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Home My WebLink AboutCLE201400215 Legacy Document 2014-11-14Application i ®r Zoning Clearance °t ,,,u 1�- CLE# Z0) 2-)S � =F, � PLEASE REVIEW ALL 3 SHEETS OFFICE USE ONLY Check # 10lo Z Date: Receipt # CI-7-71 1 Staff: PARCEL INFORMATION I Tax Map and Parcel: Existing Zoning Parcel Owner: Parcel Address:_ %�oo City �'/ State Zip (include suite or floor) PRIMARY CONTACT Who should we call /write concerning this project? y, Address: J 5 (o C (.*!'ENPn Yy 6 Zvi 30 Z.City rl,6:J,-,kv State VA . Zip —A-Zo Office Phone: C3Lo3 )7'Z5_-Sn CeII # 3_�ZS S "6Jl Fax # E -mail Y, stPu k51-1 FtWk C� APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name New business n Business Name/Type: '$ P✓ fv`r CI? e r,, a-- S C7 Previous Business on this site FA S 11--To tU 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: -re ;-K C *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 °S' %��st GSLIiRS /f APPROVAt 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 t- :ommumty Ueveiuprue,u 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 Revised 7/1/2011 Page 2 of 3 Intake to complete the following: YI Is U n LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y /oWil e 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 water? If private well, provide Hea De— ment form, Zoning review can not begin until we receive approval from Health Dept. FAX DATE Circle the one tha applies Is parcel on septi or publics r? &/N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit YIN Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # 7.. .� 4n +lea fnUnwina- Reviewer to complete the following: Square footage of Use: 1s0 v (1`j' / N Permitted as:�rn,� Under Section: �/ Supplementary regulations section: Parking formula: Required spaces: Y/ Items to be verified in the field: Inspector : Date: Notes: /JVll Violations: Y /a? If so, List: Proffe : Y / tj If so, List: Variance: Y/O If so, List: SP's: L)IN If so, List: & 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, [County application name and number] was provided to C'r�r'C�rr�sG & the owner of record of Tax Map [name(s) of the /record owners of t !e parcel] and Parcel Number �/ % 3 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 [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 I (I [ `'t to the following address: Date )b"ao G'_ Jam- fq/, , C velf [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]. " I, A A, - ��, Signat o pplicant Ak56p,,� /1-6 /--� 6-Z�-G1b--1-1 Print Applicant Name ///4f //ltp,, Date Lease Agreement Table 1: Summary ®f ;Material Terms Lease Name (DBA): I City /State ;Lease Number: 4661- 0914 -SBV 344 J.B. Enterprises, Inc. I . Subtotal Lease Date 09/10/2014 i Charlottesville Fashion Square Start Date: !End Date: 12/26/201 $6,000.00 ;11/19/2014 112/26/2014 ..... ...: ......:.. ,Tenant Name (Legal): ..... . .............. ....... ;Landlord Agent: !J.B. Enterprises, Inc. Charlottesville Fashion Square, a Delaware Limited Liability !Corporation _.._...__ ...... Office Address: .. .. ......... ......__. ................ ..._... _ ....... ...... ... ..... ........ ..... .......... ._.... .. .......... ._..._... ... .._. _......... Shopping Center Trade Name and Address: !8111 Cobden Court, #101 .,Charlottesville Fashion Square ;Manassas, VA 20109 11600 East Rio Road ......... _ .............. .............................._.................... .. ........... .... ......... .............. ..... __ ... ........ ......... ......... ....... ..... ......... Tenant's Telephone Number: ..._.... ;Charlottesville, VA 2290.1 ' ;703.725.5011 i ! ;Remit Payment to: ! 'Charlottesville Fashion Square ;1600 East Rio Road Charlottesville, VA 22901 j `Contact Name. .............................. Sole purpose for which space can be used by Tenant: Yoseph Asmellash !See Exhibit 1 'Management 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.. SIClMIX Code: Total Contract Amount: $6,000.00 ' ;Security /Damage Security /Damage Deposit Due !Other Retail (2641) Total Taxes: $0.00 Grand Total: $6,000.00 !Deposit Amount: Date: 1$0.00 i i Space Rent Table Shopping Center Name City /State I Sub Use Type I Location Sq. Ft. / Dimen. Charlottesville Fashion Square Charlottesville, VA Outdoor /Parking Lot Rte. 29 Overflow Lot 10,000 Shopping Center Name I City /State Space Start Date I Space End Date I . Subtotal I Sales Tax I Total. Charlottesville Fashion Square Charlottesville, VA 11/19/2014 12/26/201 $6,000.00 $0.00 $6,000.00 Payment Schedule Payment Due Date Amount Due 11/19/2014 $6,000.00 Total Due $6,000.00 Insurance Required Date: 11/19/2014 Single Mail 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 1 Lease Agreement for J.B. Enterprises, Inc. 1 1 J�o. Y E $E Ea9 re�9 �� sL@ E pgiy�g$g PLIO4 Oil _ / Q y} Sr > s r o �-H.1 BMW —1 C1AMt r- C. Aeuuedor H� �1 p r r FFf— V t7-4 O cdd� O co cd o U .W U P4 A 9 U N All Y E $E Ea9 re�9 �� sL@ E pgiy�g$g PLIO4 Oil _ / Q y} Sr > s r o �-H.1 BMW —1 C1AMt r- C. Aeuuedor H� �1 p r r FFf— V t7-4 O cdd� O co cd o U .W U P4 A 9 U N