HomeMy WebLinkAboutCLE201200119 Legacy Document 2012-05-25Application for Zoning Clearance
CLE # 012- -1 Jq
PLEASE REVIEW ALL 3 SHEETS
OFFICE US ONLY r
Check # i Date:
Receipt # Staff: ry_YKC.,�
PARCEL INFORMATION
Tax Map and Parcel: 07800- 00- 00 -017DO Existing Zoning PDSC
Parcel Owner: Great Eastern Management
Parcel Address: 350 Pantops Center City Charlottesville State VA Zip 22911
(include suite or floor)
PRIMARY CONTACT
Who should we call /write concerning this project? John Turner
Address : 350 Pantops Center Cit, Charlottesville State VA Zip 22911
Office Phone: 4( 34) 293 -4558 Cell # 434 - 987 -4430 Fax # 434 - 971 -7502 E -mail john @rivannagear.com
APPLICANT INFORMATION
Check any that apply: Change of ownership X Change of use Change of name X New business
Business Name /Type: Pandemonium Printing and Design, LLC
Previous Business on this site Rivanna Gear & Apparel, LLC (Remains)
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: Separating our garment decorating activities into a new business. 1 emplo e
1 shift. No change in impact on Parking. Activities will be sub - contracted from RGA. No impact on water or sewer.
*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.
Signature �'� `�`�- Printed 5 co
APPROVAL INFORMATION
Approved as proposed [ ] Approved with conditions [ ] Denied
[ ] Backflow prevention device and/or current test data needed for this site. Contact ACSA, 977 -4511, x117.
[ J 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
Other Official Date
t.ounty of Anemarie 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 /s"'�
Is u in LI, HI or PDIP zoning?
Engineer's Report (CER) packet.
If so, give applicant a Certified
Y /Ptfi
Wil 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 c--
Is parcel on private well 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 applie
Is parcel on septic o public sewer?
Y /�
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Y /1
Wil ere be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Zoning to complete the following:
Reviewer to complete the following:
Square footage of Use: 22j�
6) /N
Permitted as: %� l
Under Section: 2-5) . Z '
Supplementary regulations section:
Parking formula:
Required spaces:
Y/
Items to be verified in the field:
Inspector:
Notes:
Date:
Violations:
N
If so, List- ,t
r ers:
f / so, ist:
14-A `093 - 2.
k-,6/
4-7- Z /
Varia e:
Y/
If so, ist:
SP's:
�/N
If so, List:
V-- 2 3
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Clearances:
SDP's
Revised 7/1/2011 Page 3 of 3
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