HomeMy WebLinkAboutCLE201400073 Legacy Document 2014-05-02Application for Zoning Clearance�sz"`
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CLE # - R 3
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OFFICE U N�Y
PLEASE REVIEW ALL 3 SHEETS
Check # Date:
Staff:
Receipt #
PARCEL INFORMbT 0
Tax Map and Parcel:] (J`1"C IlV Existing Zoning
Parcel Owner:
Qg� �I �il.t. R rg3� City State VA- Zip ZZ10
Parcel Address:
(include suite or floor)
PRIMARY CONTACT
Who should we call /write concerning this project? ADR 1=t-S 6 -r-FAA
Address: 2�{�5g lG>41M64 �Q• City, 7H /5l,��I- State Zip Zb��
Office Phbne: (_) Cell # q 19-bt(*c�ax # E -mail "Mw F(V,-.re,,P 5(p
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
Business Name /Type:
Previous Business on this site
Describe the proposed business including use, number of emplo ees, number of shifts, available parking spaces number of
vehicles, and any additional information that you can provide:Y-1 -t
= �Gd is N I ct.
*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
best ledge. I have read the conditions of approval, and I understand the , nd that I will abide by them.
is true and accura to the o my
Printed Nd i2-(rJ 0 FF✓A 6q:'1V
Signature
APPROVAL INFORMATION
[ ]Denied
[ ] Approved as proposed [ ] Approved with conditions
[ ] 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
Date
Zoning Official
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
,1.��
Intake to complete the following:
Is/
Is u n 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
Circle the one that applies Parking formula: y
Is parcel on private well publi�we r?
If private well, provide H alth Deent form.
Zoning review can not begs i receive approval from Health Required spaces: f
Dept. FAX DATE .
Reviewer to complete the following:
�r
Square footage of Use: 7 v
/N �
emitted as:
Under Section: L5. -2-'
Supplementary regulations section:
Circle the one that appli
Is parcel on septic or 1c se.. e .
Y/N
Will you be putting up a new sign of any kind?
Sign permit.
Permit #
Y/
Item be verified in the field:
If so, obtain proper
Inspector : Date:
Notes:
Y/N
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit # 6 3 Z
Boning LO cUlll lete Lue 1VUVYYUi
Viola ons:
Y / Q
If so, List:
roffers:
/ N
so, List:
Variance:
(j0/ N
If so, List:
SP's:
/N
If so, List:
Q 31
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, ( 5R Ld �35
[County application name and number]
was provided the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number
manner identified below;
by delivering a copy of the application in the
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
i/ Mailing a copy of the application to L—R
[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 2—� 2� / to the following address:
Dt
l qY s C #u 6cj 5 -Rt> . *- -5c�o , V eN ti A- V4- 22r
[address; written notice mailed to the owner at the last kncfwn 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 ame
Z 267
VDa
Albemarle County
Planning Application
Community Development Department
401 McIntire Road Charlottesville, VA 22902 -4596
Voice: (434) 296 -5832 Fax: (434) 972 -4126
TMPI 04500- 00- 00 -094A0 j Owner(s):
SCT RIO HILL LLC C/O ROSENTHAL PROPERTIES
Application # CLE20.1400073
PROPERTY INFORMATION
Legal Description ACREAGE PARCELS A, B, C, D &E RIO HILL SHOPPING CENTER
Magisterial Dist. Rio Land Use Primary Commercial
Current AFD Not in A/F District Current zoning Primary Planned Development Shopping Center
1PPLICATION INFORMATION
Street Address 1748 RIO HILL CTR CHARLOTTESVILLE, 22901 Entered By
Jud Martin
Application Type Zoning Clearance 04/29/2014
Project Cato Fashions
Received Date 04/29/14 Received Date Final Submittal Date Total Fees 50
Closing File Date Submittal Date Final Total Paid I 50
Revision Number
Comments
Legal Ad
SUB APPLICATION(s)
Type,Sub:Applicati,� „ Comment,
Primary Contact i ANDREW HOFFMAN 25408 CHICAMA DRIVE € SOUTH RIDING, 's 20152 i 7034190479 €
Signature of Contractor or Authorized Agent Date