HomeMy WebLinkAboutCLE202000130 Application 2020-12-01�OEA
�?� tl Albemarle County
Zoning Clearance Application 401 Mchh Rd,
<ot McIntire R0. 229 Wing
ChatloaesWlle, VA 22962
hOCiNV� Phme 4XE 6.502
FOR OFFICE USE ONLY Clearance Number: Oo (,? d APPROVED
Fee Amount: $ 54 Date Paid: -ll / / 2 . By: 1)n byttge �W�Y
Community Devela 6 Department
Receipt M D /` 7) 4 Ra -rib 2) 61 k Check M C C By: t [' 2-V
Applicant -Fill out the entire page below
File •' E2. " t .il_ _
And return to Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 229Q2 A n F, —. C—
iucZE-Mail
_
Address:
III
„Name:
� ,aw.Mailing
Address:
33 VJ009thWA/ �;>"k� 23g63
Phone #:
/� 3(Tax
Map and Parcel
and/or Address
of the Business:
ICj-7 Cr'1�"AONIIGALTNbQ
(' f*-/U77ZZW/Ut� � V-4),01
Zoning:number
Staftwillfilloutifunkwm
re/411,
ParcelOwner:
174yLC612,oTHER.S t_L G
Owner's Address:
�p,39.
Check any that apply:
5�'Nevv Business Charge of Use Change of Ownership Change of Name
Business Name:
Description of Business:
Describe the business including use, number of employees, number of shifts, availability of parking, end any additional info.
'>f A I P- S Rw N W rr# 4 CA -I R i tW/De:1- Pu4tLTt
i'QL ✓ram TIA ST- L 7s AIR Sr ,y
ON 'Ptlb�N';- OF PttU/A/4 I US/A/6 7W dRmNcr rihc-r t /'r W/M 3e-nk.
Previ us Business on Site:
M41n7-21:Ss s roPL%�f
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:
3 8
Is the Parcel Zoned LI, HI, or PDIP?
Yes 'Lp�N, If yes, fill out a Certified Engineer's Report fCERI
Will there be food preparation?
Yes RrNo If yes, provide Virginia Department of Health approval
Is the Parcel on public water or private well?
public L7 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 Z No If yes, obtain appropriate sign permit and list permit # below
Will there be new construction or renovations?
Yes vrft 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 fors 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 Q8)J V wJ(.� Printed JkA-Irr Vl ( 4e—L
Date � q l JOul 2
M
� or
�2'v. ` Albemarle County
Zoning Clearance Application = °°mm°ntireRd1orth
C McIntiree. NaN Wing
Charlotleshlle. VA 22902
�raCiNVN Phone 434.M 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,
LLf--7- '2-0-iL
clearance number provided by Staff or business name
to 6;q-�)c r�,�h;'2S' _ t G the owner
—� Name of landowner record
of Tax Map and Parcel Number o G 1 wp-03 - ou - o z LA u 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
F 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
v
Applicant Name Printed Asq,-Z
Date
// / Z029
�3
For Albemarle County Staff Review Only
Proposed Use:
;bea Lt4l.
Permitted:
Yes ❑ No
Permitted by Section:
Z 2 , Z r' l.b Z
Supplementary Regulations:
Applicable Special Use Permit (SP):
Applicable Rezonings (ZMA):
Applicable Site Plans (SDP):
2-ot 7 v Z
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 app ed Code of Development.
Parking Formula:
,5, 5 (tVd
Defined by.
its Plan ❑Zoning Ordinance ❑ CoD [-]Existing
Total Square Footage of the Use:
C
Required number of parking spaces:
Cte 115 5 RG6 ✓I r si% ZO�L—,3
Associated Clearances:
20( ^d/ '/Z 2ol' ^2D3 -[�5 20!6-S6 2.o f-2ZgC G
Variances:
l 6 S _-2 5 I L
Violations:
--- C R z
Is a site inspection necessary?:
❑ Yes No
Site Inspection on (date):
—�
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
❑ 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 %Z
Zoning Official
Date �Z f _ Lp
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
C LF_ ZDZ�,
WPrICrt unary r22�;�,
O --
3ATWKc,l,,,
�eG�Vc
�myclz
C" rp-
wo(IT144
p A
m'