HomeMy WebLinkAboutCLE201400189 Legacy Document 2014-09-22Application for Zoning Clearance
0
PLEASE REVIEW ALL 3 SHEETS
OFFICE USE ONLY
Check # )70q Date: °I 1 CA
Staff:
Receipt # Q I /
PARCEL INFORMATION /
Tax Map and Parcel: (7 Existing Zoning C
Parcel Owner: C-bE Y� L.o ('rf �S Z-IcC1iJ
i
Parcel Address: —k GQ- e \P, q> City State Zip zy-)Q1
(include suite or floor)
PRIMARY CONTACT
Who should we call /write concerning this project?
Address: 1 S� o C L(+CSFs'22N Z city 13,1 Lxw t,,� a W State VIA-- Zip fl
Office Phone: (2 � Cell # Fax # E -mail R Sb1 6 L(�a F� Cr 0 tc.;Q
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
,p
Business Name /Type: S C3 �`� �` (��Z.S �' S / 1 U t �' Z>,j P '`l C 69
Previous Business on this site kf Zo U (A-(?-'E IL
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: ^C 6-IT F, P =z kc=r--to -S F (wtv S
\b P( k
*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 y° SL`' j-ga -1 ELP/1K3 '�
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 vepartment of Community lieveiopmenL
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
Revised 7/1/2011 Page 2 of 3
6.
Intake to complete the following:
Is
Is u LI, HI or PDIP zoning?
Engineer's Report (CER) packet.
Y /N
If so, give applicant a Certified
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 �wa Is parce l on private well o publi?
If private well, provide Hea t form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that app
Is parcel on septic or
Y/N
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
61N
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit # Y �/
7.nnina to rmmnlPtP the fnllnwina:
Reviewer to complete the following:
Square footage of Use:
S' /N /
Permitted as: ��Q�� ir►l �i l �S
Under Section: A I AA. 12L-AL. ! ��
Supplementary regulations section:
Parking formula:
Required spaces:
Y/6
Items to be verified in the field:
Inspector:
Notes:
Date:
Violations:
Y /(I3)
If so, List:
Prof,�rs:
Y/9
If so, List:
Varia
Y /�I
If so, List:
's:
/N
If so, List:
2-� Sa
Clearances:
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,
was provided to
CF- S
[County application name and number]
[name(s) of the record owners of the parcel]
the owner of record of Tax Map
and Parcel Number �— S _31 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
Mailing a copy of the application to � � \j r`'�~`"` ` �S
[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 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].
S ignatu pdqoppli cant
Print Applicant Name
15-7, . I 115- %
Date
Lease Agreement
Table 1: Summary of Material Terms
;Lease Name (DBA)c
Lease Number 4661 0914 SBV 343
J.B. Enterprises, Inc.
. ....:...
'Lease Date: 09110/2014
:.....................__
I Subtotal
................... ............................._.... . ...... _............ .......... ... ..... ............. ........ ................._.....
;Start Date: !End Date:
i
:10/01/2014 111./ 01 /2014
. :..:
-. - :.:::...:; .... :..
Tenant Name (Legal):
: - _ .. _.. ......:: .. ....... .. .... ...:........ ...: .
Landlord Agent
1J.B. Enterprises, Inc.
Charlottesville Fashion Square, a Delaware Limited Liability
i
;Corporation
................._ _.........
;Office Address.
. . .
;Shopping Center Trade Name and Address:
;811,1 Cobden Court, #101
'Charlottesville Fashion Square
:Manassas, VA 20109
.1600 East Rio Road
_ ......................................................................._.............._
Tenant's Telephone Number:
_.._.__..._.................... ...........':Charlottesville, VA 22901
;703 725 5011
........ ....... .......
::..... .......
!Contact Name:
Yoseph Asmellash
:....................... ................... _....
SIC /MIX Code: Total Contract Amount: $2,500.00
Other Retail. (2641). Total Taxes: $0.00
Grand.Total: $2,500.00
Space Rent Table
(Remit Payment to:
!Charlottesville Fashion Square
11600 East Rio Road
Charlottesville, VA 22901
.. . ....... .
Sole purpose for which space can be used by Tenant.
;See Exhibit 1
iManagement must approve all displays. If this Agreement
,contains a Media Rent Table, the display posting period for
any advertising medium or component shall be limited to
the respective dates therefor set forth. in such Media Rent.
'Table.
.. ..... .......... .... .......... , ... ............................_..
Securely /Damage Security /Damage Deposit Due .
Deposit Amount: ' Date:
:$0.00
I
Shopping Center Name I. City /State I Sub Use Type I Location I Sq. Ft. / Dlmen.
Charlottesville Fashion Square lCharlottesville, VA Outdoor /Parking Lot IRte. 29 Overflow Lot 110000
Shopping Center Name
I City /State
Space Start Date
I Space End Date
I Subtotal
I Sales Tax
Total
Charlottesville Fashion
Square
Charlottesville, VA
10/01/201
11/01/2014
$2,500.00
$0.00
$2,500.00
Payment Schedule
Payment Due Date Amount Due
10/01/2014 $2,500.00
Total Due $2,500.00
Insurance Required Date: 10/01/2014
Single Mall Insurance Certificate Holder: CHARLOTTESVILLE FASHION SQUARE, LLC, a Delaware limited liability company
Landlord owns and operates certain real estate, together with certain buildings and improvements located thereon,
commonly known as the Shopping Center. In consideration of the premises, covenants and agreements as stated
Lease Agreement for J. B. Enterprises, Inc.
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