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Home My WebLink AboutCLE201200118 Legacy Document 2012-05-31�rF�vE� Mpg 5 ti Application for, Zoning Clearance 4012 ` I I , ?`'` �?� `� �, CLE # PLEASE REVIEW ALL 3 SHEETS OFFICE USE ONLY Check # 51 Date: 5`24.12 Staff: MM Receipt # PARCEL INFORMATION Tax Map and Parcel: c< �3 3 Existing Zoning CSC Pa reel Owner: A9,PP -xN 6 cu- N 7,nf /'sl -- C- a S- : ?4 -0 /y LDC J5f1 d77-0 Lro —S Parcel Address: 61:a E IT'J� y 92. City Ckli'!P, C.77'c5" State Ucac Zip Da I (include suite or floor) PRIMARY CONTACT _ Who should we call /write concerning this project ?S FO"ff i%SM E %i,fi S Address: t [at A(? tdrN G 74eJ 6 L Via --:�4 City fre: I-1w G--1%T4 State � a Zip Office Phone: v3 '�Z -.t�� It Cell # off X25 �oilFax # E -mail �k,Sr�K fksz K�,LLC{511� APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name New business Business Name /Type: -S• S Gdd-i" Q R`z -5'L � �X-FKZ �u �N f K S S'9L -Es Previous Business on this site ff -% "s o N S IN I'L eft's V<'3--,V G.- 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: P 168 tQY it c iy= 7 M Q L t n!'T ''I PA a 4z Al C lo Am q l'n � *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 I, Printed S C I°H s l`� r✓ LC -/�Sl� APPROVAt 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. [ ] 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 County of Albemarle Department of uommumty lieve►opment 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 Revised 7/1/2011 Page 2 of 3 C&I U I Intake to complete the following: Reviewer to complete the following: Y / Square footage'ofUse: Is uVn LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. / N Permitted as: Willffere be food preparation? Under Section: /pM• T�d'Ac`, If so, give applicant a Health Department form. Zoning review can not begin until we receive approval from Health Supplementary regulations section: Dept. FAX DATE Circle the one that applies Parking formula: Is parcel on private well or public water? If private well, provide Health Department form. Zoning review can not begin until we receive approval from Health Required spaces: Dept. FAX DATE Y /'N Circle the one that applies Items to be verified in the field: Is parcel on septic or public 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 # 7.nnina to r•mmnlAfP the fnllnwina- Inspector: Notes: Date: Violations: Y/N If so, List: 74 / A 1 n Proff s: Y /NV If so, List: Variance: J/N If so, List: SP's: 6) /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 S ff z PP -UyC— C a-sS o C , the owner of record of Tax Map [name(s) of the record owners of the parcel] and Parcel Number �� _ 1 3 3 by delivering a copy of the application in the manner identified below: Hand delivering 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 Mailing a copy of the application to Vc� PPIi✓G C 6 n/7 G, [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 �/ l/ % °Z to the following address: Date [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]. Signs re o!f/Applicant `/o s EP y AS M e- tea S fd Print Applicant Name Date 'Lease Name (DBA): J.B. Enterprises, Inc. . . . ............. ........ ..... . . Tenant Name (Legal): J.B. Enterprises, Inc. Office Address: 8111 Cobden Court, #101 ,Manassas, VA 20109 . ...... . .... ... . ... .... Tenant's Telephone Number: '703.725.5011 'Contact Name: ,Yoseph Asmellash . ............... . . ............ ,SIC/MIX Code: 'Other Retail - Misc :(2651) .. . ....... Space Rent Table Lease Agreement Table 1: Summary of Material Terms .. I .... ...... . - . ..............$3,250.00 ....... - Total Contract Amount: Total Taxes: $0.00 Grand Total: $3,250.00 Lease Number: :4661-0412-SBV-293 ....... . .... ........ ...... . ........ .... . ....... Lease Date: 04/2012012 . .. ......... ... . ... ..... Start Date: End Date: 06/14/2012 07/06/2012 . ............. ... . ....... ... ....... .......... . .......... . ..... . ........... Landlord: SHOPPING CENTER ASSOCIATES, a New York general partnership, its managing general partner . . ............ Shopping Center Trade Name and Address: Charlottesville Fashion Square 1600 East Rio Road Charlottesville, VA 22901 .Remit Payment to: .Charlottesville Fashion Square -1600 East Rio Road Charlottesville, VA 22901 .Sole purpose for which space can be used by Tenant: i for the promotion and, sale of fireworks during the period of ::June 14-July 6, 2012, including setup and takedown time and for no other use whatsoever. J.B. Enterprises is 'required to obtain all permits as required by law for such a sale and event. U.B. Enterprises is responsible for all expenses incurred for .additional security, lighting, utilities, and equipment for the ,a vent. All displays and set ups must meet with mall management approval and no pavement penetrations are 1 ,allowed in setting up event equipment. The primary event location will be the overflow parking lot facing Hwy 29. Management must approve all displays. If this Agreement ,contains a Media Rent Table, the display posting period for any advertising medium or component shall be limited to the respective dates therefor set forth in such Media Rent Table. . ........ . . ........ ... . .. . ........ .... . ....... ... . .Security/Damage Security/Damage Deposit Due Deposit Amount: i Date: ............. .. .. ... . ... .......... .... ... . ...... F7777Shopping Center Name I City/State I Sub Use Type I Location I Sq. Ft. / Dinten. ]Charlottesville Fashion Square lCharlottesville, VA lOutdoor /Parking Lot 1Rte 29 Overflow Lot 110000 [ shopping Center Name I City/State I Space Start Date I Space End Date I Subtotal I Sales Tax I Total Charlottesville Fashion Square Charlottesville, VA I 06/14/20121 I 07/06/20121 $3,250.001 $0.001 $3,250.00 Payment Schedule Lease Agreement for J.B. Enterprises, -Inc. '..