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HomeMy WebLinkAboutCLE202000034 Application 2020-04-24APPROVE by the Albemarle County Commun8ty Development Department J2 rt, Albemarle County Zoning C I e ara n c e A p pl i-c_ e_ t+o n v Community Development 401 McIntire Rd. North Wing Charlottesville, VA 22902 �- L ��/ • �RG1 • Phone 434.296.5832 FOR OFFICE USE ONLY Clearance Number: L (_ E z-oZ© — 3 Lf Fee Amount: $ 54 Date Paid: 2' l� - By: Md g6,tf-C hv;pcj Receipt #: 4-t jt $03 6 3 S M 22$6 D qA Check #: By: Y 13�1 4 Applicant - Fill out the entire page below And return to Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902 Name: Melanie Dorion E-Mail Address: melanie@sanavihealth.com Mailing Address: 107 Towler pl, Charlottesville, VA 22911 Phone M 434-960-0214 Tax Map and Parcel number and/or Address of the Business: 300 Hickman Rd #202-A Charlottesville, VA 22911 Zoning: Staff will fill out if unknown Pt ._ �� Parcel Owner: Pantops Court LLC owner's Address: 300 Hickman Rd Check any that apply: New Business ❑ Change of Use ❑ Change of Ownership E Change of Name Business Name: BeVital Health Center LLCJ Description of Business: Describe the business including use, number of employees, number of shifts, availability of parking, and any additional info. Medical office, 3-5 employess, 9-5hrs, occasional weekends, ample parking available at the front Previous Business on Site: Blue Ridge Heart and Wellness Floor Plan: Please attach either an architectural drawing or a sketch of the proposed business indicating the location of uses, the uses of rooms, the total square footage of the use, and any additional information. Total Square Footage Used for the Business: 1396 Is the Parcel Zoned LI, HI, or PDIP? Yes IV No If yes, fill out a Certified Enoineer's Report (CER) Will there be food preparation? Yes No If yes, provide Virginia Department of Health approval Is the Parcel on public water or private well? Public Private If on private well, provide Virginia Department of Health approval Is the Parcel on public sewer or septic? Public Septic If on septic, provide Virginia Department of Health approval Will you be putting up any new signage? Yes No If yes, obtain appropriate sign permit and list permit # below Will there be new construction or renovations? Yes No If yes, obtain appropriate building permit and list permit # below Please list any applicable Building Permit #s: Zoning Clearance review cannot begin until the application above is complete and all applicable forms and fees are submitted. 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 0 1 1 Printed Melanie Dorion Date 4/22/2020 2 `OF u orn� u Zoning Clearance Application o r � �� y�G M 2- Albemarle County Community Development 401 McIntire Rd, North Wing Charlottesville, VA 22902 �RCIN�P Phone 434.296.5832 Applicant - If you are not the land owner, please fill out the entire page below confirming that you have either informed or are going to inform the owner of your zoning clearance application. CERTIFICATION THAT NOTICE OF THE APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER I certify that I will provide (or have provided) notice of this clearance application, 2020-34 clearance number provided by Staff or business name to Pantops Court LLC the owner Name of landowner on record of Tax Map and Parcel Number - ? '� A 3 by either delivering a TMP number of property copy of the application to them in person or by sending them a copy of the application by mail. (Please check one of the following below) ❑ Hand delivering a copy of the application to the owner identified above on Date Mailing a copy of the application to the owner identified above on Date 4/23/2020 to the following address: kelly robertson , consolidatedbusiness@outlook.com (Written notice to the owner and last known address on our record books will satisfy this requirement. Please see staff for help determining this information if needed) Signature of Applicant Applicant Name Printed Melanie Dorion Date 4/22/2020 3 For Albemarle County Staff Review Only Proposed Use: Permitted: es ❑ No Permitted by Section: Z5 �� , (—� Z l( oZ t C 2 Supplementary Regulations: �— Applicable Special Use Permit (SP): Applicable Rezonings (ZMA): Applicable Site Plans (SDP): 7 0C Parking: If there is an approved site plan associated with the parcel, the parking requirements will be defined by the SDP. Some parking requirements are determined by a ZMA or by an ap roved Code of Development. Parking Formula: \ ZflG 4-4 Defined by: ite Plan ❑ Zoning Ordinance ❑ CoD ❑Existing Total Square Footage of the Use: ( 1 6 6 Required number of parking spaces: b 1!GCj � Z 4G,.S Associated Clearances: 2V7�e> VA, ,e 202 7 Z 133 ZO(2 ZZ Variances: �-- Violations: Is a site inspection necessary?: ❑ Yes o Site Inspection on (date): To Confirm: Notes: Conditions of Approval: Additional conditions of approval apply to Fireworks and Christmas Trees Approval Information ❑ Approved as proposed ❑ Approved with conditions ❑ Denied ❑ Backflow prevention device and/or current test data needed for this site. Contact ACSA, 434.977.4511 ext. 117 ❑ 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. Conditions: Additional Notes: Building Official Date Zoning Official Date l Z �� �2-6) Other Official Date County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Phone: 434.296.5832 Fax: 434.972.4126 C,L �ffl2-°Lo -3� o� r c6j CIV u, i <jj Natl��� sto°r° f cc vv*t