HomeMy WebLinkAboutCLE201800024 Application 2018-02-05Application for 4,oninLy C(// Clearance
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OFFICECLE
US.Y /• 3a , / G
PLEASE REVIENV ALL 3 SHEETS
Check # Date:
Receipt # Staff..
PARCEL INFORMATION n
Tax Map Parcel: U (0 16 0 J � �] ' �� J I � 10 � Existing Zoning
and
Parcel Owner: 7Ne.,rl,;*7 ( FO"YO i SQy~_ �l4LG�
Parcel Address: 1400 RIO 10 I%OM7 City ChVVZ4WMIW& StateZip 2bi`/
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? 7oV1d ,-1?VV7 406*1 !ZIWAMOS
Address: /(O&cD' conT CIIState Zip Izaq&
Office Phone: Cell # ?}&-tfwax # E-mail
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
Business Name/Type:
FXr, iN,NctU�r�i1CN tAVE,iLE ShVE(� PLUS
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: Z t 4wt / 'jSltial�
*This Clearance will only be valid on the parcel for which it is approved. 1f you change; intensify or move the use to a new location; a new Zoning
Clearance Nvill be required.
1 hereby certify that I vn or have the owner's pennission to use the space indicated on this application. 1 also certify that the information provided
is true and accurate t the best of my knowledge. I have read the conditions of approval, and 1 understand them, and that I will abide by them.
Signature Printed �Id rill'! 477r7 430Vj
A ROYAL INF JATION
[ ed as proposed [ ] Approved with conditions [ ] Denied
[ f]ow prevention device and/or current test data needed for this site. Contact ACSA, 977-4511, x] 17.
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hysical 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.
Dotes:
Building Official Date
Zoning Official mate 2� j
Other Official Date
County of Alben;arle Department of Community Development
401 McIntire Road Charlottesvilie. VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
Rr. i,ed 1 1 02-201 S Pa�,e 2 oJ'3
Intake to complete the following:
ls
]s u LL HI or PD]P zoning? ]f so, give applicant a Certified
Engineer's Report (CER) packet.
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 ublic water.
If private well, provide Healt a ment form.
Zoning review can not begin until eve receive approval from Health
Dept. FAX DATE
Circle the one that applie
Is parcel on septic or Kublic sewer?
Y/N
Will you be putting up a new sign of any kind? if so, obtain proper
Sign permit.
Permit # wot d tevwt S-CQq tol ejy�&
Y / N I
Will there be any new construction or renovations?
If so, obtain the proper Pennit.
Permit #
VVOVj 'VfC,'AVt SeP�r011
Zonin to complete the following:
Violations:
Y/N
If so; List:
Var' n
Y Ni
Ifs
Clearances:
Reviewer to complete the following:
Square footage of Use: ' U U
Y/N
ernnitted as:
Under Section: 2— ] +,
Supplementary regulations section:
Parking fonnula:
Required spaces:
Y N
]te o be verified in the field:
Inspector : Date:
Notes:
Proffers:
Y/N
If so, List:
SP's:
Y / N
If so; List:
t a�� �l
SDP's
200 37
ReviScd 11r1'201S Page 3 (43
EXHIBIT "A" - CENTER PLAN/LEASE OUTLINE DRAWING
T
LOCATION
Except for the space leased to Tenant and except as may be expressly set forth in the Tenant's Lease, the designation
and location on this plot plan of store unit sizes, tenant's names and other detailed information respecting the Shopping
Center, its building, and other common oreas, is not a representation by Landlord that such conditions exist or that they
will continue to exist throughout all or any part of the term of Tenant's Lease.
MALL
EXTERIOR
1327E
27.6'
VESTIBULE
TLU
/��NANT
SPACE
all
J �
a. 1328 N
Q O
1100SF
�z
54.4'
•1329
U
U
PUBLIC CORRIDOR
1326B
1320A
SPACE NUMBER 1328
ANCHOR
LEASE OUTLINE DRAWING
This drawing has been prepared from Architectural and Engineering plans,
and therefore it is not the Landlord's intent torepresent that thisinformation
has been field verified. Tenant should field`verify existing conditions. Tenant
names are not a representation orwarranty that all tenants are or will
remain as shown.
CHARLOTTESVILLE FASHION
MC7LIMCHER SQUARE
180 EAST BROAD STREET ZLT FLOOR, COLUMBUS, 0,143215 CHARLOTTESVILLE, VA
PHONe 614.611900n VMW,WPGL11•.1CHER.CO1A DRAWN BY: JM DATE:
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