HomeMy WebLinkAboutCLE201400052 Legacy Document 2014-06-02Application for Zoning Clearance
CLE # -20 ( H !S Z
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OFUCE USE ONLY
PLEASE REVIEW ALL 3 SHEETS
Check
ReceigC • #'�_
PARCEL INFORMATION -
Tax Map and Parcel: 32 -6A 460 ACRES Existing Zoning PDIP
Parcel Owner: UNIVERSITY OF VIRGINIA FOUNDATION
Parcel Address: LEWIS AND CLARK DRIVE City CHARLOTTESVILLE State VA Zip 22911
(include suite or floor)
PRIMARY CONTACT
Who should we eall/wr ite concerning this project?
Address :'I BOAR'S HEAD POINTE City CHARLOTTESVILLE State VA Zip 22903
Office Phone: 34 ) 982 -4848 Cell # Fax # 434.982.4852 E-mail KM9UA @VIRGINIA.EDU
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
Business Name /Type: 4 THE WOUNDED 5K - JUNE 7, 2014
Previous Business on this site UNIVERSITY OF VIRGINIA RESEARCH PARK (CURRENT)
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: 4TH ANNUAL 5K TAKING PLACE ON OUR PROPERTY. 1400 -2000 PEOPLE
ANTICIPATED BETWEEN HOURS OF 6:30AM - 11:00AM. AMPLE PARKING ON -SITE
*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 p orn. As ion to use the space indicated on this application. I also certify, that the information provided
is true and acc ate t t best of my edge. I ve read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed March 12, 2014
APP AL INFORMATION
[UApproved as proposed [ ] Approved with conditions [ ] Denied
[ ] 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. e:
[ ] This site complies wit the site -plan as of t 's date.
Notes:
Building Official , Date
Zoning Official Date _Ts d ��
Other Official (j_� ��Q 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
Intake to complete the following:
(9/ N
Is use in LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y / fl1
Will 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 oi ublie water.
If private well, provide Health eparhnent form.
Zoning review can- not -begin -until we- receive- approval -from- Health-
Dept. FAX DATE
Circle the one that ap es =_-
Is parcel on septic okpublic sewer)?.
(g/N
Will you be putting up a new sign of any kind? If so,
o bta roper
Sign permit. e-vwu
Permit so`
Y /'N
Will ere be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
v�)70�— �-V
Zoning to complete the following:
Reviewer to complete the
Square footage of Use:
ermitted as:
Under Section: � C ho e,
Supplementary regulations section:
Parking formula:
Viol i s:
Y) / N
�f so, ist:
Pro'
Y
If so, List:
Variance:
Y/N
If so, List:
SP's:
(9/N
f so, List:
5
Clearances: c n , . `
SDP's
Revised 7/1/2011 Page 3 of 3
Commonwealth of Virginia N LUP -SEA
Department of Transportation LAND USE PERMIT
7/2010 " Special Events
Approval Form
APPROVAL DATE
Remarks:
COUNTY ADMINISTRATOR / TOWN MANAGER OR DESIGNEE
_April 30 2014 Sergeant Miller Stoddard
APPROVAL DATE LOCAL LAW ENFORCEMENT AGENCY
Remarks: I, Sgt Stoddard of the Albemarle County Police Department, have reviewed the course map and the
VDOT Permit Application for the Wounded Warrior 5I{ to be held on June 7, 2014. The Albemarle County Police
Department approves of this event and I have no public safety concerns or traffic safety concerns.
APPROVAL DATE VIRGINIA STATE POLICE (Sergeant /Area/Division)
Remarks:
APPROVAL DATE VDOT REPRESENTATIVE
Remarks (include any changes that may be made by VDOT):
Cc: County /Town Administration
Local Law Enforcement
Virginia State Police
VDOT Maintenance Residency Office / AHQ
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