HomeMy WebLinkAboutCLE200500283 Action Letter 2017-08-03Application for Zoning Clearances.
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OFFICE USE ONLY
Zoning Clearance = $35 CLE #1-Z00.5
PLEASE REVIEW ALL 3 SHEETS Check # _5Q3 Date: In
Receipt#56n; a Staff: t s
PARCEL INFORMATION 66 11 _ tf- C !�-
Tax Map and Parcel: TM P& i A Existing Zoning UMD
Parcel Owner: 5UGARAY LTV,, ty ,
Parcel Address:�_ek&WQDA %N" kkU CityC,A"LIDINKA (.lam State
(include suite or floor)
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Zip Q=1—'-I
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Who should we call/write concerning this project? Phillip Hubbell,Manager of Facilities
Address : 944 Glenwood Station Lane Suite 201 City Charlottesville State VA Zip _22901_
Office Phone: (434)220-1635 Cell # 315-372-3246 Fax # _434-220-1651_ E-mail hubbell@syrres.com
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PROJECT INFORMATION
Business Name/Type: Syracuse Research Corporation/Not-for-Profit Research and Development
Previous Business on this site: none
Proposed use: 100% office
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 awnw have the owner's permission to use the space indicated on this application. I also certify that the information provided is
true and accurate o the es t o my wle g I h ad the •'ons of approvals zr
ders d and t t I w 1 abide by them.
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Signature Printed i �,�/
-APPROVAU............................................................. ........................................
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[ ] Approved as proposed
[ ] Approved with conditions
[ ] Backflow device and/or current test data needed for this site. Contact ACSA 977-4511, x119.
[ ] 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.
Building Official Date
Zoning Official Date
`her Official
Date
._____________________________________________________________________________________ _._____.--
County of Albemarle Department of Community Development --------------------------
0 1 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 10/14/05 Page 2 of 4
Intake to complete the following:
Applicant to complete the following:
N
o you have one of the following?
Tax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate;
TYN
ou have a Floor Plan (sketch or an architectural drawing)
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.
Tech to complete the
Y /
If so,
YIN
Is use in LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y
Wil 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
del 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
/N
on public water and sewer?
Y/N
Will you be putting up a new sign of any kind? If so, obtain
proper Sign permit.
Permit #
,YN
14 there be any new construction or renovations?
If so, obtain the proper Permit. E
Permit #
Y N'
Is or sales of Fireworks?
If so, obtain a copy of FIR permit.
Permit #
S f 1 N fU&S e
Yl�
If so,
Y
If
IWA
10/14/05 Page 3 of 4
Reviewer to complete the following;
Square footage of Use: !2&O Q 0
YrN
Pcrniitted as:
Under Section: tL: qQ � Z r►'y4 2�cx3'(-!b
Supplementary regulations section:
Parking formula: „A _ _- _ 2 5� Cam. fi 0`! • "--reea
Required spaces:
YI� Items to be verified in the field: 3r�
Inspector Name & Date:
;Votes