HomeMy WebLinkAboutCLE201600161 Application 2016-08-08Application for Zoning Clearance
CLE # _Z Q%p - 1 tQ l
OFFICE USE ONLY
PLEASE REVIEW ALL 3 SHEETS Check # 3R 1607 Date: S
Receipt # I0514i4 Staff:
PARCEL INFORMATION
Tax Map and Parcel: 061000-00-00-13100 Existing Zonin '
Parcel Owner: WP Glimcher
Parcel Address:1600 Rio Road East #1510 City Charlottesville State VA Zip 22901
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? Tim Hoskins
Address :18305 East San Jose Ave City City of Industry State CA zip 91746
Office Phone: 7( 14) 824-1410 Cell # Fax # E-mail thoskins@cmarch.com
APPLICANT INFORMATION
Check any that apply: X Change of ownership Change of use Change of name New business
Business Name/Type: Torrid / Retail Clothing Store
Previous Business on this site Wet Seal / Retail Clothing Store
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:
Retail sala of clathipq, shoes, and awassories. 5 employees, 2 - 3 shifts, and mail prQuided parkinn
1.
*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 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 tojhe best of my o ledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature LKPrinted Tim Hoskins
PROVAL INFORMATION
Approved as proposed [ ] Approved with conditions [ ] Denied
] Backflow prevention device and/or current test data needed for this site. Contact ACSA, 977-4511, xl 17.
[ ] 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
Zoning Official Date :z� 44& _
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 Q
Is use in LI, HI or PDIP zoning?
Engineer's Report (CER) packet.
If so, give applicant a Certified
YI
Will iere 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 o pubLc er?
If private well, provide He epartment form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that appli
Is parcel on septic or p :'E)
Y l i�
Will y be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
(D/ N
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit # e
Zoning to complete the following:
Reviewer to complete the following:
Square footage of Use: _3 4 " / _
51 N
Permitted as: &I_11 -
Under Section: 2-. • 2.
Supplementary regulations section:
Parking formula:
Required spaces:
Y/N
Items to be verified in the field:
Inspector • Date-
Notes:
Viola ns:
Y/I
Ifs , ist:
roffers:
/N
so, List:
Variance:
(0/N
If so, List:
's:
/N
If so, List:
I
Clearances:
SDP's
Revised 11/1/2015 Page 3 of 3
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This farm must accompany zoning applications (Some 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, Torrid - B2016-1025AC
[County application name and number]
was provided to WP Glimcher
[name(s) of the record owners of the parcel]
and Parcel Number 06100-00-00-13100
manner identified below:
0 Hand delivering a copy of the application to
the owner of record of Tax Map
delivering a copy of the application in the
[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
#P
tsl Mailing a copy of the application to LlC`!' A
[Name of the record . wner 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 7 /�/--2��� to the following address:
Date
[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].
r - � �-- Z-A � �
Signature of Applicant
Tim Hoskins
Print Applicant Name
07/14/16
Date