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HomeMy WebLinkAboutCLE201700051 Application 2017-02-27Application for Zoning Clearance CLE # 0 " & 6; G 6 l OFFICE USE ONLY / PLEASE REVIEW ALL 3 SHEETS Check # j U O 7� Date: Receipt # 4 e W,4— Staff: �y PARCEL INFORMATION Tax Map and Parcel: Tax Map 45 / Parcel 152 Existing Zoning Commercial Office Parcel Owner: MPS / WJD LLC Parcel Address: 520 Greenfield Terrace City Charlottesville State VA Zip 22901 (include suite or floor) PRIMARY CONTACT Who should we call/write concerning this project? C Michael Dalton Address : 6335 Ivey Hill Drive City Cumming State GA Zin 30040 Office Phone: 4( 34 ) 336-7717 Cell # (678) 596-4368 Fax # E-mail cmdalton@notarymotion.com APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name X New business Business Name/Type: NotaryMotion, LLC Previous Business on this site this business will lease space from an existing business - W Jeffrey Dalton, CPA 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: Notarial, Bookkeeping & Document Workflow Services - Single Member LLC, rented space no additional employees no shifts, existinq client parkinq only - these services will auqment the existinq CPA practice that currently exists. *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 6 1 Printed C Michael Dalton APPROVAL INFORMATION XApproved as proposed [ ] Approved with conditions [ ] Denied [ 1 Rarkfloxv prevention device and/or c rTent test data needed fcr this site. Contact ACSA, 97 7-45 i i, xi i T [ ] 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 b�/%7 i 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 /0I Is use in LI, HI or PDIP zoning? Engineer's Report (CER) packet. If so, give applicant a Certified Y/® 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 u lic wa er? If private well, provide Health 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 OFse er? Y /e Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # Y /( 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: �/N ermitted as: C f E c.,z_, Under Section: -17� • • I Supplementary regulations section: Parking formula: Required spaces: i Y/ Items to be verified in the field: Inspector : Date: Notes: Violations: Y/�!b If so, List: Prof s: Y/V If so, List: Vari nce: Y/0 If so, List: SP's: Y/t) 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, Application for Zoning Clearance (Albemarle County) [County application name and number] was provided to MPS / WJD LLC the owner of record of Tax Map [name(s) of the record owners of the parcel] and Parcel Number Tax Map 45 / Parcel 152 by delivering a copy of the application in the manner identified below: QHand 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] on Date Q Mailing a copy of the application to W Jeffrey Dalton, CPA - member [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 02/16/2017 to the following address: Date 520 Greenfield Terrace, Charlottesville VA 22901 [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]. Signature of Applicant C Michael Dalton Print Applicant Name 02/16/2017 Date 2/16/2017 d I �O ✓ & J#q&e ce ) oo Ie Maps Go gle Maps 520 Greenfield Terrace O Garden Spot cky 7 Charlottesville s, w C) Krer i6"aS' Tropical Smoothie Caf6 C'Ville DICK'S Sporting Goods 0 0 The Phoenix Dance Studlo 0 2 Gor~.�ge Seminole TrailA Vokimeer Fire W 0 U-Store ltl Rio Hill Shopping Center T.J. 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