HomeMy WebLinkAboutCLE201700252 Application 2017-11-16Application for Zoning- Clearance
CLE#1141
>ACINP
OFFICE ONLY
PLEASE REVIEW ALL 3 SHEETS
Check # Date:
Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel: 56A2-01-27 Existing Zoning Downtown Crozet District
Parcel Owner:Crozet Center Partners LLC
Parcel Address:5786 A Three Notch'd Road City Crozet State VA Zip 22932
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? Chloe Watkins and Ashley Holland
Address :5786 A Three Notch'd Road City Crozet State VA Zip 22932
Office Phone: 4( 34) 204-4762 Cell # 434 989 9340 Fax # E-mail santoshayogacrozet@gmail.com
APPLICANT INFORMATION
Check any that apply: Change of ownership x Change of use Change of name New business
Business Name/Type: Santosha Yoga, LLC. Yoga Studio
Previous Business on this site American Handcrafters Upholstery and Fumiture
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:
The proposed business is a yoga studio and retail shop with 2 employees and aroud 8 independent contractors
(instructors) There will be between 2 and 4 yoga and fitness classes per day in the early morning and later evening.
*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 Printed Chloe Watkins
APPROVAL INFORMATION
[ I Approved as proposed J Approved with conditions ( ) Denied
I ]aeldlow prevention device and/or current test data needed for this site. Contact ACSA, 977-4511, x117.
( o 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 Aftl Date I I
Zoning Official W Date
Other Official Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (4M) 2%-5832 Fax: (434) 9724126
Revised 11/02/2015 Page 2 of 3
Intake to complete the following:
Y
Is u2n LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y il /l'� Were 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 appliEaartment
Is parcel on private wewater?
If private well, provide form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that ;jblic
e
Is parcel on septic sew P "—A b \ G
(C)/N
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit# WILL WkJO f: S£PP,RRTE 7
Yv' N
Will there be any new construction or renovations?
If so, ob r • ernpi�,
Permit #
Zoning to complete the following:
Reviewer to complete the following:
I
Square footage of Use: Z y 00
`Permitted as: 11"o (' } l(� i (, a L i l i 7
Under Section: Z l) : 6, 2 . R ELI )
Supplementary regulations section:
Parking formula:
iZs fi usable IP(ieAw we
Required spaces:
Y N
Ite be verified in the field:
Inspector : Date:
Notes:
1ations:
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ance:
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Clearances:
SDP's
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Revised 11/1/2015 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.
I certify that notice of the application,
[County application name and number]
was provided to Crozet Center Partners LLC the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number 56A2-01-27
manner identified below:
by delivering a copy of the application in the
QHand 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]
WE
Date
0 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]
m
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].
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Signature of Applicant
Print Applicant Name
Date
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