HomeMy WebLinkAboutCLE201700031 Application 2017-07-26Application for Zoning Clearance_`°
CLE # 20 l � 4!00 0.3 1
�!RG[NSP
PLEASE REVIEW ALL 3 SHEETS
OFFICE USE ONLY /
Check # d4y ! L Date: l
Receipt # l !i SV 11 ' " Staff:
PARCEL INFORMATION
Tax Map and Parcel: TMP 56A2-1- 25, 71 & 71 B Existing Zoning HI with proffers
Parcel Owner: Crozet New Town Associates
Parcel Address: 5725 The Square City Crozet State VA Zip 229032
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? Frank Stoner
Address : 300 2nd Street NE City Charlottesville State VA Zip 22902
Office Phone: (4341 245-5804 Cell # 4349810643 Fax # E-mail fstoner@milestonepartners.co
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name X New business
Business Name/Type: Perrone Robotics
Previous Business on this site Barnes Lumber
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:
Software development for robotic use. 20 employees. 1 shift per day. + parking spaces available on site. 2-3
licensed vehicles tor testing. I he balance are employee owned.
*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 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 kn vle ge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature -41-f k � ( E 711�Printed r7'_ 4 ,y
APPROVAL INFORMATION
Approved as proposed I ] Approved with conditions ] Denied
[ ] Back low prevention device and/or current test data needed for this site. Contact ACSA, 977-4511, 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 r �01
Zoning Official Date ic!/16i -%
Other Official - P Date 9L2I-2617
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
Revised 1 ] /02/2015 Page 2 of 3
Intake to complete the following:
YO
Is use in LI, HI or PDIP zoning?
Engineer's Report (CER) packet.
Y/0
If so, give applicant a Certified
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 ablic 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
Is parcel on septic or lic sewer ' j
Y/N
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Y/N
ill there be any new construction or renovations?
If so, obtain ro er P rmit.
Permit # N
— I
Zoning to complete the following:
Reviewer to complete the following:
Square footage of Use: 49 py
e/ N ppC�`I
ermitted as: gf:�
Under Section:
Supplementary regulations section:
Parking formula: //// j�1
Required spaces:
Y /(Y
Items to be verified in the field:
Inspector : Date:
Notes:
Violations:
Y/Z)
If so, List:
ffers:
Y N
so, List:
Vari ce:
Y/ 0
If so, List:
SP's:
Y16
If so, List:
Clearances:
SDP's
Revised I I/l/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 t)te application is not the
owner.
I certify that notice of the application,
[County application name and number]
was provided to C-) Z -(y ' ;ear c�r1/; c9C�i the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number a4>>- j - Zvi,- 71 J (6 by delivering a copy of the application in the
manner identified below:
Hand delivering a copy of the application to�/l'j
[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]
one J (p
Date
Mailing 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
to the following address:
[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].
lC
Signature of Applicant
Print Applicant Name
LIX� / -7
Date
I ?A 11 - , 4� I I IRW I
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