Loading...
HomeMy WebLinkAboutCLE202000134 Application Zoning Clearance 2020-10-01Zoning Clearance Application FOR OFFICE USE ONLY Clearance Number: Fee Amount: $ 54 Date Paid: f/--f -l2 Receipt #: 0 /do 7 i-r" - 2 )C y S�i 7r> Check #: Applicant - Fill out the entire page below And return to Community Development 401 McIntire Rd, North Wing, Albemarle a$ II• County + Community Devebp9'ent 401 McIntire Rd, North Wing Chanothin ills, VA 22902 Phone 436296be32 By: APPROVED by t* Albemarle County Charlot w e,* [A"pment Department /0- l- Lc6 Name: CrDz�fi�w✓Z4'rMcy /= LG c <Y s E-MailA Mailing Address: C%�� CrZOZ-TAr'6 CyO7p� 11A. Zn3.2 Phone #: / </ cJ8 Tax Map and Parcel number and/or Address of the Business: 0 5'GA-d -r70 - 0 SV00 Zoning: Staff will fill out Ifunknown !7ra,-M7 D C Parcel Owner. �y�/ Ter,, F �. 1,4 j, Owner's Address: 7&,me, 04t Check any that apply: ❑ New Business 0 Changg of Use Change of ownership Change of Name r �a 9c3 Business Name: /.;"/(f/ xer <« Description of Business: a the business including use, number of employe/es, number of shifts, availability of parrking, and any additional info. �Deesscn /1¢v/ FS�. ��/CJ�(Q1� d 4 Previous Business on Site: p/ 2 �l.4)l 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: n j4o0 Is the Parcel Zoned LI, HI, or PDIP? Yes B-<o If yes, fill out a Certified Engineer's Report (CER) Will there be food preparation? Yes CRINo 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? Z-15ublic Ej Septic If on septic, provide Virginia Department of Health approval Will you be putting up any new signage? 211yes No If yes, obtain appropriate sign permit and list permit # below Will there be new construction or renovations? El 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 themJ�(�(�/�G� Signature _ ' I ull'��/ Printed v� / y /�/ S Date �'" 74/--l(/-.7 0 2 For Albemarle County Staff Review Only Proposed l� Permitted: es ❑ No Permitted Section: !Rezonings ra,(G 2 V7 Z Go, CI Supplementary Regulations: Applicableial Use Permit (SP): Applicable (ZMA): Applicable Site Plans (SDP): lsite Parking: If them is an[approved 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: 515 f%® Deflned by: ite Plan ❑Zoning Ordinance ❑ CoD []Existing Total Square Footage of the Use: Required numberof parking spaces: �J / p '2- © l` C''G,f 6 L-7 VD✓IC(�6( .et/ Associated clearances: 20 /`(' Variances: Violations: Is a site inspection necessary?: ❑ Yes No Site Inspection on (date): To Confine: 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 Jlel� Z� 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 t3 2 1 L. �3 R 6Ace 4 Ll r �