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Home My WebLink AboutCLE201400219 Legacy Document 2014-11-19Application for Zoning Clearance CLE # Z 0 Z 1 q PLEASE REVIEW ALL 3 SHEETS OFFICE USE ONLY Check # 'Ai/)0 Date: I I 141 f Receipt PARCEL INFORMATION -7 Tax Map and Parcel; ()-78OC - CO - CG -GV H 7 Existing Zonin g Parcel Owner: Affi� IYl -A.yle (it'1a•h(J ��e- ��C�l irVt Lc�ncl ri sk Parcel Address: 1 �} "i R� JK � 5 �n &f. 4 3 _ City AVARL_- TWA yiux State V ZiP (include suite or floor) PRIMARY CONTACT Who should we call/write concerning this project? Address :19 a 1JILL16*n Ail City rP. .1/ +�'! ' ' < a/, State Val Zip a.�- F?-ya/_ Office Phone: E-mail QA � 662,02 # Z APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Chang[e� of name New business Business Name/Type: t t b: j Previous Business on this site 1� (t \fit CI QYri t1 k Y ti L /'� Describe the proposed business including use, number of employees, number of shifts, available parldng spaces, number of vehicles, and any additional information that you can provide: e UZS be -d eJ A Q ;=X-i 52=— G�y� cJ �f �- � .� e" f � i/'.�'��a �.�'� --� .�o •Pr?r,41c r �C� S. °..� -P.� � . �Y1 ZAi -.60m E- eAA S 72-5 6eFXX fPle,< *This Clearance will only be valid on the parcel for which it is approved. If you change, intensify or move the use to anew location, anew 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 kmo ' ledge. I have read the conditions of approval, and I understand tm and that I will abide by them. jhee, -.0 Signature Printed 97-; Y.� 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 1�1i_D�/_27 Other Official Date County of Albemarle 1Jepartment of Lommuntty:uevetopment 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/N Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y /(N--,) Will'"t�mere 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 0(1 ublic 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 ap ies Is parcel on septic o (public sewer J Y /rN Will you be putting up a new sign of any kind? Sign permit. Permit # If so, obtain proper Y /CI Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # Reviewer to complete the following: Square footage of Use: IILL Y)/ N- Permitted as: 6 --Pi CL, (•,1 ��✓ Under Section: Z;' 2•% Supplementary regulations section: Parking formula: �J Required spaces: J Y! Items to be verified in the field: Inspector • Date: Notes: GUII.UL LU LSVLLL LGiG C.A&V 1UUVTTIU . Violations: Y/& If so, Last: P offers: /N f so, List: Varin ce: Y/F If so, List: SP's: Y/ If so, List: Clearances: SDP's Revised 7/1/2011 Page 3 of 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, _ yam' is &Z 6 z- -0 'r' " [County application name and number] was provided to �17e4A &rl � �✓�� '��y the owner of record of Tax Map [name(s) of the record owners of the parcel] and Parcel Number /� %�'�� '-� �� ` by delivering a copy of the application in the manner identified below: Hand delivering a copy of the application to C - ��lti [Name of the record owner if the record owner is, n; 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 °—JI 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 Date to the following address: [address; written notice mailed to the owner at the last lmown address or the owner as snowu vu the current reai estate tax assessment books or current real estate tax assessment records satisfies this requirementl. Si of Applicant Print Applicant Name Date �o A� N J 1 @� U d _ � b oa �. �. a� �. �� 7 n q tl .7 November 11, 2014 County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, Virginia 22902 Ref: Application for Zoning Clearance Please find attached our application for Zoning Clearance for our office location at 195 River bend Drive, Suite 3. We have already filed a Business Name document and Application for Business s lcei!:e. O -Uz company, Fredericksburg Senior Care, Inc. trades under the name of Visiting Angels. Also attached is my check for $50 for the application fee. If you have any questions please call me at 804 - 301 -6906 or 540 - 373 -6906. Thank you, Steven Dickey