HomeMy WebLinkAboutCLE201200013 Legacy Document 2012-02-06JHN- 18- iJU1i' W4:11P F-HUM:ACRES OF VIRGINIA 4348451048 TO:14349749918 P.2
Application for Zoning Clearance
]PLEAD REVIEW ALL 3 SUETS C", o*# Date. � 2
E
1?ARCL 7i4Tk"C?R�I'A; ON
Tai l C 0 Axisting Aomiing r P19 tnM e ra'�c,'
]Parcel tjFPAteY: w` . -.� 4`�lQ
Paree .lAddmst -( 5a (Sf/ninole., Tr, citrL' r o }�eso;1l�siuta Uko _ t
( adiide suite or floor)
MWAlRY CONTACT ✓
Who should we eaWwrite coAwniag ibis prof ecO � t'L&e f D
City
Mee i -bone: Lq3�j 5jL1_ C&li #�y -�s�a - �INn i�a� t� U3y Sys- 1��1d�x�u��il��rca a 6/• c a v�-�
APPLICANT IN.1C't;+RMA-XION
Cheek any that apply, t benge of Owners Cis olf qvs Cbonge of name ew loudness
SuvinassNamtt3l't'ypei f1'� B �-i�- a -
Frdviour Buelt>ess on ihJs ait+a VQC.Ce r��,(!Yl �n o,/e�� -.�... - --
OesCrlbe tote piopWd business Including live, nlumber pf employees, nutter of sltifis, available paxwug spawns, Dumber of
vehicitts, and any addIifanil Wep=fit}at QWt you cm ytv-ddu;-
iAThis Cteat€aace wdl smly be valid ou the paocl for Wtdch hit approve& if you ahat A latsusi€y at move the use to any 1pcatian, a nvw zouiug
Ciea mw will be requimd.
1 laeraby cet'tlty chap i own ar have the awner'e Rermf dM to use the 9,peoc:w.di MOd oo. tills application. I also mx0V ]tat tha info=tion provided
is irnetmd a thb best of my k9 pledge. I have reed Else conditilm of appuml, and I mdcry vd tlttsn, and ttwt I vn abidF by tlye .
C`
Sipnature �nt�
APMOVAL INFORMATION
Appmved as ptvpmad [ Approved with conditious. [ i i�euied
[ j i3ac4ow proventioa device anNot' current iesrdata uaeded tr fl4s site. Coxitaot ACS,A., 977 - x•511, X11.7.
[ ] No physical cite itsspectiion.has been done for tluv aloaraaae. Thera#aYe, it i& ttttR a detexmdttafidaa gfcomplitictce with five crisgn�a
site plan.
[ ] Tiva site complies with the gita plan as of this date.
BuDding Official .�--- •_.... Ditto . � � l
Zoning OJ eial / • Dxt� U 2 v/ Z
Othex Oman ]Date
County of A#=v w1t:Depart tuemtt of Cpmmauniv Dovelopmeut
401 McIntire Road CharaottesvMe, VAS 22M WOW- (434) 296=5932 Fax: (434) 977 126
Ravised 7/1&011 Pag4 2 of 3
JHN -18 -2012 O4:11P FROM:ACRES OF VIRGINIA 4348451048 TO:14349749918 P.3
.. L
btake to camtplate Se #bllgsvbug:
Reviewer to complete the 01JOW10g.
/
Squom footago of 6 Oo d
IS IiBG Ill �,1, IT! qz PIMP zflq�pg? If. eo, gtV,e agpfkcant x Ccrtlf'tetl
Trngineflt'n Report (aK) packet.
/ N 1 ��v
leerMlited as: M a� C o Y �r � I- r e2 -
Willi be food propprat m?
.y
Under 5octiaa � `I � � s�
If so, give applicant a Health Depntwent form
Zoning review can not bagla until wo xeceiv% approval Row Health
SupplMenia 7 rogmWiDns MOM'.
Dept NAXIDATE
Parking f'ormultc: pp
S i � 1✓ /boo y y.
Circle the one that aPPlin
Is parcel on prlcate woK patblic stet''?
Uprivate wall, plovids J4tdtkDqmftm= farm,
,Zoniu& ravie* can :aotbegin until, we =0elve approval hum H&Qh
Requ4ud apmes:
- - -
Dept r A X DATE _
—
y / N
Itovised 7/1/2011 Pala 3 of 3
Circle the we thaC
hems w by YmWed in tho field:
ds parcel va aepilc gu6licaa�v x?
,f N
ill ynu bo fruttir►g up anew slpn oi' guy kuud7 zero, obteWlmoper
m
Sigtr permit
Fe17Cift# 201 — /.9.395 `+� /�.��i S
]Ouageetur: ;fhats-
ti
NOUN*
tbofa be Any now consooticm or mova:ti=7
U so, obtain the proper Feridt. '
Z of /— ���
Fel•mdt #
Zoning to complete the MIDWing:
•'�ftiona: --
x�
Ifi ist:
lPrat�eere:
yr)
Tf sv`, t�st:
'V'azi re:
If Z/ist:
GJP's
Itovised 7/1/2011 Pala 3 of 3
JAN -18 -2012 04:12P FROM:ACRES OF UIRGINIA 4348451048 TO:14349749918 P.4
CERTMCATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
Tuts, orm must accompany r.,ouirig app,G ens (ktenw OecWt on, ZOnmg aw'd=4 zoning
Administrator ens or Appeals, Sign PeMdtS, Buiidiaf F*rraits} It aw wTi a ddtt is lOt the
01010/;
I certify that notice of the aohcatiui ; —1 k r 1,2 Coto r
rcowy application a and namber)
was provided td E6 the owner of record of Tax Map
tmmc(s) of the trccnrl owttmis of the parcel}
matt parcel Number & / -1 ,:) b k) tsy delivering a copy of th-- applirarioo it the
ztumer ldeutified below.
H,%Id delivetitag a copy of the Wphaution to
[Nan1e of the record o~uuer if ti,,s; rccard Qtivper is s.
person, i£ the awneh- ofmord is an entityr idmar the recipiene ortkle ,record s�a8 tlno recipient's
title or atlEice for that entity]
on
}late
M®jing acapy of the application to
Name of the record owner if the morel awmer is arm='
if the owner o£ record is am entity, identify the recipient of the record and the re cipitent's title or
office for that cut j
am _ to the follaWW9 address:
Date
[address; writtem motice mailed to the owner A ft la#tt Ioaown addrruss of Clio owtzer as shQ" Oat
the c.-untnt real estate tax 'assecswent, books ar cumat ;deal estate tax assossmeat rwords satasfws
this retluirecreem►].
V
to— P64
�y�hge of 1S,pplx��aar,�i. .
-
. Pritzt ,t�,ppliramt Name
�at�