HomeMy WebLinkAboutCLE202000138 Application 2020-10-13Zoning Clearance Application
FOR OFFICE USE ONLY
Fee Amount: $ 54
ibl,g'l 2
Receipt #:5��doZCt1� / r{f3� CheB[c#.e�l-G
Clearance Number: G L 1--A C> D b 0
By: %/4�+' /. d
APPROVED
BY ],t#ttft A bentafle CoUnty
unity Development Department
Date to - 13-- 20
Charlotteslir e, VA-22�6�-
Albemarle County
Co.,,iry owelopm m
" Mdri. Ra. NOM Wing
Chamoanwft. VA U902
Phone 42 296.5632
Date Paid:
Applicant - Fill out the entire page below
And return to Community Development 401 McIntire Rd, North Wing,
?P
Name: �ijic r'�Gr\ ers
E•MailAddress:
ark@tehtl�%w�cierS.
Mailing Address: 100s.67roof St--
Phone#:
/p03-38-7-5$5
Tax Map and Parcel
number and/or Address
of the Business:
27-817-
O5'G00-00-00-032A0
Zoning:
Staff will 50out Bunknown
ih5ht�ty Ce,�wt�cw�
Parcel Owner:
yp u s �f 14.L
Owner's Address:
-7 �"" N?sv, I ✓A ' 22 90
Check any that apply:
New Business ®
Change of use Change of ownership Change of Name
Business Name:
Descriptloppn of
Describe the business including use, number of employees, number of shifts, availability of perking. and any additional into.
Business'
S ia-¢,*J bN,t i .r,V, "LA r
-t+r
Previous Business on Site:
Alt it SA1--1
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:
S20
Is the Parcel Zoned LI, HI, or PDIP?
El Yes ® No If yes, fill out a Certified Engineer's Report 10ER)
Will there be food preparation?
❑ Yes ® No 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?
✓Public ❑ septic If on septic, provide Virginia Department of Health approval
Will you be putting up any new signage?
[7Yes No If yes, obtain appropriate sign permit and list permit If below
Will there be new construction or renovations?
Yes tgi 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 them.
Signature ` r!/� Prnted�H&,Y-L E- i'afnVl e,,s_
M
Date
For Albemarle County Staff Review Only
Proposed Use:..:. -:
� i f-e
Permlaed:. ...
[ills 0 No
PiRmIttedrbySeadom
Z yZ, � 2ly
SupplementaryRegulatlons:;
Applicable Special. Use Permit (SP):'
�--
Applicable Resoetags (ZMA):
Applicable SgePiaes_(SDP): "
2-0(27-L' 5'. C✓01Ci �{`�C--�-A �Y'�t`(Y✓ CK ✓K �%" HC �(✓Su2�
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 velopment.
Parking. Formula:- -
i ),21
Defined by: I
[]Site Plan M6nIng ordinance ❑ Col) ❑Existing
Total Square Foot age of the Use:
SyU
Required numberof parking spaces:
C' I,,
3 K6 e- ✓ �a ✓
y( I,, n
e 'fit 5 V� -d 1 GE; (%t '
Associated Clearances:
ZoZ f> - cl`I 2,CY- S - 2l 2o(6- 2 T59 - 2 26
Variances:
violations:.
laaelta1nspeetbn;naeessaq/1:
��// jj
❑yea - No Pail ,t i', iNvlC4
sita.lnape don an (datay
2. C
To confirm:
t%
Notes:
Conditions of Approval:
Additional conditions of approval apply to Fireworks and Christmas Trees
Approval Information
[]Approved as proposed ❑ Approved with conditions ❑ Denied
❑ Backfiow 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 �� Z
Zoning Official Date
Other Official Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Phone: 434.296-SM Fax: 434.9724126 4
' Albemarle County
Zoning Clearance Application Cammuniry Rd,NodhW
iot fttei; o Rd, A 229 Wing
ChatloneswYe, VA 22902
Phone 434.296.5832
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
I certify that I will provide (or have provided) notice of this clearance application,
clearance number provided by -gaff or business name
to &C("�; LLC the owner
Name of landowner on record
of Tax Map and Parcel Number D5�00 - ov-oo - 632A6 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 10 Z6"
❑ Mailing a copy of the application to the owner identified above on
Date
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
Applicant Name Printed
Date
3
9