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HomeMy WebLinkAboutCLE201600229 Application 2016-10-10Application for Zoning Clearance CLE#0/%n�2o-Q 0— OFFICE USE ONLY PLEASE REVIEW ALL 3 SHEETS Check # .319Date: 0 Receipt # 10 W4 JA Staff: PARCEL INFORMAT p 7� Tax Map and Parcel: —�Existing Zoning Parcel Owner: J rn , Li 3paw ParcelAddress:W Rwer1 Dr City CfY1f1y16tate A 2P911 (include suite or floor) Q PRIMARY CONTACT V `''C�aY `� Who should we call/write concerning this project?—A—R��id Address • 4 �S city ] _ VAPIF'n" Ci State L Office Phone: - Cell # Fax #4 E-mail RlCb7 6114 APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name New business Business Name/Type: Fs Previous Business on this site Describe the proposed business including use, number of empl es, n s, a kireg�ees, number vehieies, and any additional information that you can pr vide: I A l'n *This CIearance 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 knowl geTf`ave read the conditions of approval, and I understand them, and that I will abide by them. Signature Printed k4llrRIC fl[- d 49 APPROVAL P FORMAT ICPN _D;J 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 ( Date Zoning Official Date D b 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: Yl Is us n LI, HI or PD1P zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y 1 Will 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 o Is parcel on private well orpublic water? If private well, provide Hea epartment form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE Circle the one that applies Is parcel on septic or ublic sewer`s Y/() Will you be putting up a new sign of any kind? Sign permit. Permit # If so, obtain proper Y/t�h Will ere be any new construction or renovations? If so, obtain the proper Permit. Permit # Zoning to complete the following: Reviewer to complete the following: Square footage of Use: 00 2-0 'Y% / N Permitted as: Under Section: Supplementary regulations section: Parking formula: NA Required spaces: 5K Y/N Items to be verified in the field: Inspector: N,otes: Date: Violations: YIN If so, List: Proffers: /N If so, List: Hance: /N If so, List: SP's• Y/ If so, List: Clearances: SDP's Revised 11/1/2015 Page 3 of 3 CERTIFICATION THAT NOTICE OF THE APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER This form must accompany zoning applications (Home 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, �0f Qn [County appli 61on name and Number] was provided to Mr. V' the owner of record of Tax Map [name(s) of the record owners of the parcel] and Parcel Number 0-1 Q IDID—CD'00 —01 JADby delivering a copy of the application in the manner identified below: Q 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] r.A Date EtMailing a copy of the application to M r • � 4 [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 p 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 boobs or current real estate tax assessment records satisfies this requirement]. Signs of Applicant A. Richird IT"-se-V Print Applicant Name a Date W`1912t)16 Courriy of Albemarle - GIS-Web- Property Information Parcel ID: 07800-00-00-017HO Parcel Assessment Data (CAMA) Last Updated On: 09/17/2016 Other Parcel Data Last Updated On: 09/18/2016 GIS/Mapping Data Last Updated On: 09/18/2016 Summary Information Parcel Information Total Acres 1.04 Primary Prop. Address 125 RIVERBEND DR Other Address N/A Property Card(s) 1 Lot A Property Name N/A Subdivision N/A Notes LOT A//// Owner Information Owner SMITH, KEVIN L C/O SC SECURITY COMPANY Address P O BOX 8003 CHARLOTTESVILLE VA, 22906-8003 Owner as of Jan 1st SMITH, KEVIN L Most Recent Assessment Information Year 2016 Assessment Date 01/01/2016 Assessment Reason Reassessment Land Value $867,300 Land Use Value $0 Improvements Value $1,039,800 Total Value $1,907,100 Most Recent Sales History Previous Owner N/A Owner SMITH, KEVIN L SC SECURITY COMPANY Sale Date 09/08/1986 Sale Price $783,000 Deed Book/ Page 897/596 Other Tax Information as of ]an ist State Code Corn For Business or Retailing Tax Type Reg. Taxable Parcel Level Use Code Condo -Office Appraiser RHW http:/Igir,web.abemarle.org(GISWeb/Properiyinfo.aspx 1/1 Ficcx- Plan - sKetch 2M -Flcor