HomeMy WebLinkAboutCLE201900277 Application 2019-11-27Application for Zoning Clearance If-1-7- 1Y
CLE # :,_U — _/ C L E- 2.6l f' 2-7�
PLEASE REVIEW ALL 3 SHEETS
OFFICE USE ONLY
Check # "� Date: C
Receipt # LokA —CyStaff: VVL
PARCEL INFORMATION
Tax Map and Parcel: 56A 2`a(- 2-LA Existing Zoning �A
Parcel Owner: Claudius Crozet Park, Inc
Parcel Address: Claudius Crozet Park City Crozet State VA Zip 22932
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? Ewa Harr
Address : 5678 Brownsville Rd City Charlottesville State VA Zip 22903
Office Phone: (___) Cell # 703-209-4717 Fax # E-mail crozetbeerfest@gmail.com
APPLICANT INFORMATION
Check any that apply: Change of ownership ;.% Change of use Change of name New business
Business Name/Type: Claudius Crozet Park. Inc
Previous Business on this site Claudius Crozet Park
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: No change in business just applying for permit for an
upcoming
The event wull be th�'` �eF p p g
-rBt=ew$�esi
event aritTE-tuC:'
�s e ncb re ui y . v i ri he arce or w iAll s i Is a prove you change, m i y or m ve e•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.
Ewa ftarr
Signature Printed Ewa Harr
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, 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 Official4;�c ,_ Date
t-ounty of Ainemarle 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
Is LI, HI or PDIP zoning?
Engineer's Report (CER) packet.
If so, give applicant a Certified
Y� J N )k fit/' - t/f Vj
�i11 there be ood preparation?
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Reviewer to complete the following: q
Square footage of Use: OQUO19 T, 9e1� Ud ey
,P'erm tted as: V-1 y/ `eu-e1
Under Section:
Supplementary regulations section:
Circle the one that appl�e�ormr.
Parking formula:
Is parcel on private we �2GQ eLKq
If private well, provide Zoning review can n
ot begin until we receive approval from Health Required spaces: l l)
e
Dept. FAX DATE
11AFM
Circle the one that applies
Is parcel on septiSse u lic sewed
Y
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
YJN
WikAhWe be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Zoning to complete the following:
Viol �ns:
If /k-L
Ifs t:
Proffers:
I b�
If , Est:
ariance:
/N
so, List: t �-iz— `/
's:
N
so, List:
Clearances:
/45 &(e
SDP's
Revised I I/1/2015 Page 3 of
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