HomeMy WebLinkAboutCLE201400137 Legacy Document 2014-07-23Applicati ®n f ®r Zoning Clearance
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OFFICE US Y L'
PLEASE REVIEW ALL 3 SHEETS
Check # Date: !4•
Receipt # Staff:
PARCEL INFORMATION GXz J 1 L
Tax Map and Parcel: � � y _ 01 - -`Q ML 0G Existing Zoning
Parcel Owner: —To ji) e S Rcb) 11, cn
Parcel Address: 2 �' 2 t?r y-om rM City Q l� State V Zi22- -1
(include suite or floor)
PRIMARY CONTACT —; �_ P k I 1 DS
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Who should we concerning this project?
�call/write
I
I C'�CQ�- HQ - dd)CLEt City S C043V 1 l I e. State
Address:
Office Phone: S42- - E -mail DL+Ox fhAce -r f ,2
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name V New business
Business Name /Type:
, l I ► (ns �tt.n-
cub C3,nd �ae—rK ' ` Luxn+
Previous Business on this sit
Describe the proposed business including use, number of employees, number of shifts, availabl parking spaces, number of
10 2-
vehicles, and any additional information that you can provide:
2.-,OGLCQ �S _
*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 accurat�the of my knowl . I have read the conditions of approval, aan(,d�I understand them, and that I will abide by them.
Signature o Printed 1 { �o I if tiC -S ��
APP AL INFORMATION
pproved as proposed [ ] Approved with conditions [ ] Denied
[ ] Back ow prevention device and /or current test data needed for this site. Contact ACSA, 977 -4511, x117.
[ o 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
rbZoning Official Date 2� f
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 7/1/2011 Page 2 of 3
hus
Intake to complete the following:
O/NmI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y
Will "�J there be food preparation? �jo
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 lic water.
If private well, provide Health Department form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that applie
Is parcel on septic o ublic sewe
; N
ill you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit # ROOMS, 1-10
YTnonstruction I�
Will t ere be ny or renovations?
If so, obtain the proper Permit.
Permit #
7.nnina to vmmnlPtP the fnllnwinu:
Reviewer to complete the following:
Square footage of Use: %D Y'6'
Isei•mitted as:
Under Section: 00
Supplementary regulations section: -
Parking formula:
Required spaces:
Y/
be verified in the field:
Inspector:
Notes:
Vio ,�yons:
!�'
If s�List:
Pr Cl s:
Y i
If ist:
Vari
Y /
If so, ist:
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SPY/QN
If s :
C lear nces:
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SDP's
Revised 7/1/2011 Page 3 of 3
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form must accompany zoning applications (Home Occupation, Zoning Clearance, Zoning
Administrator Determinations or Appeals, Sign Permits, Building Permits) if the application is not the
owner.
I certify that notice of the application,
[County application name and number]
was provided to i—c", en Rd f )— Opo the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number
manner identified below:
by delivering a copy of the application in the
Hand delivering a copy of the application to
[Name of the record owner if the record owner is a
person; if the owner of record is an entity, identify the recipient of the record and the recipient's
title or office for that entity]
on
Date
Mailing a copy of the application to J cf ffs
[Name of the record owner if the record owner is a person;
if the owner of record is an entity, identify the recipient of the record and the recipient's title or
office for that entity]
on ,b 7 -) L f ` )q to the following address:
Date
a,�54S W I I I ^ S +Dn T)'f -e i ,-� M TN C
[address; written notice mailed to the owner at the last known address of the ow der as shown on
the current real estate tax assessment books or current real estate tax assessment records satisfies
this requirement].
d-
Si nature of Applicant
Print Applicant Name
Date
Albemarle County
Planning Application
Community Development Department
401 McIntire Road Charlottesville, VA 22902 -4596
Voice: (434) 296 -5832 Fax: (434) 972 -4126
TMPI 061190-01- 00-00400 Owner(s):
Application # C'LE201400137 ROBINSON, TAMES c ®R MARY A
PROPERTY INFORMATION
Legal Description BERKMAR 4 DISCOUNT FURNITURE
Magisterial Dist. Rio Land Use Primary Commercial
Current AFD Not in A/F District Current Zoning Primary Highway Commercial
APPLICATION INFORMATION
Street Address 2112 BERKMAR DR CHARLOTTESVILLE, 22901 Entered By
Judy Martin
Application Type Zoning Clearance 07/16/2014
Project Philips Discount Furniture
Received Date 07/16/14 Received Date Final Submittal Date Total Fees 50
Closing File Date Submittal Date Final Total Paid 50
Revision Number
Comments
Legal Ad
3UB APPLICATION(s)
Type_ Sub Applicatil :Comment
Signature of Contractor or Authorized Agent Date