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CLE202000128 Application 2020-09-21
Zoning Clearance Application FOR OFFICE USE ONLY Clearance Number: QLE O%A - 1 Ov Albemarle County Community Development 401 Wintire Rd North Wing Chadodes ille, VA22902 Phone 434,2 5832 Fee Amount: $ 54 Date Paid: by tM Albemarle CountyU Receipt #: I a I fc GQ Check #: � OQj 3 By: unity D`11140 ant Deartment (� t O Date-7-L f_ 20 Applicant - Fill out the entire page below File And return to Community Development 401 McIntire Rd, North Wing, Charlottesvl'Fe,-VA2290Z-- Name' 5C,c ;, Offfwt rsd Or lo7TKIll-0 -Mail Address: do Sa buif Cwsp/%� Mailing Address: /byS POL# G400N01 2,01W C Vic4 Phone #: st �F-B8Z _07� Tax Map and Parcel number and/or Address of the Business: 06?A3„DU_00-00/,}0 Zoning: Staff will 91 out I unkriown Parcel Owner: 0(C4t ottt-o- OF C'vAle 4&" ,SO4h Owners Address: 1685- /9000 4A6,0vOf #0AP Check any that apply: ❑ New Business ❑ Charge of use ❑ Change of Ownership ❑ Change of Name Business Name: SoUcIL oitt -A lz#ToN OF CmwarmyjaE A/LFA , "SolA it Description of Business: Describe the business including use, number of employees, number of shifts, availability of parking, and any additional info. SQCAS T(*oNlil AC(LT ANO OMZtE 2�/ EMANYftS wf•EIC VAgS SOCLER ACti✓rtrFS Oa2146 £vEN(NbS I WEEIK9M5 RkLIL46 PK PfCDJT-.S11-L I'LeM AN LOf,-#/ AT eOuAr, sJ OFF/cE Previous Business on Site: N O h) I. 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. Put Fit LP- ON PiIMNt7 ,}. Total Square Footage Used for the Business: LI a ! Q [ (/ D Is the Parcel Zoned Ll, HI, or PDIP? ❑ Yes No If yes, fill out a Certified Engineer's Report rCERI Will there be food preparation? ❑ Yes No If yes, provide Virginia Department of Health approval Is the Parcel on public water or private well? © Pudic ❑ 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 es, obtain appropriate s n ermit and list © ❑ Y5 P permit #below Will there be new construction or renovations? If No Yes es, obtain ® ❑ y appropriate building rmd and list permit #below Please list any applicable Building Permit #s: Zolq _ 0 2173 — N G 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. 5, G( uc { Mr0a SrLfgwto ew!uLTiN6-LL.c.By M.D•LoW Signature ' &A 50CA Printed OiNN f4, 5 (LEf Fo of SO CA Date 2 tw Zoning Clearance Application a j 40' °yn9 Charlottesville, VA22992 IjMMPhone 434.298.5832 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 certify that I will provide (or have provided) notice of this clearance application, LLE 2ozc—I2-1 clearance number provided by Staff or business name J (.Soc.A) to ,Socr D ln7o.J W �.Id-6r�,l-At the owner Name of landowner on record of Tax Map and Parcel Number d 6 2A 3 - 0 0 - Do - 001 A d 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 9- 10- 20 Z-0 ❑ Mailing a copy of the application to the owner identified above on to the following address: (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 Ls-wt OWN0 f W Fb? SUCfl Applicant Name Printed 5cwr%w`! A %osuffl` LLC by It -b.0 WE "- OWNin'f yyfy 50C4 Date 01—tO -Z() c For Albemarle County Staff Review Only Proposed Use: L� I -r F;f Se Permitted: Yes ❑ No Permitted by Section: 5P Supplementary Regulations: s S`% COK�t Co Applicable Special Use Permit (SP):9 ,,,�-7 S q ` d q �(�% !u CG Applicable Rezonings (ZMA): p l �O LeIle Applicable Site Plans (SDP): ZO ( 3 2-o _ Zli 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 apppoved Code of Development. Parking Formula: Defined by: I LKIte Plan ❑ Zoning Ordinance ❑ Coo ❑Existing Total Square Footage of the Use: 6 G Required number of parking spaces: 6 C 6 r-vv I w�lJ _ / er �y -7 ( — L/ s cG� U/ _l. Associated Clearances: c C 1JI.ic o Variances: Violations: Is a site inspection necessary?: ❑ Yes No 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_ y Date Zoning Official_4::�g 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