HomeMy WebLinkAboutCLE201400040 Legacy Document 2014-03-10Application for ZoninLy Clearance
CLE # 201 q^ Vo
a »,4`
PLEASE REVIEW ALL 3 SHEETS
OFFICE USE ONIY,
Check # C c► S h Date:
Receipt # -Z Staff: '
PARCEL INFORMATION /� i G
Tax Map and Parcel: 0 3;� ,A O �� – 6 1� ' 60� f� Existing Zoning
Parcel Owner: ( >era-\ e�
Parcel Address: 3556 Semehol` Tn„ f City (!���1InN- cw(I�- State W% i` n►w Zip22-111
(include suite or floor)
PRIMARY CONTACT
Who should we call /write concerning this project?
Address 3 Oes5titn > 1.5 JZu ,,ig� City �.�ic.�lo]�5►J, fig State UI� Zi,;L -0I
Office Phone: (� Cell #139 ' 29LI I 7,35Fax # E -mail D4 V I � T� �� ` "���� ► �
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use --k change of name New business
,_n ,/
Business Name /Type: (Y`ovi-y"(elltl 1 "u1')yrs (�Sc'� r 0ic41cr5�.i17
Previous Business on this site / I` rmry OJO h 1cG�tcryQ�
Describe the proposed business including use, number of employees, number of shifts, available parking spaces, number of
vehicles, and an additional information that you can provide: 1 r r✓►ia16 ye C i liyi tz S; r, 12- , J�C1 Satis
Tes
*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_!jhkbest of my knowledge have read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed —D GV +' �Y`2tCc4Y "ra
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 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/N
Is use in LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y /(N
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 or public 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 or public sewer?
VY /� N
you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Y/
Will'tfiere be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Zoning to com lete the followin :
Reviewer to complete the following:
Square footage of Use: / qW
" /N
ermitted as:
Under Section: F
Supplementary regulations section:
Parking formula:
Required spaces:
Y/N
Items to be verified in the field:
Inspector • Date:
Notes: /
b A) <-4 Y
Violations:
Y /
If so, ist:
Proffers:
Y /T�Z)
If so, List:
Varia ce: S
Y/(I
If so, List:
's:
9/N
If so, List:
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, G 110614 - Wb
[County application name and number]
was provided to 6c'cl \ ,� k�- C the owner of record of Tax Map
[name(s) of the record owneri of the parcel]]
and Parcel Number Z`jZj o� A U — dl () 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
[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].
Print Applicant Name
Date
ROBERT W. TUCKER, JR
'Director of Planning
June 3, 1983
Mr. Dewey Morris
Route 8, Box 225
Charlottesville,
DEPARTMENT of PLANNING
401 McIntire Road
Charlottesville, Va. 22901 -4596
804-296-5823
Virginia 22901
Re: SP -83 -19 Dewey Morris
Dear Air. Morris:
The Albemarle County Board of Supervisor
June 1, 1983, approved your above - refere
petition,.subject to the following condi
1. Staff approval of either stockade fe
height) or white pine plantings (5 -6
along northern and western boundary
2. Staff -approval of parking-plan. Veh
displayed 'only on paved areas;
3. No pennants, streamers or strings of
RONALD S. KEELER
Assistant Director of Planning
R. KEITH MABE
Principal Planner
NANCY MASON CAPERTON
Senior Planner
KATHERINE L. IMHOFF
Planner
;at its meeting on
e,d special use permit
ons of approval:
ing (six (6) feet in
in height; 20' o.c.)
nye s ;
11es shall be parked and
i.ghts shall be permitted.
If you should have any questions concerning this action and
notification, please call Mr. Ronald S. Keeler at 296 -5823.
Sincerely,