HomeMy WebLinkAboutCLE202000018 Action Letter 2020-02-03r-
13
APPROVED
,OA by the Albemarle County
Communfty Development Department
Applicmian-f-or-z-onhiz-o-earance
CLE
OFFICE USE ONLY
z
PLEASE REVIEW ALL 3 SHEETS
Check#Date: /� 2�
—_
Receipt # — Staff: 4
PARCEL INFORMATION G/LaJ-o kirecl
Tax Map and Parcel:1536y.o,�a09 Y"?31�")(6 Existing Zoning
Parcel Owner.3 �1►1� , L L�
'�I .'PeCA64 k,s� tl,o a W 0X g ce /e ,n
Parcel Address: bq ,` ��
m Sk City aa,(! /4 State W Zi z�
(include suite or floor)
PRIMARY CONTACT
_
Who should we call/write concerning this project?
Address : ��-� 2 •mac, e�44 Ls L ,City �.,t� ��n � S State Zip r
�� Office Phone: (Y� Cell # - Fax # E-mail f O
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name + 4 New business
Business Name/Type: 7011vr'
q p� (�a, 5 �O �u y tv LO
Previous Business on this site:k�h12
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: -Trvu pet/�_ t -, a/er�e
*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 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.
Signature Printede��A
APPROVAL 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 Z7
Zoning Official Date 2 3 2-0
Other Official Date d%/,�//00
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
-4s
Revised I I/l/2015 Page 2 of 3
Intake to complete the following:
Y (N
Is us in LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y rtW)ebe 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 public w ter9
If private well, provide Healt Department form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that apnl+es
Is parcel on septic o putil c sewer.
Y
Wi u be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Y C
Wii t cafe 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: / 0
)/ N
permitted as:
Under Section: P 2-0 OOP z
Supplementary regulations section:
S ,1 .3 Z r S P ZO l 1OVCW ('04 f
Parking formula:
I / e-P(,j7 rif r 2 (-,,s
Required spaces:
Y /
Item to be verified in the field:
Inspector:
Date:
Notes:
Mrs b� MCAalte w�
viol i s:
Y/N /
If so, t: , r� 1`f�P'��Gfdlt D�`�d�1
lle-
Pro�fs:
Y (NJ
Ifs�a...•1�✓ist:
Vari e:
Y/N
If so, st:
s:
Y N
o, List: 50 Z 0 1 (— ZO TO I,n/f •��
Clearances:
SDP's
7Y TV
Revised 1 1/1/2015 Page 3 of 3
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.
t certify that notice of the application,
[County application name and number]
was provided to ,-� g rQ s 1 LC the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number 09053yjM0357kn by delivering a copy of the application in the
manner identified below:
Hand delivering 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
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].
Signature of Applicant
Print Applicant Name
Date
LC
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5.132TOWING AND TEMPORARY SIORAC.F. OF MOTOR VERICLFS
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a. This provision i. i.t,.d.d 1. p-,W furth, I—,.g ..-dl.r
slorege f Um.Vdm.bJ.d vehicles. N. b.d, m.] —k
P.W.g.
di .... . bli.g, salvage or —hung a( v,hwk—h.11 br
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b. Nu vebirlt
public dor any residential p-p—) and lb.11 be hmikd 1. 1—fim d.ig—d
m" approved sill plan. !Added 6-6-90)