HomeMy WebLinkAboutCLE201200019 Legacy Document 2012-02-06Application for Zoning Clearance`_';`
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OFFICE USE ONLY
(
PLEASE REVIEW ALL 3 SHEETS
Check # Date:
Receipt # Staff: 1' I? L
PARCEL INFORMATION /� t
i . a(- C®mer�a�.
Tax Map Parcel: ej 0�"/"i Existing Zoning
and
ParcelOwner•Ryder Enterprises, LLC
Parcel Address: 1807 Seminole Trail, Ste 202 City Charlottesville State Virginia Zip 22901
(include suite or floor)
PRIMARY CONTACT
Who should we call /write concerning this project? CHERYL SPENCER, Tax Manager
Address :3110 Fairview Park Dr. Ste 300 City Falls Church State Virginia Zip 22042
Office Phone: 7( 0 3) 321 4641 Cell # Fax # E -mail spencer. cheryl @ensco . com
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name X New business
Business Name /Type: ENSCO, Inc.
Previous Business on this site Unknown
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: Use: Office space; # of employees: 7;
## of shifts: 1; available parking spaces: 10; # of vehicles: 7
*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���+n- oi-ha�le t is permi 'on to use the space indicated on this application. I also certify that the information provided
is ?rue and accu of to the bet my\Il�owle ve read the conditions of approval, and I understand them, and that I will abide by them.
/
Signature anted Milan J. Bogdanovic
APPROVAL INFORMATION
`] Approved as proposed [ ] Approved with conditions [ ] Denied
[ ] Bacicflow 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 '�/ �120i -Z/
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
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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 ere 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 pu i`c wa -?
If private well, provide He De art nt 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?
Y/N
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Y/N
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Zoning to comnlete the following:
Reviewer to complete the following:
Square footage of Use:
Permitted as: ����
Under Section:
Supplementary regulations section:
Parking formula:
Required spaces: 1�5
Y/
Items to be verified in the field:
Inspector
Notes:
Date:
Violations:
6 /N
If so, List: �
Profs:
Y / "N)
If so, Est:
Varian e:
Y /
If so, ist:
�S,„P's:
tXJ/ N
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, Application for Zoning Clearance
[County application name and number]
was provided to Ryder Enterprises, LLC the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number 04500- 00- 00 -104AO
manner identified below:
Hand delivering a copy of the application to
by delivering a copy of the application in the
[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_ Phillip D. Ryder / Pre ident
[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 January a7 2012 to the following address:
Date
P.O. Box 6778, Charlottesville, VA 22906
[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].
ignature of Applicant
Milan J. Bogdanovic
Print Applicant Name
0/ /62 71.2 ol2-
Date'
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