HomeMy WebLinkAboutCLE200600072 Legacy Document 2014-07-08GUMMUN11Y UtVLLUNMtN11 Fax 4349(24116 Mar 20 2006 12:10pm P001/002
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82 -806 - 0603 2-4 C—
Application for Zoning Clearance
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❑ Zoning Clearance = $35
PLEASE REVIEW ALL 3 SHEETS
PARCEL INFORMATION
ON
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Tax Map and parcel: Tax Map 32 Parcel #
OFFICE USE 0;,gLY
CLE 9
Check # Date: 14) VL
Receipt # Steff: Q a'
Existing zoning P D I P
Parcel owner: University of Virginia Foundation
Suite 220 2nd F1.
Parcel Address• 1670 Discovery Drive City tharl ott•esv i �&% VA
melude Suite or floor)
�jti1�lARX CONTACT
who should we call/write concerning this project? Deborah van E e r s e 1
Address. P.O. Box 40021.8
Zip 22911
City Charlottesvi 1Stete VA. zip 22 =4218
Office Phone- L14) 924 -0696 Cell# 531 -1944 Fax# 982 -4852. E -mail dv5q@vi.rginia.edu
. - - - -- - - -- - - - - -- -- -- ---------- - - - - -- - -• -------------------------------------------------------- - - - - --
-PRO --
JECT INF- ORMA TION
Business Name/Type: Pragmatics, Inc.
Previous Business on this site:
none
Proposed use: Office S p a c e
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,Zoming
Clearance will be required.
I hereby certify that I own or have the owners permission to use the space indicated on this application. I also certify that the information provided is
true and accurate to i best of my knowledge. I have read the conditions of approval, and I understand Them, and that II will abide by them.
Signature Printed- /!I(X�
------------- -................... ., -------------- ..^1 ------------------ ------------------- --, ----------- - - - - -- - - - - --
APPROVAL INFORMATION
Approved as proposed [ ] Approved with conditions
[ a Backflow device and/or current test data needed for this site. Contact ACSA 977 -4511, x1 29.
Vq 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. Baektlow Device and/or
Building Official Date
Zoning Official Date b(
Other Official
Date
---------------------------------- ------------- - - ---- -------------- --------------- , --------------- 1 .1------------ ----1 ------ - - - -..
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296.5832 Fait: (434) 972 4126 10/14/05 Page 2 of 4
UUMMUNIIY UtVLLUfMtN11 NIX 4�49(2412b Mar ZU 1UU6 12:10pm NUUZ /UUZ
Applicant to complete the following:
OY / N
Do you have one of the following?
Tax Map and Parcel Number and or;
Address of use•(inelude unit or floor if appropriate;
Y. N
o 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; 3, 5 0 0
The square footage of each room or area of users e e d i a g r a
Use of each room or area office — general
If using less than the entire structure, tote the location within-the
structure.
Zoning_Tech to complete the followi g:
Intake to complete the following:
/sue in LL HI or PDIP zoning? If so, give applicant a. Certified
Engineer's Itcport (CER) packet.
Y / O
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
Y /O
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
0/ N
Is on public water and sewer?
Y /g)
Will you be putting up a new sign of any kind? If so, obtain
proper Sign permit.
Permit #
'Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit # g l? �o — 3 iq'A
Y/ TP
Is this for sales of Fireworks?
If so, obtain a copy of F/R permit.
Permit #
Viol lion
X/N
If so L t:
Y
s , ist: 5 -Q
7
" V if
Vari ce:
Y/v
If so,�z�'st:
SP's:
Y/O
If so, St:
10/14/05 Page 3 of 4
Reviewer to complete the following: �
Square footage of Use: __
Y/N
Permitted as: _ 2 (&-01 vte�f t,PY A',btrC%4A
Under Section: fd�l�G�� � . l �'� a7•g.i��
Supplementary regulations section:
Parking formula: (Z IC)O C-9 b)
Requi spaces: 14 S U .
Y/N
Ite be verified in the field:
Inspector Name & Date:
Notes
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