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HomeMy WebLinkAboutCLE201400073 Legacy Document 2014-05-02Application for Zoning Clearance�sz"` �cFnt, CLE # - R 3 -- 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