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HomeMy WebLinkAboutCLE202000104 Application 2020-06-30Temporary Outdoor Dining & Beverage Service Area Albemarle county (Executive Order Number 61 issued by the Community Development 401 McIntire Rd, North Wing Governor of the Commonwealth of Virginia) Charlottesville, VA22902 Phone 434.296.5832 FOR OFFICE USE ONLY Clea nce NuMber: Tax Map Parcel Number_0/ r F14 Fee Amount: $Fee is waived Received Date:Z/ By: e Applicant's Name: Hunter Smith B-Mail Address: hunter@championbrewingcompany.com Phone #: 434-989-5298 Address of the Business: 2075 Bond Street Suite 180 Parcel Owner: The Shops at Stonefield Business Name: Champion Grill Description of Area: © Attached is the required diagram/sketch of the outdoor dining/beverage service area Signature: 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 also confirm that the proposed outdoor dining/beverage service area will not exceed 50% of the maximum occu- pancy load on the certificate of occupancy of the establishment. I understand the directives outlined in Executive Order 61 effective May 15, 2020, and the requirements provided by the Alcohol Beverage Control Authority, and I will abide by them. I understand that this is temporary and will terminate pursuant to the date prescribed by Executive Order 61 or any additional order related to this application. By signing this application, I confirm compliance with the noted requirements for tents and shade structures on Page 1. � (90,r-� Signature Printed Date FOR OFFICE USE ONLY ❑ APPROVED ❑ DENIED Additional Notes: Zoning Official Date 5/15/2020 2