HomeMy WebLinkAboutCLE201800139 Application 2018-08-27RovE• • •
Application for Zoning Cleara c AFIP
y the Albemarle
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PLEASE REVIEW ALL 3 SHEETS
USE ONL I P -
Check # Date:
Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel: ot,�(o 9 a-����� Existing Zoning Diva
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Parcel Owner: w Q
Parcel Address: a5 � i• "� L _! �$& Z�� P
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? t7►► (�)L1(�
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Address : 3 j�C� U1,i�y -f' City �� State k Zil)22463
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Office Phone: SS ()Cell # 't�5 1123 Fax # E-mail r"s 2ln�t/Qmy1.
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
Business Name/Type: , i - %0xL-'yL J)v-W Off iCk— U
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:
*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 Printed (�
APPROVAL INFORMATION
( ] Approved as proposed [ ] Approved with conditions [ ] Denied
[ ] Backflow prevention device and/or current test data needed for this site. Contact ACSA, 977-45 11, x] 17.
[ ] 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 r% r
Zoning Official Date
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 I1/1/2015 Page 2 of
'I/
Intake to complete the following:
Reviewer to complete the following:
Y OeLI,
Square footage of Use: % 7
Is HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet. / N
ermitted as: ' D
Y
Wi ere be food preparation? Under Section: , .
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval from Health Supplementary regulations section:
Dept. FAX DATE 25 - I a y
Circle the one that applies
Is parcel on private well or pCwe
If private well, provide Healtform.
Zoning review can not begin ve approval from Health
Dept. FAX DATE
Circle the one that appl'
Is parcel on septic or 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:
Parking formula: / ! \
T
Required spaces:
Y N
Ite to be verified in the field:
Inspector : Date:
Notes:
olations:
Y/N
so, List:
ZU`r0
�tUl`�I - fit � -S'on) _. �Lx.,�c�
Proffers:
Y/
If so, ist:
Yar'N e:
If s ist:
I so, List:
Clearances:
SDP's
10 i
ON - Z
Revised 11/1/2015 Page 3 of 3
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Albemarle County
Planning Application
Community Development Department
401 Mclntire Road Charlottesville,V422902-45%
Voice: (434) 296-5832 Fax : (4341972-4126
TMPF 056F1-00-00-002007 Owner(s): SHOPPES OF CLOVER LAWN EAST LLC
Application #I CLE20180013.9
PROPERTY INFORMATION
Legal Description I CLOVER LAWN VILLAGE COMMERCIAL 2
Magisterial Dist,: - White -- Hall E Land Use Primary Commercial
CurrentAFD :Not in A/F District Current Zoning Primary Planned Development Mixed Commercial
APPLICATION INFORMATION E
Street Address
1325 FOUR LEAF LN CHARLOTTESVILLE, 22903
Entered BY
Application Type
Zoning Clearance -
Judy Marti " n
6/V2
-b!6
Project
Received Date
Closing File Date
Revision Number
Fo-6/05/18
Received Date Final
E:==
Submittal Date
Submittal Date Final �
Total Fees
F-�
Total Paid 54
Comments
Legal Ad
UKT LLtAP11NU/LAUUKY DROP OFF/PICK UP STATION
SUB APPLICATION(s)
T Sub licatio Comment
APPLICANT J CONTACT INFORMATION
-.--Contar-tType Names
Address
cit,;State 2i Phone PFwtteC�ll
SHOPPES OF CLOVER LAWN EAST LLC WEST RIO RD i CHARLOTTESVILL 22901
.... ........ . ...... ........... ................ .. .
ANDY LOAN 113 MAURY AVENUE C ARLOTTESVILL 22903 43429555. 0 434465112
-m
Signature of ContractororAuthorizedAgent Date
Michael Dellinger
From: Michael Dellinger
Sent: Friday, June 22, 2018 2:42 PM
To: 'Pam'
Subject: RE: Zoning clearance
Thanks
From: Pam [mailto:rudys@embarqmail.com]
Sent: Friday, June 22, 2018 2:27 PM
To: Michael Dellinger <mdellinger@albemarle.org>
Subject: Re: Zoning clearance
No dry cleaning. Just drop off and pickup
Andy Loan, owner
On Jun 22, 2018, at 12:13 PM, Michael Dellinger <mdellinger@albemarle.org> wrote:
Good afternoon:
Your zoning request for 325 Four Leaf Lane indicates a drop off pick up station. Please verify if any dry
cleaning operations will be taking place at this location.
Thanks