HomeMy WebLinkAboutCLE201500162 Application 2015-08-06Application for Zoning Clearance
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#2' / Date:
PLEASE REVIEW ALL 3 SHEETS
Check
Receipt # / c1 cStaff:. sr X
PARCEL INFORMATION�
% ��. Existing Zonin,
Tax Neap and Parcel, 15
Parcel Owner: Alan Taylor
2040 Abbey Rd. Suite 102 Cit Charlottesville State VA Zip 22911
Parcel Address: y
(include suite or floor)
PRIMARY CONTACT Daniel Mur hree- The Dimension Group
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Who should we cnilhvrite concerning this project?
Address : 10755 Sandhill Rd City Dallas State TX Zip 75238
214,343.9400 Fax E-mail dmurphree@dimensiongrp.com
Office Phone: Cell #
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name X New business
Name/Type: SuperCuts
Business
Previous Business on this site n/a
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: Tenant finish out in the Rivanna Ridge Showing Center
"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 lZereby certify that I own hav owner's 1 rmission to use the space indicated on this application. I also certify that the information provided
is true and aca Ike to i best o my ' io Iedg . i leave read the conditions of approval, and I understand tiienr, and. that I will abide by 'tlzem.
�4 rinted Daniel Murphree
Signature
APPROVAL INFORMATION Denied
[ ]
Approved as proposed [ ] Approved with conditions
[ ] Backflow prevention device and/or current test data needed for this site. Contact ACSA, 977-451.1, x117.
[ ] No physical site inspection has been done for thus clearance. Therefore, it is not a determination of compliance with the existing
site plan.
[ ] This site coniplies with the site plan as of this date.
Notes:
Building Oficial - Date
?f�S�LG1
Zoning Official Date
Other Official — Date,
1,ouruy01........�----
401 MclntireRond, Cliarlottesviile, VA.22902 Voice: (434) 296-5832 Fax: (434) 972-4126
Revised 7/l/Hll Page 2 of
Intake to complete the following:
Y/U
Is use in LI, I-II or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y/1�
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 Wel _p ter?
If private well, provide apartment form.
Zoning review can not begin until we receive approval from Health
Dept, FAX DATE
Circle the one that appl'
Is parcel on septic or 11rc se
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 # 'LO15-- 9 � .q G
Reviewer to complete the following:
Square footage of Use:
Q/ N
Permitted as:
Under Section: '2-�•''� • 1 J
Supplementary regulations section:
Parking formula:
Required spaces:
Y/N
Items to be verified in the field:
Inspector
Notes:
Date:
U11111 LV %;U1AA 1cLc L111, lvuvrru.
Viol ns:
Y/W
If so, List:
P offers:
6Y/N
If so, List:
Varm ce:
Y /a
If so, List:
SP's:
(Tj/ N
If so, List:
2-�57
Clearances:
SDP's
Revised 7/1/2011 Page 3 of 3
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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 of Albemarle
[County application name and number]
was provided to Alan Taylor the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number 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 .
X Mailing a copy of the application to
Alan Taylor
[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]
7/27/15
on
Date
to the following address:
alan@riverbenddev.com, 321 East Main St., Charlottesville, VA 22902
[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].
0
ig pplicant
Daniel Muprhree
Print Applicant Name
Date
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