HomeMy WebLinkAboutCLE201800159 Approval - County 2018-07-12Application for Zoning Clearance
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OFFICE USE ONLY_
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PLEASE REVIEW ALL 3 SHEETS
Check # 1 Date: '
Receipt Staf
PARCEL INFORMATION
Tax Map and Parcel: _45-112B Existing Zoning_HC
Parcel Owner:_B Properties, LC
Parcel Address:_3450 Berkmar Dr City _Charlottesville State VA Zip 2 2 9 0 1
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? _Justin Shimp
Address :_912 E High St City _Charlottesville State _VA Zip _22902
Office Phone: O Cell #( 4 3 4) 2 2 7- 5 14 0 _Fax # E-mail justings him p-engineering.co
APPLICANT INFORMATION
Check any that apply: Change of ownership X Change of use Change of name New business
Business Name/Type: Better Living Building Supply
Previous Business on this site: vacant
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: _use of building supply sales and furniture sales space as
_shown on approved SDP 2016-00062 Better Living Berkmar Drive
*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 require
I hereby certify that own o ve he owner's permission to use the space indicated on this application. I also certify that the information provided
is true and accurat to t of m owledge. I have read the conditions of approval, and Iunderstand them, and that I will abide by them.
Signature Printed :::5t+(A1YJ
APPROVAL IN RMATION
[ `t Approved as prof osed [ ] Approved with conditions [ ] Denied
] B kflow prevention device and/or current test data needed for this site. Contact ACSA, 977-4511, x117.
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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 101 Date �IF�
Zoning Official Date 2 z/'5
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:
Is /
Is us(m LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y /aWil 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 pu�icwate .If private well, provide Healthment 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 pull
is 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: (j o o ), + -% P .Z + gd 9 0A
Oe mi ted as: Goy M " + $ a AL
Under Section: zLi . a ti t t
Supplementary regulations section
Parking formula:
Req i ed paces:
., I
Y/1
Items o be verified in the field:
Inspector : Date:
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Violations:
/N \
f so, List:
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Proffe
Y/V
If so, List:
Vari e:
Y/ NY/(9
If so, -List:
SP's:
If so, List:
Clearances:
SDP's
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Revised 11/1/2015 Page 3 of 3