HomeMy WebLinkAboutCLE201700089 Application 2017-04-12Application fo�/r Zoning Clearance
a
OFFICE USE N
PLEASE REVIEW ALL 3 SHEETS
Check # Date:
Receipt #JZ Staff:
PARCEL INFORMATION COMMERCIAL
FOR
Tax Map and Parcel:. 061 W0-04-00-30100— __ Existing Zoning_ Rt /S/NESS Qp
I
Parcel Owner: Sugaray, LLC - 690 Berkmar Cir. Charlottesville VA22901 RETAILING
Parcel Address: 3510 Remson Ct. Suite 301 City Charlottesville State VA
Zip 22901
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? Quinton Beckham
Address :3510 Remson Ct Suite 301 City Charlottesville State VA
Zip 22901
Office Phone: 4( 34) 220-2224 Cell # 434-242-6212 Fax # E-mail quintonbeckham@me.com
APPLICANT INFORMATION_
Check any that apply: Change of ownership Change of use Change of name X New business
Business Name/Type: Keller Williams, Alliance Realty
Previous Business on this site Northro Grumman
Describe the proposed business including use, number of emolovees, number of shifts. available narkina snnepe nnmhnr of
vehicles, and any additional information that you can provide: Real Estate Brokerage Services. 4 Employees and approximately40
independent contractors /agents. Agents spend majority of time in the field. 20+ Parking Spaces. 5-15 vehicles.
*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 o r s rmission to r.e space indicated on this application. [also certify that the information provided
is true and accurate to the best of m ow read the conditions of approval, and I understand them, and that I will abide by them.
Signature
Printed Quinton Beckham
APPROVAL INFORMATION
Approved as proposed [ ] 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.
[ ] This site complies with the site plan as of this date.
Notes:
Building Offic
Zoning Offich
Other Official
Date
Date
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 4
Is use in LI, HI or PDIP zoning? If so, give applicant a Certified
En in
is Report (CER) packet.
Y N
WiI 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 one that applies
Is parcel on private well public water
If private well, provide He nt form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that applies
Ins arcel o septic r public sewer?
N
ill you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Y/N
Wil ere be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Zoning to complete the following:
Violations:
Y,
If ist:
Variance:
Y
If so, Wst:
Clearances:
Reviewer to complete the following:
Square footage of Use: ,_jD5
IS / N
Permitted as
Under Section
Supplementary regulations section:
Parking formula: /
Required spaces: J
Items to be verified in the field:
Inspector :_ _ _ _ Date:
Notes:
1
Proffe :
Y/
If so, ist:
SP'
Y s:
If so, List:
SDP's
Revised I I/l/2015 Page 3 of 3
CERTIFICATION 1 t!A`!' 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.
[County application name and number]
was provided to Sugaray, LLC the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number 061 WO-04-00-30100
manner identified below:
Hand delivering a copy of the application to
by 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
1-3§e
__X Mailing a copy of the application to George Ray, Sugaray, LLC
[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 04-03-2017
to the following address:
george ginsignia-va. com
[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 Appent-
Quinton Beckham
Print Applicant Name
04-03-2017