HomeMy WebLinkAboutCLE200500148 Action Letter 2017-08-01Application for
Zoning Clearance
Zoning Clearance = $35 PLEASE REVIEW
ALL 4 SHEETS
OFFICE USE ONLY ; L
Check # Date: 6/0
Receipt # 422zK2 staff:
PARCEL INFORMATION
Tag Map and Parcel: 059d2-01-00- 00300 Existing
Zoning HC
Parcel Owner: Christoph von Bir sdorff
Parcel Address: 3 Boar's Head Lane, Suite B City Charlottesville State VA Zip 22903
(include suite or floor)
---- - ------------------------------------------------------------ ---� ---------------------
- - --------------------
APPLICANT INFORMATION Who should we call/write concerningthis project? Duane H. Zobrist
Address : 3 Boar's Head Lane City Charlottesville State VA Zip 22903
Office Phone: 4434) 977 66666 Cell # 434466-2280 Fax # 434-977-0326 E-mail dzobrist oblaw.com
--------------------- -------------------------------------------------------------------------------------------------------
PROJECT INFORMATION
Business Name/Type: _ Zobrist Law Group/ Law Firm
Previous Business on this site: Skeen & Zobrist
Proposed use: Office — May 6 2005
Circle (if applicable): Fireworks / Christmas Tree SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS
FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet 1)
*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 a >+�f-
------------------------------------------------------------------------------------------------------------------------------------------
APPROVAL INFORMATION ( ) Approved as proposed ( ) Approved with
conditions '
Building Official
Zoning Official
Other Official
Date _ �- -t-- 1�-'
Date TdaM5
Date
------------------------------------------------------------------------------------------------------------------------------------------
County of Albemarle Department of Community Development 401 McIntire Road
Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126 3/28/05 Page 2 of 4
Applicant to complete the i Intake to complete the following:
Mowing:
@/ N
Do you have one of the following?
Tax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate;
G/N
Do you have a Floor Plan (sketch or an architectural
drawing) that includes the following, and if so
please provide it with the application?
The total square footage of the use and/or;
The square footage of each room or area of use;
Use of each room or area
If using less than the entire structure, note the
location within the structure.
W
Is use in LI, HI or PDIP zoning? If so, give applicant a
Certified Engineer's Report (CER) packet.
Y l
Will 2re 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
Y/9
Is parcel on private well and septic?
If so, give applicant a Health Department form
Zoning review can not begin until we receive approval from
Health Dept. FAX DATE
—V / N
Is on public water and sewer?
Y Wi ou u�
be putting up a new sign of any kind? If so, obtain
proper Sign permit.
Permit #
Y / No
Will ere be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Y /
Is this or sales of Fireworks?
If so, obtain a copy of F/R permit.
Permit #
Boniug Tech to
Violations:
YIN
If so, List:
Variance:
YIN
If so, List:
the
Proffers:
YIN
If so, List:
SP's:
YIN
If so, List:
3/
28
/0
5
Pa
ge
3
of
4
Reviewer to complete the following:
Square footage of Use:
YIN
Permitted as: 551 t7hct [ [es
Under Section: 8
Supplementary regulations section:
Parking formula: I 4RAMW200 S A -
1v62;1•t1zoo'= '-A`4B
Required spaces: Iq 5 4Q§
Y / (9
Items to be verified in the field:
Inspector Name & Date:
Notes
2
3/
28
/0
5
Pa
ge
4
of
4