HomeMy WebLinkAboutCLE201500233 Application 2015-12-02I Application for Zoning Clearance
CLF 2a �S� Z�33
OFFICE US£ ONLY
PLEASE REVIEW ALL 3 SHEETS Check #_ Date: j1
Recelpto staff:
PARC>L INFOR
Tax Map and Pared:
062AI-04-00-00400
Usting Zoning Planned Residential Development
Parcel Owner: Commercial Rentals, LLC:
Parcel Address. _102`: Carrington Place Cid Gharluucwille State VA zip 12903
(include suite or floor)
Who should we enlilwrite concerning this prefect? e W, SGiiLcrc - L, I _q
Address: 1024 Carrtn ge�city xrl0l�e Scute VA Zlp2-'�-90'
434 1134'475-
omee, Pholl 4 q�5311 Cell ll -b-311 E-mail C'LC �S�1 C> � Cfxrt
I Cheek any that apply: Change of ownership change of use ishan lle of name X New business I
Business NamaTne: vn 1 N yt 2LLC
Previous Buainm en thisate��T18. _ _. _
Describe the proposed basinmRa ineiuding use, number of emplo eea, astnber ofshlfls,-
avaficble Parking spates, number of
vehicleirp and altioaa t4tbat�oa u can ptw'MTA
"mu.%qe'n a��1 1
tt"2ttih�li taleii,9 $,
- ��� �,:crr&Imc Bili: unly iaila c+cc Pa,'wr 7[X wilfg7 It IB aFpnnSro¢. llye9 =ae&'., tn:eaauy or move tae use on a new tomtcon, s new zoning
CkaQarm will be caiuiced.
1 ]tete wcad!r 69Iowa orma droow=x par nission to ase thaapece tndiealedon this ipplimwr.. i elan certify that the mfarniZ0fi provided
Is true and acaacW to dw beef of my ZIve pq the conditions of iWmvW, end I understand them, and that I wiil abide}by them.
Siga:tuce . ! Printed ,� 1nNlalY1t,
APPROVAL INFORMATION - ] -
Approved is pmpmed [ ] Approved with conditions [ ] Denied
BackfiowpreverSm day:_-cwA'or currant test do% needed for this site. CDntsct ACSA, 977-4511, x117,
[ I No pn}sical sits itut-ecsior. his been done for this c.'ea,-ance, 7lterefere, it is not x determination of compliance with the existing
.0c plo
[ ] This r•'la wmplies w1b the site piaci as of this date.
11irtes:
Danding Oficial Date((a f29
f�
Zoning Official Date_ S -Z-1 j—
Other Official Date
County of Aibamarle Department of Community Development
401 hlelatire Road Charlottesville, VA 22902 Voice: (434) 296-5832 F= (434) 971-4126
Revised 7/1/2011 Page 2 of3
'f Intalte to complete the following:
Y
Is OLI, HI or FDIP zoning?
Engineer's Report (CER) packet.
If so, give applicant a Certified
414)
Wi re 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 u Aie water?
If private well, provide Heal nt form,
Zoning review can not begin until we receive approval from Health
Dept, FAX DATE
Circle the one that Zpnblic
Is parcel on septic sewer?
YIN
Will you be putting up a new sign of any kind?
Sign permit.
Permit # ZO1 5
Reviewer to complete the following:
Square footage of Use:
d 6 ;3J
' N -- --
errnitted as: f)d� t -q.
Under Section: I • _ _
Supplementary regulations section:
Parking formula:
�JJ
Required spaces: L j
YIN
Items to be verified in the field:
If so, obtain proper
Inspector : Date:
Y / N Notes:
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Zoning to complete the following. -
viol",
ollowin :
viol ns:
Y 13l
If so, List:
Proffers:
N
If so, List: �! 3
Vara�ce:
YI�bY
If so, List:
SP's-.
YIO
If so, List:
Clearances:
SDP's
Revised 7/1/2011 Page 3 of 3