HomeMy WebLinkAboutCLE201900257 Approval - County 2020-01-31her 'thy- Ali, .idle County
A, )plicati4W'r ZoffiVeCWgrance
PLEASE REVIEW ALL 3 SHEETS
OFFICE USE ONLY
Check# G �G1 ? Date:
_
Receipt # / / "1 Staff. ✓L1'-
PARCEL INFORMATION
Tax Map and Parcel: 0 416, `� - 0,2 - U L) - 0Q / 00 Existing Zoning 12 G'
Parcel Owner: j/ o / a r y, <i --/c S 11, Ili tfii. /in C rl S /7 e /', S , Jr-r Pe, /YI t /o(/, 1 y / ll c r-C aM
Parcel Address: 9 001 Lam' City �i`1 i�t"/U � Sy� /�C State VA Zip
(include suite r floor)
PRIMARY CONTACT
�t.evl G 0 /a r�
Who should we call/write concerning this project?
Address: 3 00 i tiy fly m t.o e� �� City Ch a v/o/fC S "le State Vz:, Zip AM
Office Phone: U Cell # b t; . 1 9,4 . Fax # E-mail w i I I i 'u m • c: v-. I n r y (a
5212 h0llyMcad hcuS`: czrr
APPLICANT INFORMATION
Check any that apply: ✓ Change of ownership Change of use _k, Change of name New business
Business Name/Type: /40/l y rv1 (U d t- pO u S ( LL C
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: 6 (� Gain G� / P A /G 'a S% . lyd �o et
p/C1tG�7 ra`i7on. 7 e7k pluCC-5 . C,,5 / 4xriz_lne _4aaCeS L V'e/-IIelCS
*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 certi t I or have the er) pe 'on to se the space indicated on this application. I also certify that the information provided
bide
is true an ccur kno . I h the conditions of approval, and I undersond them, and at I 'll bide by t M.Zm
Si a Printed- ./ /llv� � Cc y _
APP OVAL 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:
001 Building Official Date r
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
Intake to complete the following:
Y /&l
Is use in LI, HI or PDIP zoning?
Engineer's Report (CER) packet.
If so, give applicant a Certified
Y /
Will ere 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
Reviewer to complete the following:
Square footage of Use: �S
Yermitted as: L V) n
Under Section:
Supplementary regulations section:
Circle the one that applies
Is parcel on private well o ub 'ci7 watery '
Parking fordiula: I 'r n `^n
a �tl ► 1
If private well, provide Health Department form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Required spaces: t
�I
Y/N
Circle the one that applies
Is parcel on septic o pu sMtF ewe
Ite be verified in the field:
Y / (J
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Inspector • Date:
Y / N
Notes:
Will ere be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Zoning to complete the following:
Viol •ons:
Y/
If s st:
Proffers:
Y/N
If so, List:
Variance:
Y/
If suist:
N
VO,List: (//�
Clearances:
SDP's
(J o4
V
s
O
Revised 11/1/2015 Page 3 of 3
GROUND FLOOR PLAN
B,
E
SECOND FLOOR PLAN
1579 �46B2-04--22
46B2-04--10 1583 46B2-04--14
c" 46B2-04--11
m 46B2-04--12
� 46B2-04--13
1587 46B2-04--15
�`----`_46B2-04--A ti
lVnlead Or
1591 y ` 46B2-04--1
46B2-02--A
46B2-02--5 ,
94 ft
46B2-02-''4
1620
�.r 4
46B2-02--l'
Y
300JL
46B2-02--3
1630
1595
46B2-02--2
1640
46B2-02--11
46B2-04--21
46B2-04--20
B2-04--19
1600
6B2-04--18
1601
1599 1
LL
46 B2-0 4--.1,7 0
46B2-03--100
2990
i 2980
46B2-03--1'01
Legend
(Note: Some items on map may not appear in legend)
Parcel Info
i ? Parcels
0
�y 46B2-03--102
of ALg ,
G, 11 h` Fri GIS-Web
46 B 2- 0 2 - -12 I•J Geograp
www.albemade.org/gis
hic Data Services
46 B 2 -0 3 1 0 3 �r rR r Nvp (434) 296-5832
.,1,,;., —e, in.fi— November 4, 2019
Any determination of topography or contours, or any depiction of physical improvements, property lines or boundaries is for general information only and snap not ne usea jur ine uesiyn, niuuuwauun, ur•�- •• ••• •- -- r -
Map elements may scale larger than GIS data measured in the map or as provided on the data download page due to the projection used. Map Projection: WGS84 Web Mercator (Auxiliary Sphere) (EPSG 3857)
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ENTRANCE ELEVATION
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