HomeMy WebLinkAboutCLE201400018 Legacy Document 2014-04-15,
Application for Zoning Clearance
Ut' dtJ,E�'
OFFICE us NLY
PLEASE REVIEW ALL 3 SHEETS
Check # Date:
Receipt # Staff:
PARCEL INFORMATION la��U
Tax Map and Parcel: 61m -12 -D; Parcel 1D 0610MO- 00- 12 -001DO Existing Zoning
Parcel Owner; PR Shoppers World LLC,
Parcel Address: 230 Shoppers World Ct. City Charlottesville State VA Zip 22901
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project?
Address ; 1215 Spring Oak Way City Cumming State GA Zip 30041
Office Phone: (^) Cell # 678 - 438 =4914 Fax # (727) 443`4888 E -mall giones@theborder.com
APPLICANT INFORMATION
X
Check any that apply: Change of ownership Change of use _.Change of name N•ely business
Business NamelType: Pizza Hut - Pickup and delivery restaurant
Previous Business on this site Wine Shop
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: Pizza Hut delivery and carry ove s
�owrnonwlth the cJinppIn&=ntPr
-pa shift. Parking 10 All
*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 newZoning
Clearance will be required.
I hereby certify tha own ave owner's permission to use the space indicated on this application. 1 also certify that the information provided
_,,_y I have the conditions of approval, and I understand them, and that i will abide by them.
is true and ac to to best owledge• read
Signatur Printed Gregg Jones
APP R V INFORMATION
Appro ed as proposed [ j Approved with conditions [ ]Denied
[ J Backflow prevention device and/or current test data needed for this site, Contact ACSA, 977 -4511, x117.
has been done for this clearance. Therefore, it is not a determination of compliance with the existing
[ ) No physical site inspection
site plan,
[ ]This site complies with the site plan as of this date.
Notes:
l
Building Official Date —r—
Date,-
Zoning Official -'
Other Official �11Z�,� s i Date
7�71 15
lbemarle Depactmgn't oi'. orit��rtunity,- e%etog eq,
County of A pp�� q,
ill VA X902 ofee: (43 }i29b `5$2 Fax: 434),'.971 -126 • r
401 McIntire Road Charlottesville,
t $ Revised 7/l/2011 Page 2 of 3
b: .,
Intake to complete the following:
Y / A
Is us n Li, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
0 N
t ill 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 urepartrment ter?
If private well, provide Hea form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that gp
Is parcel on septic abbe se 7
Y/N
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
0 / N
ill there be any new construction or renovations?
If so, obtain the proper Permit.
Permit -H I alp ° 2-11 Ael
Zonin to en m lete the following:
Reviewer to complete the following:
Square footage of Use: 13
�IN /
Permitted as: �,, e / . Z�" +
Under Section: � �•'- • 1
Supplementary regulations section:
Parking formulae bpeA pi el
Required spaces:
/
Y )
Items to be verified in the field:
Inspector., Date:
Notes:
Violations:
Y/ -
If so, List:
Proffers:
YI
if so, ist:
Varl ce:
Y/91
If so, List:
SP's:
Y/�R
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 acconvany zoning applications (Hoare 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, zoning Clearance
[County application name and number]
was provided to 4 Wg�� 0='�7 u'�—_ the owner of record of Tax Map
[ ame(s) of the record owners of the parcel]
and Parcel Number 060MO- 00- 12 -001DO 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
X Mailing a copy of the application to���°
[Name of the record owner if the record owner is a perso
if the owner of record is an entity, identify the recipient of the record and the recipient's, title or 1�
office for that entity]�j�1�r
on 1/31/14 to the following address:
Date
[address; written notice mailed to the owner at the las (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).
-Gregg Jones
Print Applicant Name
1130/14
Date
Albemarle County
Planning Application
Community Development Department
401 McIntire Road Charlottesville, VA 229024596
Voice : (434) 296 -5832 Fax: (434) 972.4126
TMP1 061MO- 00- 12-ODIDO Owner(s): FR SHOPPERS WORLD LLC C/O FEDERAL REALTY
Application # CLE20140001 8 INVESTMENT TRUST
PROPERTY INFORMATION
Legal Description ACREAGE PARCEL B -2 REINES, MENS WH, ETC
Magisterial Dist. Rio Land Use Primary Office
current AFD Not In A/F District Current Zoning Primary Planned Development Shopping Center
Street Address 1230 TWENTYNINTH PLACE CT CHARLOTTESVILLE, 22901
Application Type Zoning Clearance
Project
Entered By
Judy Martin
01/31/2014
Received Date
01/31/14
Received Date Final Submittal Date Total Fees 50
Closing File Date
Submittal Date Final Total Paid 314.44
Revision Number
Comments
Legal Ad
SUB APPLICATION(s)
,..rc;.,e�at� t, •t:;. Type,; ;.t;ei :...•i.Y: r - .vr: }•. i "r'.'i. �<S�k;A _Pttcati• :;;,,:::.:;•.: ;::e- ::t:: ;;:�r.:r:i,:.:.� '•�i�: Comment �;:;:.;:� .:.; , ...;,:
d•f.:
. 21 f
1
ilk -i:r� ' 1• J -
. S'�•
r
Jt:as
f'
'T tJ.
1.1
p LICANT� CONTACT INFOR TION
t ,:GontactT, e: ;�� ,Names:; _ ,Address.,_:; •• •,�:
•;Cl State,;;.,. ' �...Z( .T:.,•.r� .Phone;:,:.: JP.horleCell;
Primary Contact GREGG JONES 1215 SPRING OAK WAY �C MMING, GA. 30041 167ti4 MI34 678�
_ .t.
•: {•. �J: Vii.,
Signature of Contractor or Authorized Agent Date