HomeMy WebLinkAboutCLE201600075 Application 2016-04-26Application for Zoning Clearance
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CLE # �C?� �5
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PLEASE REVIEW ALL 3 SHEETS
OFFICE USE ONLY
Check # 1303 ` Date: elhdio
Receipt # 103 750 Staff:
PARCEL INFORMATION C. J
9 60 ^00'DO— -1 Existing Zoninatel
Tax Map and Parcel: _0� 1�6
Parcel Owner: 1J0.„���t'tJ.f�
Parcel Address: l'*@L �Ou ► �GY1�tC d �.��� City rog1ok-oyAke State V Zip 'W 1\
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? Charles Hansel
Address :8024 Calvin Hall Road City Indian Land State SC Zip 29707
Office Phone: 7{ 04) 4571755 Cell # Fax # E-mail.bus.license@movement.com
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name X New business
Business Name/Type: Movement Mortgage,LLC
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:
Mortgage officers taking mortgage applications for home loans. 9am-5pm hours, with 1 employee starting.
Undisclosed amount of parking spaces.
*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.4 have the owner's permission to use the space indicated on this application. I also certify that the information provided
is true and accurate est o le ve read the conditions of approval, and I understand them, and that I will abide by them.
Signature PrintedCharles Hansel
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 �r Date �2
Zoning Official Date 7�Z�
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 11/02/2015 Page 2 of 3
Intake to complete the following:
Y 1CN)
Is use in LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y
Wi ere 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 c�r pu lic w er?
If private well, provide HeN& artment form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that appt
Is parcel on septic or c sewer
Y l(
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Y / tTi Will ere be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Zoning to complete the followinz:
Reviewer to complete the following:
Square footage of Use: ;1 2 23
0IN
ermitted as: O , Le,
Under Section: —1
Supplementary regulations section:
Parking formula:
Required spaces: .I
_ \
Y I^
Items to be verified in the field:
Inspector : Date:
Notes:
Violations:
N
Ys
so, List:
Proffers:
Y I
If so', -List:
ance:
YIN
If so, List:
SP's.
Y/(1
If so, List:
Clearances:
SDP's
Revised 11/1/2015 Page 3 of 3