HomeMy WebLinkAboutCLE201800170 Action Letter 2018-07-18FINFORMATION
cation for o in Clearance
CLE # �0� I
OFFICE USE
W ALL 3 SHEETS Check # Date:
Receipt # Staf
00000 0480o Existing Zoning C1 Commercial
Parcel Owner, IS40 Airport Rd LLC
Parcel Address: 1540AhportRd,Chadottesvflie,VA22911 CitN State Zip
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? Paul Habenicht
Address : 202 South Wilton Road, Richmond, VA 23226 City State Zip
Office Phone: (_) Cell # 604-304-1956 Fax # E-mail habenicht@vetevolve.com
APPLICANT INFORMATION
Check any that apply: x Change of ownership Change of use Change of name New business
Business Name/Type:—VetEvovle VA LLC dba Veterinary Emergency Treatment Service & Specialty (Veterinary Services)
Previous Business on this site Veterinary Emergency Treatment Service r£ Specialty (Veterinary Services)
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: Veterinary Servives125employees Ithree shiltsl20spaces 10vehicles
*This Clearance will only be valid on the parcel lb which it is approved. If you change. intensify or move the use to a ne++ location. a ne+v Zoning
Clearance ++ill be required.
I hcrehN certil} that 1 o++m or ha+e the-
01011 to use the space indicated on this application. I also certify that the information provided
is true and ace u s �til e. e read the conditions ofappro+ral�and 1 understand them. and that I will abide by them.
Signature Printed__
APPROVAL INFORMATION
KApproved as proposed ( ] Approved with conditions [ ] Denied
[ ] Backnow prevention device and'or current test data needed for this site. Contact ACSA. 977-451 1, x 1 l 7.
[ ] 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.
1 otes•
Building Official ?,9 /_ Date
Zoning Official i,`�'�� Date T f Tolj
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 I I;l;?015 Page 2 of 3
Intake to complete the following:
Y , 1\
Is us LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
1 '
Will 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 4
kbzli��ent
If private well, provide Healtorm.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that applie
Is parcel on septic or ublic 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?
Ifso, obtain the proper Permit.
Permit #
Zoning to complete the following:
Reviewer to complete the following:
Square footage of Use:
k,�,
nutted as:e n -44 "1
Under Section: Z Z , Z ' �—
Supplementary regulations section:
Parkin formula: / ZC
S lore
1t1(�c Sk�Pa l (e✓C Q.�r'�a
Required spaces:
Iten o be verified in the field
Inspector :
Notes:
Date:
Viol ns:
Y/
Ifs ist:
ffers:
Y'(1\'
so, List:
nance:
�N
Ifso. List: I ov�� 1
s:
y
so, List:
f Q
Z0v rvnO6
Clearances: � Iv � � r-y„�(� •� I �
SDP's
Revised 1 1, 12015 Page 3 of 3