HomeMy WebLinkAboutCLE201800049 Application 2018-02-27Application for Zoning Clearance
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CLE # �/� 000 Y
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PLEASE REVIEW ALL 3 SHEETS
OFFICE USE O Y
Check # lU y Date: a
Receipt # / l -), f Staff: +�
PARCEL INFORMATION
Tax Map and Parcel: 0 to 1000000 r3100 Existing Zoning
Parcel Owner: Toe- _Be &u4; Rc.l Gr o cep MoAaae mea l LLB
Parcel Address: A604 -4? 10 :R..A City State Vill-,- Zip 22,61
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? r i tl e. i2N i. LC_
Address : 7201 AA`c-t ro _1� 1 d A. City in e_a l i s State AkN Zip s5ye?9
Office Phone: S2 —135� Cell Fax# Q.32$S
-995-&0E-mail $O(. Cor�ne,CorneliCafEai�cvrlo,CO
APPLICANT INFORMATION
Check any that apply: X Change of ownership Change of use Change of name New business
Business Name/Type: Regis Salon N4520/ Beauty Salon services and retail sales of hair care products
Previous Business on this site same -different owner
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:
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'Zm imm
*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 th st of my knowledge. I ve read the conditions of approval, anddII understand them, and that I will abide by them.
Signature /? Printed �-O 'y d e iV/ LLC
APPROVAL INFORMATION
[ ] Approved as proposed [ ] Approved with conditions [ ]Denied
[ ]Pdtkflow prevention device and/or current test data needed for this site. Contact ACSA, 977-4511, x117.
[ 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 c�%�� K , ^ Date 2 Z22,ie
Zoning Official Date >' 2,' 71 l�
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 3
Intake to complete the following:
YO
IsLI,HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y
Wi e 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 o pA�ament
If private well, provide He form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that ap
Is parcel on septic o public sewer?
Y/N
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit# WcOd (p4ore- o seQQ,nte. 9etrnit
Y / N
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
VV CO 0 Ce aU0\f2 sC�(tal.te ��(r i f
Zoning to complete the following:
Reviewer to complete the following:
Square footage of Use: I b S /
as: 6(-,vl\j SkW
Under Section:
Supplementary regulations section:
I j (b) Z)
Parking formula:
11100 gfA 1 /�v�,�l64 r b
U
Required spaces:
Y/N
It o be verified in the field: (�v, ore" (e��i (r)
Inspector:
Notes:
Date:
fV1 cs P*, d P(TsWjg qYl
Violations:
Y/N
If so, List:
Pr
Y/N
If ist:
'
N
,,iince:
List:
SP' .
Y,
If Wit:
Clearances:
SDP's
Revised 1 1/1/2015 Page 3 of 3
February 16, 2018
Community Development
Attn: Buck Smith
401 McIntire Road
Charlottesville, VA 22902
RE: Zoning Clearance Application for Regis Salon N4520 ownership change
Dear Mr. Smith:
Enclosed is check no. 4101794 in the amount of $54 and a self-addressed, pre -paid UPS envelope for
you to return the processed application to me at 7201 Metro Blvd., Minneapolis, MN 55439, as I need
the signed Zoning Clearance to send with the Business License Tax Application.
If you need additional information please call me at 952-806-1356 or email me at
corine.cornell@regiscorp.com.
Sincerely,
Corine Cornell
Licensing Agent
The Beautiful Group Management, LLC