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Home My WebLink AboutHO201500175 Application 2015-09-02Albemarle County Planning Application Community Development Department 401 McIntire Road Charl4offesville,VA22902-4596 Vo I ce : (434) 291}-5832 Fax : (434) 972-4126 TMP J G4611136-00-01IF-04300 I Owner's): BRUN5G LEONARDA N Application# I H020.1.500175 I I Legal Description FflR651 LAKES SOUTH F 43 PH -1 Magisterial Dist. RiVan,12B L11 Land Use Primary Residential -- Single-family (Incl. modular home Current AFD Not in A/F District Ll- Current Zoning Primary' Planned Unit Deve]GPMCnt 2 APPLICATION INFORMATION Street Address 1 2616 ENGLISH OAKS CIR CHARLOTTESVILLE, 22911 Entered By kdrian Rulon 1-1 ApplicationType Home Occupation Class A Permit Project F - Received Date ; 08/19115 Received Date Final Submittal Date Total Fees so Closing File Date Submittal Date Final^ Total Paid so Revision Number Comments j DOG WALlapm Legal Ad SUB APPLICATION(s) ppiwatot Cariwnert APPLICANT CONTACT INFORMATION ) �Urne I AcHms t tq!#� z Rare Lff--orecel! E;suN�T LEON4,1RDA M 2616EI4GLISHi7riSOR HAALMESVILL —9 11 'ALEMNDM BRUNST 12616 ENGLISH ms CPR i CHARLOTTE 122911 i4349961416 1 Signature of Contractor or Authorized Agent Date �� rti e.. a �. t✓�.t,s a �l ��r�� ; Application for teg nce — ' ., CLE #_ 1� 1 i. PLEASE REVIEW ALL 3 SHEETS OFFICE USE ONLY Check # Date: - L t --Is Receipt # It M -11 Staff: PARCEL INFORMATION Tax Map and Parcel: 0, 6 —00-0r*'-- 0,11.3OC> Existing Zoning _A:r,2;5;k�ecJ f $ Jl t /- do- A Parcel Owners ea m r' L 41,9 Parcel Address. -a- � �IZ !1 " City C Vt. `c State V Zipo (includes ite or floor) PRIMARY CONTACT Who e ) and t-ct o i- should we call/write concerning this project? _ J city LlAddress:d o Slate V A ZiP.ag�l Office Phone: (�� Cell # Fax # E -retail APPLICANT INFORMATION Check any that apply: Change of ownership Change of use _Change of nameNew business Business Namefl ype: _ _ dog w C( t K I rl Q J Previous Business on this site Describe the proposed business including use, number of employees, number of shifts, available arking spaces, number of vehicles, and any additional information that you can provide: AfQ _ %o j G e._T A g e � eV a t, ti�ecz� -- 5�? S *'Phis 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 Imowledge. I have read the conditions of approval, and I understand them, and that I will abide by them. Signature Printed~ I APPROVAL INFORMATION [ ] Approved as proposed [ ] Approved with conditions [ ] Denied [ ] Backflow prevention device, and/or ctnrent test data needed for this site. Contact ACSA, 9774511, 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 a Zoning Official Dated-- ._ . 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 lWis form mast accompany zoning applications (Some Occupation, Zoning Clearance, Zoning Administrator Determinations or Appeals, Sign Permits, Building Permits) if the app&adon is not the owner. I certify that notice of the application, -70HIf/9 e! m iae p— [ unty application name and number] was provided to teo4ak o- M, 6vurlsd- [name(s) of the record owners of the parcel] the owner of record of Tax Map and Parcel Number O' iW 3 6- Qd " Q F - Q 2po by delivering a copy of the application in the manner identified below: -2�, 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 s -19015 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]. i,r F.� "a a, 1, Signature of Applicant 61-14nS7' Print Applicant Name Date MIMEOM '- L � 1. - "; jr/- k, I1 b Z�-Zl -9J 1..',r —0 v 5r �SU�14q