HomeMy WebLinkAboutCLE201500253 Action Letter 2015-12-29AMA" '41)[6
Application for Zoninj Clearance
CLE#x07 S — S'1
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OFFICEUSEXX
PLEASE REVIEW ALL 3 SHEETS
Cheek # Date:
Receipt Stall.
PARCEL I14FORMATION
Tax Map and Parcel: ID 005EO-01-MOOOCO Existing Zoning ^
Parcel Owner• Allen Bil
Parcel Address: 1005 Heathercroft Cir., Suite 100 City Crozet State VA Zap 22932
(include suite or floor)
PRIMARY CONTACT
Who should we caWwrite concerning this project? Michael Kaminski, President, The Family Fund (Freedom 5K)
Address: 3570 Meriwether Hill Lane City Charlottesville State VA Zip 22901
OiBee Phone: (_J Cell d 434-962-3001 Fax # Wmait IlvebulllshCdlilmail.com
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name __New business
Business Namenrhm: The Family Fund, Inc.
Previous Business on this site
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:
.
Mis Clearance wilI only be valid on the parcel for w)icf: it isalfproved. If you change, intensify or move the use to a new location, a new Zoning
Clearance will be required. ,- .
r
I hereby certify ` or a the own pepnfssion to use the space indicated on this application. I also certify that the information provided
is true and acgfrate to of my ledge'. I have read the conditions cf approval, and I understand them, and that I will abide by them.
Signa r iPrin Michas! H. Kaminski
YNFORMATION
Laved as proposed [ ] Approved with conditions [ ] Denied
[V ] 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 tidsting
site plan.
C ]This site comp 'es with the site plan of this date.
Notes-, r e
Building Official oe I Date
Zoning official 04Date
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 11/07!2015 Page 2 of 3
4j%EEDPM
;IoAk
Start on Claremont Lane.
(at gazebo in front of "The Lodge" at Old Trail)
Turn right on Old Trail Drive.
oust past the pool)
Leave sidewalk, right, on pathway
crossing soccer field.
Right on Brookview.
Left on Summerford.
Left on Hampstead.
Left on Grassdale.
Right on Wellbourne.
Left on Old Trail Drive.
Right on Golf Drive.
Left on Nature Trail.
Left on Old Trail Drive
Right on Glen Valle Drive.
Left on Claremont Lane.
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form must accompany zoning applications (Home Occupation, Zoning C%arance, 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 Allen Billyk _ _ _ the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel dumber 055EO-01-00-OOOCO by delivering a copy of the application in the
manner identified below:
0 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 Alien Byllk T _
[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 Deoember 1, 2015 to the following address:
Date
ellen real ropertyinc.com
[address; written notice mailed to the owner at the last lanowa address of the owner as shown on
the current real estate tax assessment books or current real estate tax assessme7necords satisfies
this requirement]. _ Z
Michael W. Kaminski
Print Applicant Name
December 1. 2015
Date