HomeMy WebLinkAboutCLE201700013 Application 2017-01-20Application for Zoning Clearance;
CLE #�)
OFFICE USE ONLY
PLEASE REVIEW ALL 3 SHEETS Check # Bcj-(,' ► Date: I) is) -4
Receipt# 1Q-J-�, _ Staff:
PARCEL INFORMATION
Tax Map and Parcel: 0 L [ 'Z !✓ Existing Zoning---( <;,., r t ✓ , ,,
Parcel Owner:
Parcel Address:! Q S i�V i, City State L/ f4- Zip L L 9Q
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? 1 e, ,
Address: J U f � ti,y ��a: i' K vG .�i —City G �c 1 i S IE State it Zip Z
Office Phone: l j) `/S") - 0 03 `f Cell # Y 3 `► _ 12a6._., Fax # E-mail i^ ` c 1 ' i1
APPLICANT INFORMATION _
Check any that apply: Change of ownership Change of use Change of name New business
Business Name/Type: \% N v^ c; , , C L C ( C? Lh -C <
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: C C L
ci,no 7�`J�,c h �� V r ;n� Uc q
,^ Y1 c
*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 to the best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature f Printed PI c kc%(r
PROVAL INFORMATION
JA Approved as proposed [ J Approved with conditions [ ] Denied
[ J 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.
[ J This site complies with the site plan as of this date.
Notes:
Building Official Date
Zoning Official Date 7- 7
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 /1/2015 Page 2 of 3
Intake to complete the following:
Y/N
Is use in LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
YIN
Will 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 applies
Is parcel on private well or p lic wa ?
If private well, provide Health artment form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that ap
Is parcel on septic or ublic sewer?
Y/N
Will you be putting up a new sign of any kind?
Sign permit.
Permit #
If so, obtain proper I
Y/N
Will there 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: I , ^ ) ` 1
rY/N
Permitted as: ► C
Under Section:
Supplementary regulations section:
Parking formula:
Required spaces:
Y/vlJ
Items to be verified in the field:
Inspector•
Notes:
Date:
Violations:
Y
If so, List:
PrOff s:
YIN
If so, ist:
Vari e:
Y/W
If so, List:
N
If so, List: q
Clearances:
SDP's
QUr — '7
Revised 11/t/2015 Page 3 of 3
'Virginia CLE®
VIRGINIA CONTINUING LEGAL EDUCATION`"'
CLE Committee January 17, 2017
Chairman:
David P. Bobzien
Fairfax
Executive Director:
County of Albemarle
Department of Community Development
Raymond M. White
Charlottesville
C/O Stewart Wright (Zoning Clearance Application)
CLE Committee
401 McIntire Road
Members:
Charlottesville, Virginia 22902
Richard D. Balnave
University of Virginia
Irving M. Blank
Dear Mr. Wright:
Richmond
James P. Cox, III
Charlottesville
Massie P. Cooper
Richmond
Jeannie P. Dahnk
Fredericksburg
Dana M. Fallon
George Mason University
Karen A. Gould
Richmond
Nicole J. Harrell
Norfolk
Jean K. Kelleher
Alexandria
David S. Mercer
Alexandria
Steven R. Minor
Bristol
Thomas P. Murphy
McLean
Douglas M. Nabhan
Richmond
Caroline L. Osborne
Washington & Lee
University
Farnaz F. Thompson
Charlottesville
Michael P. Tittermary
Ashland
Lucia Anna (Pia)
Trigiani
Alexandria
Henry N. Ware, Jr.
Richmond
Thank you for speaking with me by phone and for your assistance with our sign change at
Virginia CLE, 105 Whitewood Road. I have enclosed the Application for Zoning Clearance
and a check for $54.00.
Please let me know if you need anything else from Virginia CLE regarding this action.
Sincerely,
Rich leglio
105 Whitewood Road, Charlottesville; VA 22901
Phone: (434) 979-5644 / Fax: (434) 979-3147
Email: vacle@vacle.org / Web: www.vacle.org
Facebook: www.ficebook.coin// VirginiaCLE