HomeMy WebLinkAboutCLE201700126 Application 2017-05-23�- ii'1CL1
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Application for Zoning Clearance `
CLE#� ? -per
OFFICE USE ONLY
PLEASE REVIEW ALL 3 SHEETS Check. # Date:
Receipt # Staff: _
PARCEL INFORMATION
Tax Map and Parcel: 06100-00-00-13100 Parcel C-3 Existing Zoning
Parcel Owner: Charlottesville Fashion Square LLC
Parcel Address: 1600 E. Rio Road CityState Charlottesville VA 22901
--------- Zip
--
(include suite floor) or
PRIMARY CONTACT
Who should we call/write concerning this project? Jamie Schwartz
Address : 960 Hilton Heights Road City Charlottesville State VA Zip 22901
Office Phone: (J4� 973-1351 Cell # (434) 989-6715 Fax # E-mail jchwartz@brownautos.com
APPLICANT INFORMATION
Check any that apply: Change of ownership X Change of use Change of name New business
Business Name/Type: Brown Automotive
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: Automotive sales event, 20 employees
'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 Printed Jamie Schwartz
AP/ROVAL INFORMATION
[ 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 Officia� Date s
Zoning Official Date
Dther Official Date
t.ounty 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 OLI,
Is HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y/N
Will there be food preparation?
If so, give applicant a He Department form.
Zoning review can no egin until we receive approval from Health
Dept. FAX DAT
Circle the one that applies
Is parcel on private well ublic water?
If private well, provid ealth Department form.
Zoning review ca of begin until we receive approval from Health
Dept. FAX D E
Circle the one that applies
Is parcel on septic or public sewer?
Y/N
Will you be putting up a new sign of any kind? If so, obtain proper
Reviewer to complete the following:
Square footage of Use: ge It 11U 1•laeU l
Y/N I---
ermitted as: 1 whr _
Under Section: I l.L
Supplementary regulations section:
Parking formula:
Required spaces:�+-
Y/N
Items to be verified in the field:
Sign permit. / r
�G( '� /� I �"� ,� 1,-rU,/ Inspector :_ Date:
Permit # D � `� (j��l �11 (�gy
Y / N Notes:
Will there be any new construction or renovations? — -- — — —-- If so, obtairLLhe proper Permit. ----
Permit # -----
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7,nninA to comnlete the following:
Violations:
Y N
If 'st:
Prof
Y /
If s , ist:
Va r'
y W
If:
SP's
YI
If so -st.
Clearances: � �]„ (� 1 eJ „I�
SDP's
Revised 11/l/2015 Page 3 of 3
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