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HomeMy WebLinkAboutCLE200700221 Legacy Document 2014-04-25Application for Zoning Clearance :r _ At County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 511106 Page 2 of 3 OFFICE USE ONLY -5 7 oning Clearance = $35 CLE # °J`M PLEASE REVIEW ALL 3 SHEETS Check# 10, Opt) Date: lb 7 Receipt # i Staff: �Lt� PARCEL INFORMATION 7MPS4A1— ©I /Po,rce( 133; TMe 56*61 /0.arcel 1­9q + Tax Map and Parcel: (N P 56 A i • -D 1 Z 1"b e I !) 5 Existing Zoning f Parcel Owner: L— 5 F,!Y Cava /lei V1UES�tvteh�S� L LC— Parcel Address: O g Cr Ld A yei4 u e City Crb z- e State VA Zip A�• � (include suite or floor) PRIMARY CONTACT Who should we call/write concerning this project? t (I 1 0.vA Ru S Address : 1 l Od 44c, re., 5 15 k City L' kw r'arl l.rJ , 11,e State 4 Zip 22 -9 Office Phone: (19 ) q 77-13 Cell # 13q *q.0 f$7Fax # E- mail 0�.4" yJ � ry�N•� � 1 •cm ,L APPLICANT INFORMATION Business Name/Type: Ciro zed P�; �v5vev,� eu ce Sfia�r� %Lai r ra Qaee A z Gas Previous Business on this site V; Q ('VX I Q l 1 COtiMOCI A U 6a S S GL c Cti Describe the proposed business, including use, number of employees, num er of shifts, available parking spaces and any additional information that you can provide: Sama LA5p- _ 4 1-077\ Use J3 _e . rte.; �'� 5 30 nark 5tc�. �, l6 h���r s ielr *This Clearance will only be valid on the parcel for which it is approved. If you change, intensify or move the use to a new location, a new Zoning Clearance will be required. I hereby certify that I own or have the owner's permission to use the space indicated on this application. I also certify that the information provided is true and accurate he best opmKklnowledge. I have read the�cconditions of approval, and I understjannd them, and that I will abide by them. Signature ,, & 3 6( Printed (l f-a J b 6t V 1 5 APPROVAL INFORMATION [s^sf Approved as proposed [ ] Approved with conditions Pa &ll &wee and /or [ ] Backflow prevention device and /or current test data needed for this site. Contact ACSA, 77 rVie& If4stt Da Need- [ ] No physical site inspection has been done for this clearance. Therefore, it is not a determ n .ki f o i i ex s i �8iit$c@ Ei'��� �7'i � I, x � �� site plan. -„ [ ] This site complies with the site plan as of this date. Notes: Building Official Date `C -. 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 511106 Page 2 of 3 Intake to complete the following: ❑ YES IO Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. ES ❑ NO Will there be food preparation? If so, give applicant a Health Department form. Zoning review can not begin until receive approval from Health Dept. FAX DATE q — —n' ❑ YES ❑ NO Is parcel on private well or nua blic �x�atPr�__ If private well, provide Health Department form. Zoning review can not gin until we receive approval from Health Dept. FAX DATE ❑ YES ❑ NO Is parcel on septic or public sewer? ❑ YES O-Tqb�- Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # ❑ YES �U Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # GoninL "Tech to complete the tollowin2: Violations: ❑ YES NO If so, List. Variance: ❑ YES ONO If so, List: != io a P, P/ cL-� c Reviewer to complete the following: W � footage of Use: ES ❑ O�d���J Permitted as: Under Section: ��� �c, Supplementary rekllaations section: Parking formula:„ ��• Required spaces: ❑ YES NO Items to b verified in the field: Inspector : Date: Notes 5/1/06 Page 3 of 3 17[rlir�n/n, .zoning C e•arance OFFICE USE ONLY -� Wing Clearance - $35 CLE # �7 PLEASE REVIEW ALL 3 SHEETS Check# f- , VD0 Date: / Receipt # �— (YS� Staff: &(4), a� AL PARCEL INFORMATION ,(°At+�l�i�arce� Tax Map a4d Parcel: THE Al of � r'bu-ce 1 1115 Existing Zoning Parcel Owner• ."S Parcel Address; le);' R C1 -b7ZJ A VC(A u•E City Lib Z_ P_ State VA - Zip .. (include suite or.flooi.) ... PRIM IZY CONTACT Who should we call/write concerning•this project? t k OVA �(� S Address lG7b TTcc re, 15 :City Ck— ,rlart�Wi State __ Zip22. ) APPLICANT WFOMIMMP" $nsiness Namerf'ype: C, AVC A ee_>� c,-- Prevfons Bxtsiaoss ail this site__ �l rC (A iCt tT 1 �(i >� . cs ('0 a !!5r,2 t� f4 � . *This• ClearaPce will only be valid on the parcel for which it is approved. If you change, intensify .or nzovc fhe use to a new location, a new Zoning Clearance will be;regtured. I hcrcby certify the t l own or have the owner's permission to use tie space indicated on this application_ l also certify that the information provided is true and accurate a best v of knowledge. I leave read-the donditions of approval, and I =dwstand them, acid that I will abide by thorn. 5igua tare ' i 'Printcd Era.d , b a y 1`5 APPROVAL INF'ORI�" ION [ 7 Approved as proposed j ] -A.ppros 6d with conditions [ ] Denied [ ] Backflow prevention device and/or curntut test data ae;p:ded for this site. Contact'ACS.A, 977 -4511, x1.19. ] No physical site inspection has- been done for &.s cleaaM'; nee. Therefore, it is not a determination of comphanee with the existing site plan' [ ] This site cornplk s -with the site plan as of this date. Notes: )§uilding Official. Date Zoning Official . Date Other Official ', �(� -Date County of tbennaAarle *1)artment of Conrninnity' Development 401 McIntire Road lortesAlle' VA, 22902 Voice: (434) 296-S832 )Fa-,,,: (434) 9.72 -4126 511106 Page 2 of V00 /00d Wd�q'VO z00Z 9 deS 9ZOU VEV X6J UNICOIIA30 AlINf wo