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Home My WebLink AboutCLE200900034 Legacy Document 2014-07-10Applicati ®n for Zoning Clearance CLE # 1 "6GP — Zoning Clearance = $35 OFFICE USE ONLY Check # 2 2 Date: "t `4 PLEA VIEW ALL 3 SHEETS Receipt # ,34 Staff: A-22 PARCEL INFORMATION 1-2 t� Jj Tax Map and Parcel: 0 3 3- 0 0- 0 0- 0 O l D O Existing Zoning Parcel Owner: 11ext Gen era t i nn T T.0 Parcel Address: 3016 B0131 j e -r g C t City VA Zip 22911 (include suite or floor) Ord & 4th Floors) PRIMARY CONTACT Who should we call/write concerning this project? Wendell W. Wood Address: P.O. Lox 5548 City Char. State VA Zip 22 Office Phone: CAD 7 S_ 4 Cell # Fax # 7 E -mail u 1 cwww@emb ar aria i 1, c APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name T New business BusinessName/Type: Nai-J'nnel CzYCLU7ld IntellisenGe Center Previous Business on this site Npnp 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: 439 emp l off, 2 4 / 7 , 5 2 3 1� ark ink; Spaces - office space *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 is true and accurate to the best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them. Signature Printed wp n d e l l W TJ0 0 d APPROVAL INFORMATION Approved as proposed [ ] Approved with conditions [ ] Denied [ ] Backflow prevention device and /or current test data needed for this site. Contact ACSA, 977 -4511, x119. [ ] 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 l o ( � Zoning Official Date 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 04/28/08 Page 2 of 3 M Intake to complete the following: Y / � Is use m LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y/ 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 Circle the one that applies Is parcel on private well or public w ter? If private well, provide Healt De ent form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE Circle the one that appli Is parcel on septic or ublic se er? Y/N Will you be putting lin a new sign of any kind? If so, obtain proper Sign permit. Permit # Y/N Will there be any new cons tion or renovations? If so, obtain the proper Pe nt. Permit # 7nninv to emminlPtP the fnllnwinu- Reviewer to complete the ��flollowing: S9uare footage of Use: i i, ©© G YJ/ N Permitted as: G Under Section: Supplementary regruul ti�gns section: Parking formula / (P n Required spaces: Y/N Items to be verified in the field: Inspector • Date: Notes: s: Vs , ist: P ffers: N so, List: —.V-1 D � Vari e: Y/N If so, List: 's: /N Zso, List: &T e, 0 Clearances: SDP's Revised 04/28/08 Page 3 of 3