Describe the proposed business including use, number of employees, number of shifts, available parking spaces, number of S �� Yl (k >rt� °t' �°� � y vehicles, and any additional information that you can provide: rpa *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 f my knowledge. I have read the conditions of approval, and I understand em, and that I will abide by them. Signature Printed APPROVAL INFORMATION 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 Ot Albemarie iiepartme11L V1 ' .U111111U11Xtj LcYGwruaa ' . 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 / /1V Is us m LI, HI or PDIP zoning? 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 Parking formula: Required spaces: 0;` Reviewer to complete the /following: Square footage of Use: I/ b o0 6)/N Permitted as: i✓9-Ai ZryA; Under Section: 2-9.2 ,) Supplementary regulations section: Circle the one that applies Is parcel on private well oro is wat ? If private well, provide Hea ment form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE Circle the oije pplies Is parcel o sep � r public sewer? Y/N Will you be putting up a new sign of any kind? Sign permit. Permit # Y/ Items to be verified in the field: If so, obtain proper Inspector : Date: Y / N Notes: Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # 7n»intr to emmniPtp the fnllnwin¢_ Violations: Y / (l If so(Ast: Proffers: If ,f ist: o Variance: Y/ If so, t: SP's: Y /�N If so, ist: 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. ,�j 1 ' I certify that notice of the application, (1v� 'a _�t�Aft [County application name and nu ber was provided tot',wI' the owner of record of Tax Map [name(s))orecord wners of the parcel] and Parcel Number G7 � r I(I by delivering a copy of the application in the manner identified below: VHand delivering a copy of the application to &\ [Name of the record owi ier 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] onb� 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]. Sign u f Appl' ant Prin�Appli Nai e 12 Date ry . n m M 0 O v m 0 --- 25.45' Iron Iron sel found I `o a a. o` Z � Lq to TM 556 -1 Iz a .I_j �r a Z m p m 1- N Ld LLJ DI w LL ni h w C; w It —RO TU 250 U. TM' 55B - 15 w 1.986 ACRES i -' r 3 Corner 3.06' N found R. A. YANCEY LUMBER CORPORATIC` N P {W of Iron N 359. If 86.83 ly 81 °26'20 E Iron 63.53' Iron found i {83 30 set 10 1 Sty. Z M :Metal Z O Siding Co J Q 0 `I Z (a 0 Frome in c Iron O I _set Z CHAINLINK 6 Iron Iron set FENCE d' m set { ENCLOSURE m N 70'41'30 'E 29.93' N N v TM 55B - 16 w LOT 0 0 0.524 ACRE Iron found �e Iff ft ORRIS FOSTER 0 CERTIFICATE No. " 0 5417 3(a)998 O 1 54- 17- 3{b)171 j W. MORRIS FOSTER LAND SURVEYOR NELLYSFORD , VA. q Iron found 55' 1 1 I Iron found ui z TM 556 -17 See PLAT DB 408- 382 T JEFFREY S. SPROUSE '.Iran DB 2120 - 724 Iron set se See plot by PICHARD A. YANCEY , E.D.B. YANCEY Roger W. Ray 8 Assocs. and SARAH YANCEY MAY dated 'G -22 -2004 !d 7s W8 78- 23 WB 70 -95 0 0 O N 3 ° CINDERBLOCK o z 0 BUILDING co 0 ( rn 6.3 TM 558 - 16A LOT A 1. 2 1 1 ACRES 151.30' Pipe found S 89 °01'40" W at metal fence Post at fen. car. TM 55B - 15A found Lg. Pipe at fence car, PLAT SHOWING SURVEY OF TAX MAP 55 B - PARCELS 15, 16, and 16A 0.5 MILE ± WEST OF BROWNS V I LL E- WHITE HALL MAG. DISTRICT OF ALBEMARLE COUNTY, VIRGINIA DATE: 6 -23 -2004 REV.; 0 10 30 50 100 I TM' 55B - 15 w 1.986 ACRES w 0 r 3 0 o R. A. YANCEY LUMBER CORPORATIC` N 0 N _ N a ° p DB 363 - 88 O 0: Z in Z J Q Z (a O Iron _set N 87 °33'40 -'W 18180' �o Iron found �e Iff ft ORRIS FOSTER 0 CERTIFICATE No. " 0 5417 3(a)998 O 1 54- 17- 3{b)171 j W. MORRIS FOSTER LAND SURVEYOR NELLYSFORD , VA. q Iron found 55' 1 1 I Iron found ui z TM 556 -17 See PLAT DB 408- 382 T JEFFREY S. SPROUSE '.Iran DB 2120 - 724 Iron set se See plot by PICHARD A. YANCEY , E.D.B. YANCEY Roger W. Ray 8 Assocs. and SARAH YANCEY MAY dated 'G -22 -2004 !d 7s W8 78- 23 WB 70 -95 0 0 O N 3 ° CINDERBLOCK o z 0 BUILDING co 0 ( rn 6.3 TM 558 - 16A LOT A 1. 2 1 1 ACRES 151.30' Pipe found S 89 °01'40" W at metal fence Post at fen. car. TM 55B - 15A found Lg. Pipe at fence car, PLAT SHOWING SURVEY OF TAX MAP 55 B - PARCELS 15, 16, and 16A 0.5 MILE ± WEST OF BROWNS V I LL E- WHITE HALL MAG. DISTRICT OF ALBEMARLE COUNTY, VIRGINIA DATE: 6 -23 -2004 REV.; 0 10 30 50 100