HomeMy WebLinkAboutCLE201700224 Application 2017-10-18Application for Zonin Clearance
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OFFICE USE ONLY
PLEASE REVIEW ALL 3 SHEETS
Check# Do fk' Date:
Receipt # Staff: ��, �t:�►��
PARCEL INFORMATION
Tax Map and Parcel: 061 YO-00-OB-20200 Existing Zoning
Parcel Owner: Vantage Valley Realty, LLC
Parcel Address: 943 Glenwood Station Lane STE 202 City Charlottesville State VA Zip 22901
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? Brad Huston
Address : 8024 Calvin Hall Rd City Indian Land State SC Zip 29707
Office Phone: (803) 619-6052 Cell # Fax # E-mail
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name x New business
Business Name/Type: Movement Mortgage, LLC
Previous Business on this site unknown
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:
Inap nfficQrc talking mertgagelean applisatiens
*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. f my knowledge. I haver d the conditions of approval, and I understand them, and that I will abide by them.
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Signature Printed S 1 ryl
APP3"VAL INFORMATION
[ Approved as proposed [ ] Approved with conditions [ ] Denied
[ ] B kflow prevention device and/or current test data needed for this site. Contact ACSA, 977-4511, xl 17.
[loophysical 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
Zoning Official Date
Other Official Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
Revised 11/02/2015 Page 2 of
/ 1 7)—
Intake to complete the following:
Y A&
Is use in LI, HI or PDIP zoning?
Engineer's Report (CER) packet.
If so, give applicant a Certified
Y/N
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 or public 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 public sewer?
Y/N
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Y/N
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Zoning to complete the following:
Reviewer to complete the following:
Square footage of Use: w �G - fi -I-'
Pmitted as: 0 T�
Under Section: 1C r�Wd �y�G �) V•�
Supplementary regulations section:
Parking formula: I
Required spaces:
Y N
Ite e verified in the field:
Inspector : Date:
Notes:
Vio ns:
Y NJ
If s ist:
Proffers:
Y/N
If so, List:
Var' ce:
Y N)
If s ist:
SP'
Ypsoist:
If
Clearances:
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SDP's
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Revised 11/1/2015 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 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 Vantage Valley Realty, LLC the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number 061 YO-00-OB-20200
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
Date
0 Mailing a copy of the application to JLS Properties 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 10/10/17
Date
to the following address:
943 Glenwood Station Lane STE 202, Charlottesville, VA 22901
[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 Applicant
Bradley Huston
Print Applicant Name
10/10/17
Date
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