HomeMy WebLinkAboutCLE200600067 Legacy Document 2014-07-08a t J
Jir �l •A
Application for Zoning Clearance
OFFICE USE ONLY
/Zoning Clearance = $35 CLE #
PLEASE REVIEW ALL 3 SHEETS Check - f Date: 3- -Ow
Receipt # �z q 1 �'� Staff: ,.
PARCEL INFORMATION
Tax Map and Parcel: 03200- 00- 00 -017AO
Parcel Owner: ARB
LLC
3- 36 -6(P C.d
Existing Zoning light industrial
Parcel Address: 1601 Airport Road City Charlottesville
__- __ -___ ____ ____( includesuiteorfloor )____••_- ________ -_
PRIMARY CONTACT
Who should we call /write concerning this project? Peter O'Hara
Ar-
Address :4536 Plank Road City Fredericksburg State VA Zip 22407
Office Phone: (540) 785 -6100 Cell # (540) 379 -4670 Fa # (540) 785 -3577 Email pohara @ecslimited.com
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PROJECT INFORMATION
Business Name /Type: ECS, Mid - Atlantic, LLC
Previous Business on this site: unknown
Proposed use: engineering office
Circle (if applicable): Fireworks / Christmas Tree
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet 1)
*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 t 1 own or have the o, +ner's permission to use the space indicated on this application. I also certify that the information provided is
true and acct!• e t 'he best of my lalo edge. I have read the conditions of approval, and I understand them, and that 1 will abide by them.
Signature Printed An-g; o '744>q-
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APPROVAL INFORMATION
,�] Approved as proposed [ ] Approved with conditions
el : LPP,% t 1 u to p - �
[ ] Backflow device and /or Current test data needed for this site. Contact ACSA 977 -4511, x119.
j 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.
Building Official
Other Official Date
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marle' en�bf Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 10/14/05 Page 2 of 4
J Applkant to complete the following:
Y/N
Do you have one of the following?
Tax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate;
Y/N
Do you have a Floor Plan (sketch or an architectural drawing) that
includes the following, and if so please provide it with the
application?
The total square footage of the use and /or;
The square footage of each room or area of use;
Use of each room or area
If using less than the entire stricture, note the location within the
structure.
, oning Tech to
Viol *
ors:
Y/
the
Y
If
Intake to complete the following:
YY' N
Is use in LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y /1'YIi
Wil 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
Y /n
Is parcel on private well and septic?
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval from
Health Dept. FAX DATE
)/ N
on.public water and sewer?
Y/V
Will you be putting up a new sign of any kind? If so, obtain
proper Sign permit. � 0 -+ ` „
Permit # ` — -j
Y
Will there be any new construction or renovations?
If so, obtain the proper Perniit.
Permit #
Y0�1
Is sales of Fireworks?
If so, obtain a copy of F/R permit.
Permit #
Y /I
If so,
SP'
Y
If s
10/14/05 Page 3 of 4
Applicant to complete the following:
Y/N
Do you have one of the following?
Tax Ma Parcel Number and or;
ss of At 6ncl mt o oor if aimmmiate:
/ N
Do you have a Floor Plan (sketch or an architectural drawing) th,
includes the following, and if so please provide it with the
application?
The total square footage of the use and/or;
The square footage of each room or area of use;
Use of each room or area
If using less than the entire structure, note the location within the
USX Gj70 gw�-A UM
'Joning Tech to complete the following:
Violations:
Y/N
If so, List:
Variance:
Y/N
If so, List:
Intake to complete the following:
Y/N
Is use in LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y/N
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
N
Is rcel on private well and septic?
If , give applicant a Health Department form.
ing review can not begin until we receive approval from
ealth Dept. FAX DATE
Ff /N
Is on public water and sewer?
Y/N
Will you be putting up a new sign of any kind? If so, obtain
proper Sign permit.
Permit #
Y/N
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Y/N
Is this for sales of Fireworks?
If so, obtain a copy of F/R permit.
Permit #
Proffers:
Y/N
If so, List:
SP's:
Y/N
If so, List:
10/14/05 Page 3 of 4