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Home My WebLink AboutCLE201400205 Legacy Document 2014-10-27a A pp lication for Zoning Clearance CLE # _:) I �=t ",,S- PLEASE REVIEW ALL 3 SHEETS OFFICE USE ONLY Check # (56H Date: 10 -26 44 Receipt # 0q1 q EJ5 Staff. rrYV J PARCEL INFORMATION i� ( 'M Tax Map and Parcel: 05(Q °o® — cr> — 0 coo Existing Zonings + Parcel Owner: Pxnno Dlsiow o1G,d/ Parcel Address: - 1)Uy City lo� ys State r �� Zip9"L (include note or floor) ,hf_ wx,,,-ae.P.t— S+C_I9_00 PRIMARY CONTACT bm t11 Who should we call /write concerning this project? l �n , W �rf Address :`J U 1�1.�.. � City State ��,Q ® Zip'T Y Y I Office Phone: Ab C Cell d(IMM3 Fax # E -mail ktw OA j QA oftiz . Cw APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name Y, New business Business Name /Type: Previous Business on this site Describe the proposed business including use, number of emplo ees, number of shifts, availab a parking s aces, number of vehicles, nd any additional info mation that you can royide: *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 acc • e 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 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 /6/ LIA 7 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 ra r n r h a 1 � Intake to complete the following: Y /® Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y /G 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 ublic w . 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, ublic sewer? /N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # 2v %q Y ill there be any new construction or renovations? If so, obtain the proper Permit. Permit # 2 61!V -- 17 Zonin-a to complete the followine: Reviewer to complete the following: Square footage of Use: /N t ermitted as: ed a,,ll Under Section: 2 �/ Supplementary regulations section: Parking formula: Required spaces: J Y/ Items o be verified in the field: Inspector : Date: Notes: Violations: Y /6? If so, List: Proffe Y / Y If so, List: Variance: 6IN If so, List: 's: Y;/N If so, List: Clearances: SDP's �ZOD 9 ,2�nst- Revised 7 /1/2011 Page 3 of 3 d } t f t Affidavit And proof of submission to Landlord r. 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, WDUCOM TOY' b0 C- - [County application naiidand number] was provided to the owner of record of Tax Map [name(s) of the record owners of the parcel] and Parcel Number QW QQ f} — ®p —0 C>-1 / 000 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 [Name of the rec d 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 ,MC, 65662-(o 40 � [address; written noticofmailed to the owner afthe last known address of fhe owner as shown on the current real estate tax assessment books or current real estate tax assessment records satisfies this requirement]. i 00.2 Al Date (, ! Th it s rater To: Blue Ridge Investors LLC 1 Attn: Preston D. Stallings 5526 Hydraulic Road Charlottesville, VA 22901 CC: Leigh Hughes cbre - charlottesville leigh.hughes @cbre - charlottesville.com Dear Preston D. Stallings, 10/22/2014 Please-accept this package as notice that we, The Wireless Center, Inc., the tenant at parcel number 05600 -00 -00 -1100 (as provided by Leigh Hughes,) are submitting the Application for Zoning Clearance to The County of Albemarle this 22"' day of October, 2014. Request for the tenant to begin the process of applying for zoning clearance was requested by Leigh Hughes September, 2014. Should you have any questions or concerns, please don't hesitate to contact me. Thank you, Rachel Miner Administration The Wireless Center Inc. 5755 Granger Rd. #750, Independence, OH 44131 P: 440.238.3937, F: 216.834.2488 E: Rachel.minergrebiz.com x U -1 r-- 7. : j i i