HomeMy WebLinkAboutCLE201800193 Application 2018-09-11APPROVED
by the Albemarle County
Application or Zoning Clearance
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CLE # . r���0A- i
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OFFICE Y
PLEASE REVIEW ALL 3 SHEETS
Check # Date:" $ l�
Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel: TN45000-02-00-004AO Existing Zoning B-5
Parcel Owner: Vander Linde Homes, Inc.
Parcel Address: 1879 Seminole Trail City Charlottesville State VA Zip 22901
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? Barbara Bridges I Licensing Manager
Address : 8601 Dunwoody Place Suite 406 City Atlanta State GA Zip 30350
Office Phone: (770) 552-9840 Cell # 770-325-4257 Fax # 844-500-0674 E-mail bbridges@clacorp.com
APPLICANT INFORMATION Fast Credit Access, Inc.
Check any that apply: Change of ownership Change of use Change of name X New business
Business Name/Type: Fast Credit Access, Inc* Open-end credit
Previous Business on this site Fast Auto Loans, Inc. Vehicle title loans
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:lpks-[ C.PXD%T AC.CLsb, 2NC. AM AFFILIA're 'TO
(-QR%6M1T 4-AS7 AJTO�oAIJSIInIG PR0V\DIA):7 SCStVICE uM94E (J)$T0M✓r9S OPEN JP A LINE OF CIZEOST
AWD fiS DUAL. i3vclMlCssEs IN SHARcD SPACE', No iibDIT1DNAL ECFAM0 LEGS -- 90+ PA"11-J& — V40 SHIFTS
*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 that I own or have wner's permission to use the space indicated on this application. I also certify that the information provided
is true d ac rate to the best of y owledge. I have read the conditions of ap I underst em, and that I will abide by them.
Lai,nd
Signatur Printed
APPROVAL INFORMATION
[ ] Approved as proposed [ ] Approved with conditions [ ] Denied
[ ] Backflow prevention device and/or current test data needed for this site. Contact ACSA, 977-4511, xl 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 -
1
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 11/02/2015 Page 2 of 3
Intake to complete the following:
Y /
P Is u m LI, HI or PDIP zoning?
Engineer's Report (CER) packet.
If so, give applicant a Certified
Y /
WilQtere 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 _ is r?
If private well, provide Health Department form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that apg:Cfic
Is parcel on septic or �e?
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 #
Zoniniz to complete the followine:
Reviewer to complete the following:
Square footage of Use: gw
r it
PeT
mitted as:
Under Section:
Supplementary regulations section:
Parking formula:
Required spaces:
Y N ) I.-
Ite o be verified in the field:
Inspector:
Notes:
Date:
Vio}dlops:
Y (/ N,/
If so`, - ist:
Pro
Y N
If so, ist:
Varipce:
Y k %
If so, List:
SP'
Y
If so, List:
Clearances: �� o f L i
SDP's
Revised 11/1/2015 Page 3 of 3
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,
[County application name and number]
was provided to Van Der Linde Homes, Inc.
[name(s) of the record owners of the parcel]
and Parcel Number TN45000-02-00-004AO
manner identified below:
Q 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]
the owner of record of Tax Map
by delivering a copy of the application in the
on
Date
Mailing a copy of the application to Peter Van Der Linde I Landlord
[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 8/16/2018
Date
to the following address:
1869 Seminole Trail Suite A, Charlottesville, VA 22901
[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].
Date
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