HomeMy WebLinkAboutCLE201900016 Application 2019-02-06 (2)Application for Zoning Cle:ciranc 0°01(p {
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PLEASE REVIEWALL 3 SHEETS(heck# �� __ Date:
Receipt # -- Staff-_
PARCFL INFORMA'ribN4
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Tax Map anti Parcel: _ (ii" %� - 4—
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Parcel Om ner: )�p
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Parcel :lddress:�+% _�:���QGL�C �-�--
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(include suite or floor)
PRIMARY CONTACT
Who should we call/" rite concerning this project?��L*�Z�•-----
(' Citcme"Jrr 51f cr State VA iltZZTOI
Address:
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` E-mail
1 Office Phone:-_ -
-A—PPLICANT INFORMATION New business
I Check any that apply: Cha
nge of ownership Change of use ^ _Change of name
Business Name/Type:
Precious Business on this size—
Describe
spaces. Describe the proposed business including use, number of employees, number of efts, availa n p.ees, number of parking
vehicles, and anx` additional informati(tsthat you can provide: ,�,14C_ Ic -�j�"/ �,3�/✓v.Rt-/�At r
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' t is t'icarar,ct wr11 only be valid o i the parcel tur wluch it is approved. il'you change,;ntensify or more the use to a new locat,eu. a nrw 7or:ing
Clearance -,+ill be required.
! hereby t enif} that I own or have the ownrr`s permission to use the space indicuicd on this application. I also certify that the information pro%ided
is true and accurate to the hL't my kno% dge. 1 h, ve read the conditions of apprt-al, and I understand them. anti that ) 1 ills abide by them.
Printed
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Sifmature __ -
AI'YIt AI, INFOI�ATION
Approved with conditions ( ] Denied
[ ]Approved as proposed I ] pp
1 Backflow prevention device and lor current test data needed for this site. Contact A('SA, 977-4511, x) 17.
j No physical site inspection has been done for this clearance. "therefore, it is not a determination of comp fianhe ce ♦K ith texist' -
site plan.
j ]'This site complies with the site plan as of this date.
Notes:
Building OfficialMite
Zoning Official _. Date
Other Official ---- _ _--____-- Date __-_-----_.-_-- —
-- _ (oonty cif :alhem trle Detr;rrtrncat r1 f ommunity DU%elulument
4l)1 1lclntirr Ituad f harlottesville, i`,� 22902 nice; (434) 2965N32 Fax: (434) 9724126
Rrvised ) 1.'1 2015 1'<t 2 "t
Intake to complete the follo'"119:
}. ; i ,
Is use in L.I. IlI or PIMP Zoning? I1'so, give applicant a Certified
rn%ginnccer's Report (C ER) packet.
} l•"..y'
Will there be food preparation'?
If so. give applicant a Health Department form.
Zoning review can not begin until we receive approval from ficalth
Dept. FAX DATE__-.. --
Circle the one that applies
IS parcel on prilate .Sell or p c N er?
If private Nell, provide lieal , rtmcm form.
Zoning can not begin until we receive approval from Health
Dept. I` .A X D ATE
i Circle the one that appli
is parcel on septic or pu is r?
Y N
Will you be putting up a new sign ofany kind? If so, obtain proper
Sien permit.
Permit #
Y%N
Wili there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Revi" er to complete the following:
Squme tnouM:e of Use:
y i N
Permitird as: _ ---
Under Section
Supplcmenlair regulati('n; section:
n it
Parking formul��_
Required spaces:
Item be verified in the field'
Inspector:
Notes:
Date:
(.,ottat tV LVili lilac Ill.. fv.wr,...
Viol ins:
}, _ ist:
Proffers:
Y!N
If so, List:
M 55
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I
_
'
- r;ance:
List
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aCi
Y
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I f t-ift:
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Caearances:
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SDP's
1gq C� - l
_
duly , 184 1?.015 -36', ir` Rcvi_d I 1'2015 face 3 of
-w', 18-1,gt
1i, t,- i i-t 8; 189 l a s
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Zonlno Clearance Checklist
1�pplit�ant N'1llti—IF , the t0IIOWjIjg n-ttin-mation t(► ilpi)ly For a /onin�� earancc:
1) 7,.tx flap and Parcel or Address. [.Iuilding Name, Suite/t III i(/I]oOr nLInIbcrs, if- applicable.
?) A Floor Plan - either a sketch or an architectural drawing
a) If using Icss than the entire structure. note the location within the structure;
b) Note the total square foolage of the use;
c) Note the square I'ootav-e ofeach room or area of use;
d) Note the use of each room or area of use.
rEcs -
Zoning Clearance = $54
Temporary Fundraising Activity = No fee _
Conditions of Ailprnval
FIREWORKS:
I. No person shall sell, offer for sale, store, display or discharge any fireworks in any filling station or on any premises where gasoline
or other inflammable liquids are stored or dispensed. (Code 1967 10-13.) County Code Section 6-200 and 6-300 and must be a
minimum of 100 ft from any gas pumps/propane distribution tank.
2. The site shall be cleaned and restored to its original condition on or before July I I th. This shall include removal of all structures,
signs, debris, and the like.
',.ained. Display shall be Ioratecl so as to avoid traffic congestion. Modifications subject
.A thirty (30) foot front setback shall be maint
to loutrg Administrator's approval.
:. Building permits shall be obtained for all proposed structures and'or lighting.
5. Sign permits shall be obtained for all proposed signage,
6 The sale offireworks requires a special permit from Fire. Rescue department.
C11RNTMASTREES:
1, 7'he outside storage of combustible material or flammable materials shall be located so as nut to constitute a hazard and shall not be
less than 15 feet from any building on the site. Any open burning must comply with the Virginia Statewide Fire Prevention Code and
the Albemarle County Code.
tored to its original condition an or before January 2. This shalt include the removal of all structures.
2. The site shall be cleaned and res
signs, debris, and the like. oid traffic congestion. �tocliPcations subject
3. A thirty (30) foot front setback shall be maintained, Display shall be located so as to av
to Zoning Administrator's approval.
4. Building permits shall be obtained for all proposed structures and!or lighting.
S. Sign permits shall be obtained for all proposed signage.
OTHER REVIEWS:
1. Is the property on public or private walecsewer?
Private requires Health Department, Public requires ACSA review 12 to 5 days)
2. will you be operating a bakery?
USDA review is required (approx. 2 weeks but as long as 6 weeks)
3. If you are serving prepackaged baked goods but not making them on the Premises, only I leahh Department +Fill review. (2 to.5 days)
4. if you will be operating any business that is in an industrially zoned -district or of an industrial nature you ++ill need to provide a
Later of performance Standards or certified I.ngincer's Report to staff member +ull piox idc an information packet addressing this
requirement) (5 to 10 days as soon as the Letter or Report is received by this Department)
5. 11 there has been no site inspection vvitl!rn the last thret: (3) months for the parcel ,ne, then one +rill be conducted to verily that the
prcjcct is it,, compliance with an approved sit, plan (it applicable).
Revised 11 1 2015 Page I of 3
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