HomeMy WebLinkAboutCLE202000125 Application 2020-09-11 (2)APPROVED
by the Albemarle County
Community Development Department
Zot_i_g--Cleara.n.ce_AppIication
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Albemarle County
Carvrvaty Dwslop~(
401 Mgnpra Rd, rdorm wire
frudanol0a, VA 22602
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FOR OFFICE USE ONLY Clearance Number: Cr! D_a1_e� G-i�2 $'
Fee Amount: $ 54 Date Paid: By.
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Receipt #: n �� g�G � �Chpck M By
Applicant - Fill out the entire page below .60,
And return to Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902
Name:
E �C L� _
E-Mail Address:
e a- G(
Mailing Address:
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1 ��� G'k C/1�7loj�ef V�le.
Phone #:
I 2 _ 5722 _ 4((g04
Tax Map and Parcel
number and/or Address
of the Business:
Z Z O
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Zoning:
sue wdl rat out if vnh o n
P 17 _ 5 C
V
Parcel Owner_
Check any that apply:
775C
Owner's Address:
75 — Z2- 7,560
New Business Change of Use n Charge of ownership n Change of Name
Business Name:
K'4 /fuz Fast
Description of Business: DevAbe the business Including use,. number of empWaes, number of shifts, availability of parking, and any additional into.
Previous Business on Site:
5*444z Z01 /
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 arty additional information.
Total Square Footage Used
for the Business:
' rjo�
I G
Is the Parcel Zoned LI, HI, or PDIP?
❑ Yea ❑ No If yes, fill out a Certified Engineer's Repo t fGERd
Will there be food preparation?
Yes X No If yes, provide Virginia Department of Health approval
Is the Parcel on public water or private well?
n Public Ej Private If on private weli, provide Virglnla Department of Health approval
Is the Parcel on public sewer or septic?
El 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 es, obtain appropriate buildi
Yn9 Permit and Ilsl 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.
1 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 Kv them. -
Signature
Dale
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2
Albemarle County
Zoning Clearance Application vykii
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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) notic of this clearance application,
t/��ci� fad L-. L.L C
clearance number provided by Slaff or business name
to C the owner
Name of landowner on record
of Tax Map and Parcel Number /-7q h/�4' #/// or- C�r���u/�Y either delivering a
TMP number of properly
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 to the following address:
(Written notice to the owner and last k
requirement. Please see staff for help
Signature of Applicant
Applicant Name Printed
Date cZ
ft�-7-�
2i'212 0
on our record books will satisfy this
is information if needed)
K
For Albemarle County Staff Review Only
Proposed Use:
1.G2
Permitted:
es ❑ No
Permitted by Section:
2 J 2� r Z r Gz g
Supplementary Regulations:
Applicable Special Use Permit (SP):
Applicable Rezonings (ZMA):
Zai z--O 3
Applicable Site Plans (Sop);
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 approved Code of Development.
Parking Formula:
Defined by:
rte Plan ❑ Zoning Ordinance ❑ CoD ❑Existing
Total Square Footage of the Use:
zz 2-0cJ
Required number of parking spaces:
Associated Clearances:
20[ 'z37 c`CC
Variances:
l
Violations:
C - D
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
Other Official
Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Phone: 434.296.5832 Fax: 434.972.4126 4