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HomeMy WebLinkAboutCLE201500093 Application 2015-05-21Application for Zonin S Clearance: CLE # 00 V "j''�� ''' ' OFFICE U LY PLEASE REVIEW ALL 3 SHEETS Check # Date: l Receipt #'aam Staff: PARCEL INFORMATION Tax Map and Parcel: 77-40N Existing Zoning mss Parcel Owner: TREM Commercial Parcel Address: 1745 Broadway St. City Charlottesville State VA Zip 22902 (include suite or floor) PRIMARY CONTACT Who should we call/write concerning this project? Suzanne Jewell Address : 1745 Broadway St. City Charlottesville State VA Zip 22902 Office Phone: (A34) 296-5496 Cell # Fax # (434) 296-6525 E-mail sjewell@classicpartyrentals.com APPLICANT INFORMATION Check any that apply: Change of ownership Change of use X Change of name New business Business Name/Type: CP OPCO LLC t/a Festive Fare / rental company Previous Business on this site Classic Southeast t/a Festive Fare / rental company 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: rental come emp]o. ' annrox 25 emploVees 5 owned working vehicles hours: 7am - 5pm daily 50 par ing s�' paces *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 o edge. I have read the conditions of approval, and I understand them, and that I will abide by them. Signature Printed Suzanne Jewell 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. [ ] 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//fir S Zoning Official Date 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 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, Application for Zoning Clearance / [County application name and number] was provided to TREM Commercial the owner of record of Tax Map [name(s) of the record owners of the parcel] and Parcel Number 77-40N manner identified below: by delivering a copy of the application in the 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 X Mailing a copy of the application to TREM Commercial Attn: Victoria Tremaglio [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 5/8/2015 Date to the following address: P.O. Box 818, Keswick, VA 22947 [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]. Signature f Applicant Suzanne Jewell - Acct. Coord. Print Applicant Name 5/8/2015 Date Intake to complete the following: �b/ N Is use in LI, HI or PDIP zoning? Engineer's Report (CER) packet. If so, give applicant a Certified Y /� Will there 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 ublic w er? If private well, provide Healt partment 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 blic sew ? 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 # ZoninLy to complete the followinLY: Reviewer to complete the following: Square footage of Use: (0/N no Permitted as: 6 Under Section: Supplementary regulations section: Parking formula: / /I I (+� Required spaces: Y/N Items to be verified in the field: Inspector : Date: Notes: ' / L-1 1,11911t,- a y`'V 7s i✓ Z -- Violations: Y/ If so, ist: Prof ers: Y/ If so, ist: Var' ce: Y/ If so, List: SP's: YV If so, List: Clearances: SDP's a Revised 7/1/2011 Page 3 of 3 N L