HomeMy WebLinkAboutCLE201400151 Legacy Document 2014-08-15Application for Zoning Clearance
CLE # O 1 y ~ ) 1
.5
OFFICE USE ONLY I
PLEASE REVIEW ALL 3 SHEETS
Check # 27 S f Date: $ / 2/
Receipt # q %7 Ll a Staff:
PARCEL INFORMATION
Tax Map and Parcel: Tax Map 78 /Parce177AI Existing Zoning PDMC
Parcel Owner: UB Properties, Inc., P.O. Box 446, Bowling Green, VA 22427
Parcel Address: 302 Hickman Rd., Suite 201 City Charlottesville State Virginia Zip 22911
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? Robert Thompson
Address : 302 Hickman Rd., Suite 201 City Charlottesville State Virginia Zip 22911
Office Phone: (434) 529 -8523 Cell # Fax # E -mail rhompson@,,bluelawinternational.com
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name X New business
Business Name /Type: Blue Law International, LLP /Consulting
Previous Business on this site Summit Custom Homes
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: Legal and law enforcement consulting and education.
3 employees. 1 shift. 37 available parking places. 3 vehicles
*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 Sudhir Mahara
AP76VXL INFORMATION
[ pproved as proposed - [ ] Approved with conditions [ ] Denied
[ B ek' ]flowprevention 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
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 7/1/2011 Page 2 of
Intake to complete the following:
Y
Is us 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
Circle the one that applies
Is parcel on private well or ublic wate .
Ifprivate well, provide Health ar ment form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that app . s
Is parcel on septic o public sewer?
Y/N
Will you be putting up new sign any kind? If so, obtain proper
Sign permit.
Permit #
Y / N i�Itil�'
Will there be any new c' onstruction or renovations?
If so, obtain the proper erm .
Permit #
Zoning to comDlete the following:
Reviewer to complete the following:
Square footage of Use: 1
1�'ermitted as: UNt�k
Under Section: 5, 4 � 10
Supplementary regulations section: CJ
Parking formula:
Required spaces:
Viol3'ons:
Y /(N f
If so, ist:
Prof s:
Y / N
Ifs st:
Vari e:
Y/N
Ifs ist:
SP's:
Y/
If s , ist:
Clearances: II yy
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, Application For Zoning Clearance
[County application name and number]
was provided to UB Properties, Inc. the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number Tax Map 78/Parce177A1 by delivering a copy of the application in the
manner identified below:
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
X Mailing a copy of the application to UB Properties, John C. Neal, President
[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],
PO Box 446, Bowling Green, VA
22427
on August 14, 2014 to the following address:
Date
[address; written notice mailed to the owner at the last known address of the owner as shown on
the current real estate tax assessment books or current real estate tax assessment records satisfies
this requirement].
of Applicant
Mahara
Print Applicant Name
August 12, 2014
Date
Blue Law International, LLP
302 Hickman Rd., Suite 102
Charlottesville, VA
Note::; Calculating the total square footage based on the room dimensions shown above will get you a result of
1,584 square feet, which is slightly higher than the 1,557 square feet that is shown on the lease. This is
due to rounding of the room dimensions up to the nearest foot.