HomeMy WebLinkAboutCLE201200078 Legacy Document 2012-04-30Applicati ®n for Zoning Clearance
CLE # 2-b12. - r1b
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PLEASE REVIEW ALL 3 SHEETS
OFFICE USE QNLY
Check # Date:
Receipt # 9 eo 1 J Staff:
PARCEL INFORMATION
Tax Map and Parcel: 07800 -00 -00 -05863 Existing Zoning C1
Parcel Owner: River's Edge II, LLC
Parcel Address: 315 Winding River Lane City Charlottesville State VA Zip 22911
(include suite or floor)
PRIMARY CONTACT
Who should we call /write concerning this project? Karen Morris
Address: 804 Green Valley Rd. , Ste. 106 City Greensboro State NC Zip 27408
Office Phone: 3( 36 ) 272 -3061 Cell #434 - 531 -6948 Fax# 336- 272 -3862 E-mailkarenm@cunninghammortgage.cc
APPLICANT INFORMATION
Check any that apply: Change of ownership Cha�^ngg�e/ of use Change of name X New business
Business Name /Type: Cunningham & Company yltiwF�
Previous Business on this site Southland Homes
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: Mortgage Banker; employees: 5;
shifts: one (8:30am -5pm); parking spaces: 5 needed, plus customer parking
*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 t eibest of my knowledge. I have-read the conditions of approval, and I understand them, and that I will abide by them.
Signatu - Printed Henry V. Cunningham, Jr.
APPROVAL INFORMATI
j 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 Y Date �//y74L)Z 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
Intake to complete the following:
Is /
Is use n LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y / nN
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 o (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 applies
Is parcel on septic o public sewer?
IJ' /N
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Y /E)
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
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Reviewer to complete the following:
Square footage of Use: 3075
Y& N 10
Permitted as:1 J�'�IN� i A T �� aJ` `
Under Section: �� • 2
Supplementary regulations section:
Parking formula:
Required spaces: / .Z_
Y/
Items to be verified in the field:
Inspector : Date:
Notes:
Violations:
Y/
If so, List:
Pro ers:
Y/
If so, ist:
Variance:
Y/
If so, ist:
61s:
/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,
[County application name and number]
was provided to River's Edge II, LLC the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number 07800- 00- 00 -058G3
manner identified below:
delivering a copy of the application in the
x Hand delivering a copy of the application to River's Edge II, LLC
[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 April 3, 2012
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 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].
Print Applicant Name
April 3, 2012
Date
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