HomeMy WebLinkAboutCLE201800177 Approval - County 2019-02-26Application for Zoning Clearance �j►" `u�y
CLE #
OFFICE U �j�,,ONLY
PLEASE REVIEW ALL 3 SHEETS
Check # Date: AS
Receipt # Staff:
PARCEL INFOR(
T
Tax Map and Parcel- I�-T.n1'( )_al h..l.l Existing Zoning
Parcel Owner. _moo Oakv NAINt5 W
Parcel Address: 0*V City ' 1► . State Zip
(include suite or floor)
PRIMARY
RY CONTACTld we call/write
concerning this project?
City _ ' �k State Zip.,
p
Office Phone: O Cell #��, ax # E-mail
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change name New business
+Business Name/Type: �� ,I1
of
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 1 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 knowledie. 1 have read the conditions of approval, and I understand them, and that I will abide by them.
Signature z, Printed
A
AP OVAL INFORMATION
[ Approved as proposed [ ] Approved with conditions [ ] Denied
[ ] Backflow prevention device and/or current test data needed for this site. Contact ACSA, 977-451 1, 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 6
Zoning Official Date
nO
Other Official Date
,`'�
county of AiDemarie uepartment of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
Revised I I/1/2015 Page 2 of 3
Intake to complete the following:
Y 8 i' Is us n LI, HI or PDIP zoning?
Engineer's Report (CER) packet.
If so, give applicant a Certified
Y J/ N
ill there 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 & ;)ubli:cI toIf private well, provide Healepa t ent form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that ap
Is parcel on septic ublic sewer?
Y/N
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Y /
Will ;t!re 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: '
/ N reG ni' GSM
ermitted as:
Under Section:
Supplementary regulations section:
Parking formula:
Required spaces:
Y/N
Ite s be verified in the field:
Inspect Date:
Notes:
Violations:
Y / N
If so, List:
ffers:
o, List:
TN
Variance:
Y/N
If so, List:
SP's:
Y/N
If so, List:
Clearances:
SDP's
Revised 11/1 /2015 Page 3 of 3
COMMONWEALTH of VIRGINIA
Department of Agriculture ail(1 Consumer Sen ices
PO Box 1163, Richmond, Virgbiia'3_118
w"vw.vdacs.wir«inia.gov
February 22, 2019
Toma Toma
Waje Inc.
1505 Ricky Road
Charlottesville, VA 22901
Dear Toma Toma:
I reviewed your request for a variance in accordance with 2VAC5-585-860(3) of the Retail Food Establishment
Regulations for the Enforcement of the Virginia Food Laws. This regulation requires a food establishment to
obtain a variance before using food additives or adding components such as vinegar to render a food so that it is
not time/temperature control for safety. The regulation also provides in 2VAC-585-3540 that the department
may grant a variance by modifying or waiving the requirements of the regulation if, in the opinion of the
department, a health hazard or nuisance will not result from the variance.
You are requesting a variance to acidify cooked white rice to a pH of 4.1 or below. You submitted a HACCP plan
supporting your request that identifies acidification as the primary barrier to control pathogen growth.
Based on the information you provided, I find that this variance request should not pose an unreasonable health
risk to the public. Therefore, I am granting the variance for acidified white rice based on the procedures outlined
in your HACCP plan and supporting documentation. Please be advised that any changes to your procedures will
invalidate this approval. This variance is effective immediately under the jurisdiction of the Virginia Department
of Agriculture and Consumer Services Food Safety Program.
Sincerely,
Pamela Miles
Program Supervisor
Food Safety Program
Office of Dairy & Foods
Virginia Department of Agriculture & Consumer Services
-; l ual Opportunity inployer-