HomeMy WebLinkAboutCLE200600083 Legacy Document 2014-07-16)r oAa Ui Wv kulq
11,14
IN F
Zoning Clearance = $35
PLEASE REVIEW ALL 3
SHEETS
OFFICE USE ONLY
CLE# ZOO& —53
Check# 0_6_,a-,h
Receipt9#:,6-q3Q 3
Date: q-470(p
Staff W Sj
PARCEL INFORMATION e4
Tax Map and Parcel. 03200-00-00-01 Wf' I 'Existing Zoning Light Industrial'
Parcel Owner: Win)Lner, James G.Tr. or Pamela A.
Parcel Address: 161.7 Quail Run City Charlottesville State VA Zip 22911
PRIMARY CONTACT
Who should we call/write concerning this project? Bill Howard, Itealtor, Real. Estate 111 Commercial Properties, Inc.
.Zip Address: 1.411 Sachem Place, Suite 2 City Charlottesville State Virginia Zi 22901
office Phone: 434-817-1240 Cell 41434-906-1240 Fax # 434-8174245 E-mail wlhoward@re3ep.coni
PROJECT INFORMATION
I h Cld in
Business Narne/1'ype.:%',aP 11'nier,T D.. Qme,carp art
.Prkwious Business on this site.., Bread Distributor
Proposed Use: Office and warehouse for In home carpet cleaning business.
Circle (if applicable), Fireworks, Christmas Tree.
SEE CONIXTIONS OFAPPROVAL If T I, CLEARANCE IS FOR FIREWORK OR CHRISTMAS TR."BE SALE S (Sheet 1)
E CLE
i
"This Clearance will only be valid on the parcel for hith it is Approved. If you cliange, intensify or move the use to anew location, anew Zoning Clearance
will be required.
l.hereby t I own or have the owners permi J n u the space indicated on tbissoort-MIA'Vin. I also certify that the information provided is true and
�n tat
accurate ot t
2_1
accur, e est(jfmy,kno%mOi$eydcg-yc.lb"27 t 00 di n ofapproval, and I enders theR, dt. 11vi abide bythem.
01 1 :"a IN I
Signature Printed L
APPROVAL FORMATION[
�CQApproved. as proposed Approved . with: conditions,
]Backflow device and/or current test data needed.for this site. Contact ACSA 977-4511, x1l 9
-f with the existing site plan.
been done or this clearance.'rherelore, it is not, a determination of con[Ifia, nee Nvi
�o physical site inspection has
I This site complies with the site plan as ofthis: date.
Badmew MOM anwer
Curg=t Tat Data Nee&d
C 7:191
C0UtFAACSA977-U.11,x1*
Building Official. Date
Zoning.OfFcial Date S /cf /p�
Other Official Date
County of Albemarle Department of Corr munity'Develcipment
401 McIntire Road Charlottesville, VA 22902 Voice:, (434) 296-5832Fax! (434) 972. 412610 /14/05 Page 2 of 4
r'
Applicant to complete the following:
r/
o you have one of the following?
Tax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate;
Y/
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;
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
structure.
Soning Tech to
Viol ns:
Y7
If
` Varnae:
Y / Ifs , t:
Intake to complete the following:
Y N �/
s use in 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
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
Y/N
is on public water and sewer?
Y /(N
Wil you be putting up a new sign of any kind? If so, obtain
proper Sign permit.
Permit #
Y h-tkef
Wi a be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Is/
Is t or sales of Fireworks?
If so, obtain a copy of F/R permit.
Permit #
flete the following: - No sr t ri BLlt6g-�; Oly Fog-
11 ® g-
Proff
If s
SP's:
Y / i
If so,
S
2�
1011410.5 Page 3 of 4
h
/'
it
Reviewer to complete the following: bV
Square footage of Use: Se-
" b2G dac.� a CC�es�6 ridor-
't � � )
erm'tted
Under Section: -2 7. 2 - / ,
Supplementary regulations section:
Parking formula:
Required spaces:
Y/N
Items to be verified in the field:
Inspector Name & Date:
Notes .
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