HomeMy WebLinkAboutCLE201800136 Approval - Agencies 2018-06-29ofA,�rr( rie.A1 * /on 1f Zonin Clearange b�,t ,gyp
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Check # [1 Date: Qr yepa
REVIEW ALL 3 SHEETS
Receipt # Staff:;
PARCEL INFORMATION
Tax Map and Parcel: 06 1 YD - 00 - O C - 3 6 1 60 Existing Zoning Alewl'soQHoo,o
Parcel Owner: i u itioo , �AGc f L L C
srf 30 �
Parcel Address: 9�ir �ilfwtrDaDSr�i��1 Ln/ City C1y11le- State VA 2790/
--Zip
(include suite or floor)
PRIMARY CONTACT � // //
Who 50
should we call/write concerning this project? ,) f?oCHR£/nJ
Address : %�// (r/2�ltaUOl� JrtnUN �y frT 301 City C v1 ?le- State V4 Zip Zz %O /
Office Phone: O Cell # 9S3. 8/oS Fax # E-mailo�C�Ca�e�^e�'�
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APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name ✓ New business
jl
Business Name/Type: `/fie£wfX 10fdtr,At L C
,
Previous Business on this site L MN &061 C Ut i RAS6u1J D
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: 4ftOicl4c Di'N�_,e kfl) /0 e`"J'/oye ,)
/ I1
*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 ����� ���L i- Printed �00 >�CNR i in1
APPROVAL INFORMATION
[ ] Approved as proposed [ ] Approved with conditions [ ] Denied
[ ] Backflow 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 Date
Zoning Official Date i
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:
Y UNJ�Is uLI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y N
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
Circle the one that applies
Is parcel on private well or p6p�;rte�ment
If private well, provide Healt form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that applies
Is parcel on septic oy ublic sewe
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:
L
Square footage of Use: o Ll"
Y/N At
�
Permitted as: 0-1II --
Under Section: (00( d— Q7,ti°e"tTN--+
Supplementary regulations section:
Parking formula:
YAer Aj
Required spaces:
Y/N
Items to be verified in the field:
Inspector:
Notes:
Date:
Violati ns:
Y/�
If s ; ist:
Proffers:
Y/N
If so, List: .�
Vari e:
Y /b
If so, List:
s
Y
o, ist:
Clearances:
SDP's
IDP
Revised 11/1/2015 Page 3 of 3
5/21/2018 County of Albemarle - GIS-Web - Property Information
Parcel ID: 061YO-00-OC-30100
Parcel Assessment Data (CAMA) Last Updated On: 07/07/2017
Other Parcel Data Last Updated On: 05/20/2018
GIS/Mapping Data Last Updated On: 05/20/2018
Summary Information
Parcel Information
Total Acres
Primary Prop. Address 941 GLENWOOD STATION LN, UNIT 301
Other Address N/A
Property Card(s)
Lot
Property Name
Subdivision
Description
Owner Information
Owner
Address
1
30100
N/A
Glenwood Station
GLENWOOD STATION UNIT 301 BLDG C
GLENWOOD EAGLE LLC
665 BRIDLEPATH DR
EARLYSVILLE VA, 22936
Owner as of San 1st GLENWOOD EAGLE LLC
Most Recent Assessment Information
Year
2018
Assessment Date
01/01/2018
Assessment Reason
Reassessment
Land Value
$290,000
Land Use Value
$0
Improvements Value
$1,103,800
Total Value
$1,393,800
Most Recent Sales History
Previous Owner DICKERSON, BENJAMIN D OR ROSETTA S
Owner GLENWOOD EAGLE LLC
Sale Date 05/18/2007
Sale Price $0
Deed Book/Page 3420/441
Other Tax Information as of Jan 1st
State Code Com For Business or Retailing
Tax Type Reg. Taxable
Parcel Level Use Code Condo -Office
http://gisweb.albemarle.org/GISWeb/Propertylnfo.aspx 1/1
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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, C-'/}�F_TAKf/1 1�mlr'4t , LL C-
[County application name and number]
was provided to G-t-rlj &o6 66L £ , Z C the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number 06 1 y 0 - DO - 0 C - 30100 by delivering a copy of the application in the
manner identified below:
Hand delivering a copy of the application to
[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
Mailing a copy of the application to (A£n)Wool1) i,46L£f LLG % kODSd�I Ac-ter50A Maim, n
[Name of the record owner if the record owner is a person, M �
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 Z 1 ^4 Z01 $ to the following address:
Date
��5 �,Pr/JL£/'�97LN D�, fa�lysv�l(e VA 2Z936
[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
%ODD 1fQr-1-1R£1/J
Print Applicant Name
21 NtAY 2018
Date
4r At TU a
T.Wammissi1
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CERTIFICATE OF FACT
I Certify the Foffowing from the Records of the Commission:
That CareTaker Medical, LLC, a limited liability company organized under the law of Delaware,
obtained a certificate of registration to transact business in Virginia from the Commission on April 8,
2014; and
That it is registered to transact business in the Commonwealth of Virginia as of the date set forth
below.
Nothing more is hereby certified.
Q�RATION C-�,
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1903
CISECOM
Document Control Number: 1712085275
Signed andSeafed at Richmond on this Date:
IDecem6er 8, 2017
Joe[O.. Teck CCerkof the Commission