HomeMy WebLinkAboutCLE201600072 Application 2017-01-10Application for Zoning Clearance
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OFFICE USF, ONLY h- MALU e
PLEASE REVIEW ALL 3 SIIFETS
Check N [,t _ Date:
Receipt # hy, Staff:
PARCEL INFORMATION
A
Tax Map and Parcel: l j} b D — 0() ' �� b 21 ()� (existing Zoning A7
Parcel Owuer: Foxfield Racing Association
Parcel Address: 2215 Foxfield Track City Charlottesville State VA Zip 22901
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? Audrey or Cynthia Lorenzoni, Co -Race Directors
Address: 3 Elliewood Ave City Charlottesville State VA Zion 22903
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Office Pluone: (434) 293-3367 Cell # 434-962-2340 Fax N 434-293-6115 E-mail clorenzoni@embargmail.com
APPLICANT INFORMATION
Check any that apple; Change of ownership Change of use Change of name New business
Business Name/Type: Charlottesville Women's Four Miler - September 3, 2016
Previous Business on this site for the past 33 years, this 4 mile road race has been at Foxfield and on Garth Road
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:
-Raco to hPnefiWJVA_B er"nd 3,5 war n-participating-ira-tha-race7:08arn-pasta--
*This Clearance Nvill only be valid on the parcel for which it is approved. Ifyou change, intensity or move the use to a new location, a new Zoning
Clearance will be required.
I hereby certit�, 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 tare and accurate to the beSl,ot jny knowledge. I have read the conditions of approval, and I understandthem, and that I will abide by them.
Signature Printed IUC.'I ] ` 'J i (' [, (i/
APPROVAL INF WNIATION
[ Approved as proposed [ ] Approved with conditions [ ] Denied
( ] Backilow prevention device and/or current test data needed for this site. Contact ACSA, 977-451 1, x 117.
[ ] 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
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 1 1/02i2015 Page 2 of 3
Intake to complete the following:
Y /WN
Is use in LI, HI or PDIP zoning?
Engineer's Report (CER) packet.
If so, give applicant a Certified
VY(N
ill there 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 appliesx�n(iA2an'W�G+�
bd�k1 td Fate
is parcel on private well or public water?
If private well, provide Health Department form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE _
Circle the one that applies P'%97 d�^� bID WPo•'t1A eS
Is parcel on septic or public sewer?
Y /lY
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Y 1qmere
Wilbe 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:
kittedas: �C{rl(� Y IU ►`/Jt UCi l' ___
Under Section: T f f ni 0 -h2Q-/
Supplementary regulations section:
Parking formula: i
Required Wes•
/-\ glm R-el(l lowh*N
Y/N o V�
itei be verified in the V
viol", us:
Y /(N)
If so st:
Proffers:
Y //
Ifs$, ist:
Variance:
Y/N
If so, List:
s:
Y N
so, List:
WYAA
Clearances: ao � -5(p t�0 ll -g(�
SDP's
114 1 L4 ,
-
3
Revised 11/1/2015 Page 3 of 3
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LAND USE PERMIT
LUP-SEA
Special Event Approvals
August 26, 2014
APPROVAL ATE CO TYADMINISTRATOR� /N MANAGERORD-IGNEE
Remarks: 01. � t A G l /J-F -*f
APPROVAL DATE LOCAL LAW ENFORCEMENT AGENCY
Remarks:
APPROVAL DATE VIRGINIA STATE POLICE (Sergeant/Area/Division)
Remarks:
APPROVAL DATE VDOT REPRESENTATIVE
Remarks (include any changes that may be made by VDOT):
Cc: County/Town Administration
Local Law Enforcement
Virginia State Police
VDOT Residency Office / Maintenance AHQ
\111-141-- . If_,
LAND USE PERMIT
LUP-SEI
Special Event Information
August 26, 2014
Type or print clearly
TYPE OF EVENT (Parade, March, Walk Bike-A-Thon, Block Party, etc.):
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DATE OF EVENT: cA • J' 2O 1 ly
Inclement Weather Date:
Beginning Time: (AM /)PM Ending Time: L O C� A� PM
ROUTE OF EVENT (Attach detailed map including Event Starting & Ending Point & State Route No.):
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NAME OF APPLICANT/ORGANIZATION: C��tw Ouy--)
Mailing Address of Applicant/Organization:
,A ZZ o Z
CONTACT PERSON:
Mailing Address of Contact Person:��
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Telephone No.:(y �M ) 2a3 3 2 (o-4
E-Mail Address: -aLxckrLM
SPECIAL EQUIPMENT REQUEST: v
❑ Cones Number Requested:
❑ Advance Warning / Event Ahead Signage Number. Requested:
Variable Message Board Message: