HomeMy WebLinkAboutCLE200600256 Legacy Document 2015-01-21)-' Application for f �t y
Zoning Clearance c,f/l -
Zoning Clearance = $35 PI- 7—'�°—
i PLEASE REVIEW ALL 3 SHEETS —�
Tax map and parcel: W - C04M Existing Zoning:
Parcel Owner: (i Oflo
�- / 3� A
Of Parcel Address: ! 7��0 �i.fhb 1 Tom° City �A�7T� V1 State Zips
(include suite or floor) ,
Contact Person (Who should we call /write concerning this project ?): y k z l'
Address ) :7-yo 1A eA );,6 i r Q� 1( City State 4- Zip 2,-Z_20
Daytime Phone ?' <-2-5--06-73 Fax # � Wit' "✓7 L% -774-1 E -mail ?"1� ' I c�'I�e�� , O•n✓��� ° acs/'
Business Name /Type:
Previous Business on this site:
Proposed use:
11'e s' 7 S f _
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet 1)
Circle (if applicable): Fireworks / Christmas Tree
*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.
Print Name
Date
APPROVAL INFORMATION
[ ] Approved as proposed [ ] Approved with conditions
[ J Backflow device and /or current test data needed for this site. Contact ACSA 977 -4511, xl 19.
[ ] 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.
Building Official
Zoning Official
Other Official
0i `, Wk 4
Date
Date
FOR OFFICE USE ONLY CLE #
Fee Amount $ Date Paid By who? Receipt # Ck# By:
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 5/l/06 Page 2 of 4
Applicant to complete the following:
Do you have one of the following?
❑ YES ❑ NO
Tax Map and Parcel Number and or,
Address of use (include unit or floor if appropriate)
❑ YES ❑ NO
Do you have a Floor Plan (sketch or an architectural drawing) that
includes the following, and if so please provide it with the
application?
The total square footage of the use and /or;
The square footage of each room or area of use;
Use of each room or area
If using less than the entire structure, note the location within the
structure.
Tech to
lations:
Vi
YES ❑ NO
If so, List:
Variance:
❑ YES VNO
If so, List:
the
Intake to complete the following:
❑ YES NO
Is use in L , H or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
❑ YES 0
Will there XUd preparation?
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval from
Health Dept. FAX DATE
❑ YES V NO
Is parcel o r private well and septic?
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval from
Health Dept. FAX DATE
X on YES ❑ NO
public water and sewer?
❑ YES N0
Will you be tting up a new sign of any kind? If so, obtain
proper Sign permit.
Permit #
❑ YES NO
Will there Yeany new construction or renovations?
If so, obtain the proper Permit.
Permit #
❑ YES IV NO
Is this for sal s of Fireworks?
If so, obtain a copy of F/R permit.
Permit #
Proffers:
❑ YES [ NO
If so, List:
SP's:
❑ YES ❑ NO
If so, List:
511106 Page 3 of
Reviewer to complete the follolying:
Square footage of Use: 00
D,IJES ❑ NO n
Permitted as: 4��Vb -G /&4
Under Section: 12k-OV
Supplementary regulations section: �' 0,
Parking formula: 'S A� ( 9
Required spaces:
❑ YES ❑ NO
Items to be verified in the field:
Inspector Name & Date:
Notes
tl 111111 `_�
b>��.
m
5/1/06 Page 4 of 4
i Community Development Department, Planning &
uounty ui' Albemarle Community Development Division
k 401 McIntire Road Charlottesville, VA 22902 -4596
Planning Application 1 Voice : (434) 296 -5823 Fax: (434) 972 -4012
TMP06¢WQ010 00400 Owners) :CpHI'�G�b ..(
Application #;, CL�E200 00256
.;.. a�........
PROPERTY •
Legal Description WESTFIELD 1 B3
Magisterial Dist. Rio Land Use Primary Commercial -- Retail
Current AFD Not in A/F District Current Zoning Primary Commercial
House # Street Name Apt / Suite City State Zip
Street Address 1240 SEMINOLE TRL CHARLOTTESVILLE 22901 -
Entered By: Judy Martin on 1012312006
Application Type Zoning Clearance
Project: 2.00
Received Date 10/23/2006 Received Date Final Total Fees $ 35.00
Submittal Date Submittal Date Final Total Paid $ 35.00
Closing File Date Revision Number
Comments:
An event at Embarq with Va. Blood Service 10/31/06 - Va. Blood Service will take up 3 parking spots from 11 -3:30.
Legal Ad
Type Sub Application Date Comments
APPLICANT / CONTACT;: INFORMATION
Owner /Applicant
Name CHIANG, SHEOU -JONG OR LI YUN Phone #
Street Address 110 COMMONWEALTH CIRCLE Fax # ( )
City / State CHARLOTTESVILLE VA Zip Code 22901-
E -mail Cellular # ( ) -
Signature of Contractor or Authorized Agent Date