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HomeMy WebLinkAboutCLE201200043 Legacy Document 2012-03-01W4 ff 111 - I MIJ i Applicatio'n for Zoning Clearance C L E# Z - 4_3 0- PL EAST REVIEW ALL 3 SHEETS OFFICE USF ONLY check # �_� � Date: 21,23 ` 2- �j � Receipt # Staff. PARCEL I1` 1�A�'I�%� J � �� 0 Existing Zonings' arc4 Tax Map and Parcel: Mapa � Parcel Owner:_ P Al 'A 1_6 Parcel Address: �Q ` 1� r/� _ City lit ' , lU tf ,wife State VA Zip zzf i (include suite or floor) � � �i ]� PRIMARY CONTACT ��,, Who this should we call/write concerning project? !�S _ _ S1) 036 �� f�l 1J V/4- Andress : 6 () P� cam Y'�c v1�y City C� i%i !/� state Zip ZZ `?! Office Phone: j _Z Ce# _ Fax # _ E-mail WA APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name New business r % Business Name /Type: Previous Business on this site - J Describe the proposed business including use, number of employees, number of shifts, available parking spaces, number of vehicles, and any additional information tlllat you can provide: —:6 _fnu 0 -� CA �tnts w Phis 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 pe fission to use the space indicated on this application. I also certify that the information provided is true and accura1P' �'. est of my la \v '.s . I hav ad the conditions of approval, and I understand them, and that I will abide by them. Signature `y _ Printed APP '/AL INFO ATION " 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 t Zoning Official _ i Date z�i�LO� Z Other Official Date County of Albemarle Department of Community Development 1z M M Intake to complete the following: Y/ Is us n LI, HI or PDIP zoiung? If so, give applicant a Certified Engineer's Report (CER) packet. Y / 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 or, blic w er? If private well, provide Health artment 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 .�rbi►c s e . Y V N i1i11 you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # VJi11Willt ere be any new construction or renovations? If so, obtain the proper Permit. Permit # Reviewer to complete the following: Square footage of Use: —15 () / N r Permitted as: C.e )(A S Under Section: Supplementary regulations section: Parking formula: 1 ,6 Required spaces: Y/ Items to be verified in the field: Inspector : Date: Notes: uUIL 1A cv w Viol, 'ons: Y /( If so, List: Proffers: / N so, List: �►n Variance: Y/q If so, ist: SP's,:\ Y/ If so, List: Clearances: SDP's Revised 7/1/2011 Page 3 of 3 Corporate Headquarters: 630 Peter Jefferson Pkwy Suite 130 Charlottesville, VA 22911 Informative Design Partners To: Albemarle County, Office of community Development From: Informative Design Partners, Inc. Aitn: Zoning Department Date: 2/18/2012 Re: Application for Zoning Clearance, application enclosed Phone: (434) 202 -7905 Fax: (704) 831 -5418 www.InformativeDesi.qnPartners.com Enclosed is an application for Informative Design Partners, Inc. to apply for zoning clearance within Albemarle County. The address occupied is: Informative Design Partners, Inc. 630 Peter Jefferson Pkwy Suite 130 Charlottesville, VA 22911 The space is used for the intention of an engineering consulting business that occupies 756 sqft. Thank you very much for your cooperation with this matter, please do not hesitate to contact me with questions or concerns at accounting(�i,)informativedp.com or (434)589 -8814. Sincerely, Nicole Pfeiffer Accounting Team Informative Design Partners 0) W 0 t�J H \may 2v � \�C '1 w O 0w z b t� EXHIBIT A LOCATION PLAN (NOT TO SCALE) 7016638vl A -1