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Home My WebLink AboutCLE201400148 Legacy Document 2014-08-26J Application for Zoning Clearance I& CLE# ZOILJ' 14� OFFICE USE ON!, PLEASE REVIEW ALL 3 SHEETS Check # Date: y Receipt # Staff- PARCEL INk'ORNIATION Tax Map and Parcel: j ( �II�(�- Existing Zoning Parcel Owner: .6I (ym elzr1 Parcel Address: I Sa�� - �n�SuRr ct=. �.v. �c,� .City Ll��r� `�_ State �a« (include-suite-or rioor) bl�lp Z,ip,9°/ // PRIMARY CONTACT q�� Who should we call/write concerning this project? St�v � f v �C-? � -60- Address: �.� K.�o P r r`r v City �l�arf+ mss,,; %�� State V/V Zip ?N // Office Phone: ( /ter) 97r1' -I8/ Cell # Fax # � in ;a�cu+deo +• , cods. APPLICANT INFORMATION Check any that apply: Change of/ ownership Change of use Business Name /Type: H 'S� _ PHd;CAr ; _S Previous Business on this site k .1: Describe the proposed business including use, number of vehicles, and any additional information that you can Dro *This Clearance will only be valid on the parcel for which it is approved. CIearance will be required. of name � New business 4- - r 61-L �eLtcek7ie shifts, available parking spaces, number of &�. -- W-4- - change, intensify or move the use to a new location, -anew Zoning 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 accur to to the best of my knowledge I hav read the conditions of approval, and I understand them, and that I will abide by them. Signature � AL Printed ster P � � 1 / 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, x117. [ ] 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', 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 3 M Intake to complete the following: Y/O Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y /NO 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 _Circle the one_that_applies Is parcel on private well or nblic 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 applies Is parcel on septic or nblic sewer? Y/N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # Y /© Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # Reviewer to complete the following: Square footage of Use: b/N , Permitted as: Under Section: Supplementary regulations section: Parking formula: Required spaces: Y/N Items to be verified in the field: Inspector: Notes: Date: Zoning to complete the following: Violations: YJT Proffers: Y/(b If so, List: If so, List: SP's : Variance: Y / (n —List: Y/ If so, If so, List: SDP's Clearances: Revised 7/1/2011 Page .3 of 3 1/2' 9'- 101/2" OFFICE 14 7' I I W-5 3/4" 11' -7" 1L., --4 -1" 3 1/2' 9'-10 3/4" 14, 3'- 81/2" 7"F 9'-6 1/4" VIRGINIA LAND COMPANY 195 Fliverbend Dr. CharlotteSville, VA L'o, 36' —W-5 1/2" OFFICE OFFICE -7- 75"-7-" F31/2" F-1 m VCT z 3 1/2"J ATTIC M —q —4 m 6'-5 1 f4" --S:TORA H. T. 12'- 101/2" 9'-7 3/4" OFFICE VCT =LECTRi'= W-6 3A L —3'-6' 6'-4 1/ 1 VCT 7' -4 ll� 'NiTOP. SM. 'I it Wr .Bove A 10'-3 1/2" OFFICE 8. 31 S Fvlt, /A j i '-7 3/ /7' -2' 1/2" �4 7' -7 1/2"