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CLE202000135 Application 2020-10-02
Zoning Clearance Application V Albemarle County Community Developmnt 401 McIntire RQ Nonh Wing Chanottesville, VA 22902 Phone 434.296.5832 FOR OFFICE USE ONLY Clearance Number: phi I? Fee Amount: $ 54 Date Paid: Receipt #: Check #: By. AlACounty G l Cominun Applicant - Fill out the entire page below Date And return to Community Development 401 McIntire Rd, North Wing, CharlottesfiNO Gc-BZa2o-()5 Name: Amy C Peloquin E-Mail Address: CanineCountrylnc@gmail.com Mailing Address: 1124 Burnley Station P. Barboursville, Va. 229231 Phone #: 434-981-2109 Tax Map and Parcel number and/or Address of the Business: 124 Burnley Station PI Barboursville, Va. 22923 Zoning: Staff will fill out funknown Parcel Owner. Amy Peloquin Owner's Address: 124 Burnley Station Pl. Barboursvil Check any that apply: F1 New Business 0 Change of Use Change of ownership © Change of Name Business Name: Description of Business' Describe the business including use, number of employees, number of shifts, availabilityof parking, and any additional info. Pet boarding 8 grooming. No more than 20 daytime or 10 overnight dogs (excluding owners), 2 employees for daytime and 1 ever Previous Business on Site: The Canine Clipper 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: 1940 sq ft building Is the Parcel Zoned LI, HI, or PDIP? Yes *1 No If yes, fill outs Certified Engineer's Report (CER) Will there be food preparation? Yes *1 No If yes, provide Virginia Department of Health approval Is the Parcel on public water or private well? ❑ public M Private If on private well, provide Virginia Department of Health approval Is the Parcel on public sewer or septic? ❑ Public RI Septic If on septic, provide Virginia Department of Health approval Will you be putting up any new signage? 11Yes M No If es, obtain appropriate s' rg n ypermit and list permit #below Will there be new construction or renovations? Yes R1 No If s obtain yes, appropriate building permit and list permit #below Please list any applicable Building Permit #s: VDOH approval dated 2010 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. Signature � C- PC- t. c ..- PrintedAmy C Peloquin Date 09/18/2020 2 For Albemarle County Staff Review Only Proposed Use: I 69L4,L vI C 116I6t ( I\�t1i.{, Y, Permitted: es ❑ No Permitted by Section: I to(?, C 1 Z) Supplementary Regulations: 51 Applicable Special Use Permit (SP): Applicable Razonings (ZMA): Applicable Site Plans (SDP): Parking: If there is an approved site plan associated with the parcel, the parking requirements will be defined by the SDP. Some Parking Formula: ) Y00 -E" ) (f t4 Defined by: I ❑Site Plan Zoning Ordinance ❑ CoD ❑Existing Total Square Footage of the Use: l G �f� Required number of parking spaces: 5, Cl e Associated Clearances: �f Variances: �- Violations: z v/ o Is a site inspection necessary?: Elyse ff;ro Site Inspection on (date): To Confli 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 I/���' Zoning Official Date ` zq — 2 - 2 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