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HomeMy WebLinkAboutCLE200700222 Legacy Document 2014-04-25Application for Zoning Clearance Off' Al -: t 1 17ltC;l��� Clearance = $35 OFFICE USE ONLY R 1)0.7 CLE # oning PLEASE REVIEW ALL 3 SHEETS Check # I Q D0�,) Date: / D' Receipt # Staff PARCEL INFORMATION A , /- Tax Map and Parcel: - -rM 09900-00-60-67660 Existing Zoning �j� I ► - C C, Parcel Owner: —L 5 r -S Cava I ie— r .J-'ln✓e,_s t ,e,ydS , L L-C Parcel Address: r) q O Rb k'1 V\ AbAW City Glrt r jo He6.01le State VA Zip AVII (include suite or floor) PRIMARY CONTACT , Who should we call/write concerning this project? Address: II00 +hu .,r,s 5+ CityC".,f dit-sJ :I(-- State JA- zip 22ga3 Office Phone: 13 9 Cell #'IN- `i8f•oY 7I Fax #05'677.5121 E -mail ,.,L-Ske�v�,rysa•x�: APPLICANT INFORMATION Fver Cloy Shop Coin yzV�� a Kcc:! (ta e- ` y. �r;, r✓c� VCes Jta1 R�1 Business Name/Type :. '�ldep Li Le��- j /� Previous Business on this site V i t-4 1 V\ 1(1_ U t � C©w✓1 pdtA tr 6a :!s '51Q -f ( a {r\ Describe the proposed business, including use, number of employees, number of shifts, available arking spaces an an �Q is'fi 3 ' additional information that you can provide: Se Cx5 in 6 � C-S 5 � 5 e. 4y6 17 , tees / kwrs a W *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 7 Printed APPROVAL INFORMATION [ ] ` c ' Approved as proposed [ ] Approved with conditions a3WieVIC� and'/or i' ae . �"es Data Needed Backflow device /or test data for this Contact ACSA, 9 7 9 ] prevention and current needed site. -451 )X AA ^^77 SS11 Al [ ] No physical site inspection has been done for this clearance. Therefore, it is not a determit atl�oii ���t r flC��tt1�4C1te1Pxxil I 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 5/l/06 Page 2 of 3 Intake to complete the following: ❑ YES ❑ Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Z,,3KS ❑ NO Will there be food preparation? If so, give applicant a Health Department form. Zoning review can not be in until we receive approval from Health Dept. FAX DATE 4 —07 L",., ❑ YES ❑ NO 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 ❑ YES ❑ NO Is parcel on septic or public sewer? ❑ YES 2-1�O Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # ❑ YES E;-NO Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # Zoning Tech to complete the following: Reviewer to complete the � ollowin Square footage of Use: V 6 Q ,w R YES ❑ NO n Permitted as: fi�CJ Under Section: Supplementary regula o�}s section: V U1I Parking formula: Required spaces: - ❑ YES ❑ NO Items to be verified in the field: Inspector : Date: Notes: Violations: ❑ YES NO If so, List: Proffers: F-1 YES NO If so, List: Variance: ❑ YES t5 NC If so, List: ❑ YES ❑ NO If so, 5/1/06 Page 3 of 3 _... _.... ..._._.._ ®_..._ ®..- ...x�� _... . . ....... . ....... .... ...... _.__._..._ - - -- ... -- - ..._.... Appli-e-a on-for Zoning •Ctearance iJ Dl�ng Clearance $35 PLEASE RIEVIE'Vi'• ALL 3 SHEETS OFFICE USE ONLY db . CLE # Check.# 0 Do Date: / O � Receipt # 7 Staff: PARCEL INFORMATION Tax Map and Parcel: V ���� Q� " �� y�` 64 Existing zon%u Parcel Owner: J i" coict 4Q. K ' J–'1!N VP—"6 �Yb1 e yd 5 , L Ci Parcel Address: U 't.l� pmD ' :City aar rp ft e6 �, State. VA Zip "V II /I (include suite-or'-floor) PRD4AR.'Y CONTACT , Who should we call/raite concertaiiag this project? I B u s � l r1 -Address : !,O �GC {r•s �'% CitS�i�.i�dfE�s�. f�t State_ zip L+3 Office�'lznue: 3�F 927-13$6' Cell # 'tr35�`tl3Y•t> �IFax #//32177,5529 E-mail L..s�aws�,Cd„r��+s�.,�<Ic,�..._ APPLICANT INFORMATION BusinessName/Type :_ Adefl,i L erf :I Pre vlaus )[3tYSiness on this sfte -- - - . ASV G 1 i Q r :. Cowl AL1R Describe the proposed business, including use, number iof euiployees, ntimber of shifts, aienilable arking spats anc�a -a, additional information that you. can rovide: $ S � GY rs i es 5 t S *This Clearance will only be valid on tho parcel for which it is amoved. If you change,. intcasify or move the use to anew Iocation, anew Zoning Clcarance will be, required. I hereby certify that I orva or have the owftees permission to-use to space indicated on this application. l aho•certify that the informatipn provided is tree and accumto to the -best of my knowledge. I have read the conditions of approval, aid I wkdesstand them, and that I will abide by them. Signat<u c G� `� Printed E Q1(� Q. 01' APPROVAL INFORMATION [ ] Approved as proposed [ ] Appr6� d with conditions [ ] Denied [ ] Bacltflow'prcvention device and/or cuzxent test data needed, for this site, Contact ACSA, 977.4511, xI 19. [ ] No physical Site inspection has been done for this clear nee. Therefore, it is not a dctchnination: of complia11ce with the existing site plan. [ ]'his. site complies with the site -plan as of this date. Notes: Building Official Date Zoning Official Date Other OfFicial' , Date t ounry oz • inemarae Department of (;omt unity Development 401 McIntire Road CharlottesvilletVA 22902 Voice: (434) 296 -5832 ) ax- (434) 972-4126 311106 page 2 of 3 V00 /ZOOd WdGq.VO LOOZ V daS• HM 06V AA 11N]NdOl3A30 AIINnHwoo