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HomeMy WebLinkAboutCLE201900182 Action Letter 2019-08-12APPROVED by the Albemarle County Corwr* Development Department Application flor-Zonin Clearance pit CLE # — _���(_ PLEASE REVIEW ALL 3 SHEETS OFFICE USE ON Y Check # (f h Date: Receipt # Staff: PARCEL INFORMATION Tax Map and Parcel: I(,-, AA I- Zia Existing Zoninge- Parcel Owner: St' �'�t ��� City State \011-1 Parcel Address: l� VI" �e Zip (include suite or floor) PRIMARY CONTACT �' q Who should we �� ��%L �V-21-Y" call/write concerning this project? Address : City State Zip `i�q.- Office Phone: lS ( ) Cell # Fax # E-mail x"-'r'"'L( k� , Ri D � • Go"1/1� APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name - New business Business Name/Type: S (.fy -` ��� kyey s �11i10� 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 accu to to the best my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them. Signature Printed APPROVAL rFORMATION pApproved asposed [ ) Approved with conditions [ ] Denied (]�Backflow prevention device and/or current test data needed for this site. Contact ACSA, 977-451 1, x117. [ ] 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 Zoning Official Date Other Official%��J1/G� r�-y �. Date i.ounty of Amemarie Impartment of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 Revised I1/l/2015 Page 2 of Intake to complete the following: Y[sDin LI, HT or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. PN l 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 Repartment c water? If private well, provide Hea form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE Circle the one that anaLies Is parcel on septi tp ub c sewer? Y / N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # Y ' i ere be any new construction or renovations? If so, obtain t� roper Permit. . Permit # —�--%�3 Zoning to complete the following: Reviewer to complete the following: ware footage of Use: 1300 Y I N rmitted as: Under Section: Supplementary regulations section: Parking formula: Required spaces: Y/UN Items to be verified in the field: Inspector: Notes: Date: Violat* ns: Y/ If so, ist: ��/� Pr s: y Ifs ist: n ! iance: N List: POWi°� "LGt 1 S Sq&t SP' y Ifs st: 1 l( l 1 � Clearances: I > i L C; 6 SDP's ©n ?O 1 Z t a Revised 11/l/2015 Page 3 of 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, was provided to [County application name and number] [name(s) of the record owners of the parcel] and Parcel Number manner identified below: Hand delivering a copy of the application to the owner of record of Tax Map by delivering a copy of the application in the [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 Date Mailing 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] on Date to the following address: [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]. of Applicant Print Applicant Name l--I I Lei Date COMMONWEALTH OF VIRGINIA VIRGINIA DEPARTMENT OF HEALTH In accordance with the regulations of the Board of Health of the Commonwealth of Virginia this certifies that JBD Events Catering & Soul Food is hereby granted a permiblicense by the Charlottesville City Health Department to operate a Full Service Restaurant Trading as: JBD Events Catering & Soul Food, JBD Mobile Catering And Events LLC Located at: 245 Merchant Walk #200 Charlottesville, VA, 22902 Mailing Address: 245 Merchant Walk #200 Charlottesville, VA, 22902 Conditions of Permit (if applicable); Date of Expiration April30, 2020 Eric M. Myers/EH imental Health Specialist THIS PERMIT IS NOT TRANSFERABLE FROM ONE INDIVIDUAL OR LOCATION TO ANOTHER New owners are required to make written application for a permit. Please Direct Questions or Concerns to the Charlottesville City Health Department Environmental Health Services 1138 Rose Hill Drive Charlottesville VA 22903 (434) 972-6219