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CLE202000186 Application 2021-01-07
Zoning Clearance Application FOR OFFICE USE ONLY Fee Amount: $ 54 Clearance Number: Date Paid: lia1-6vla4 Receipt #:5xc"CLtov-AIVAin\F eck Applicant - Fill out the entire page below And return to Community Development 401 McIntire Rd, North Wing, Albemarle County Community Development 401 Mdntire Rd, North wing Chadottesville, VA 22902 Phone 434296.5W2 By. �'un� ntty Department Date Chadottesville,P"tt9 I E Za� . of Name: Ipp Q p 40%.Slwxc &:CC t\ E-Mail Address: S4��S� Mailing Address: 2003 -2005 Avon Court Phone #: 3 Tax Map and Parcel number and/or Address of the Business: 07700-00-00-008AO Zoning: Star will fill out rf unkn C Parcel Owner: EDGECOMB, GARY D OR ELIZABETH M Owner's Address: Check any that apply: New Business ❑ Change of Use ❑ Change of Ownership Change of Name Business Name: Describe the business including use, number of employees, number of shifts, availability of parking, and any additional into. Description of Business: TISn or ;O.\ r,'cA . t{ or S 2 1 �W/ ahc sl;��• Previous Business on Site: EDGECOMB AUTO SALES 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: v I I 0,0 Is the Parcel Zoned LI, HI, or PDIP? Yes No If yes, fill out a Certified Engineer's Report (CER) Will there be food preparation? Yes No If yes, provide Virginia Department of Health approval Is the Parcel on public water or private well? Rj 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? ❑ Yes No If yes, obtain appropriate sign permit and list permit # below Will there be new construction or renovations? ❑ 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 t em. Signature Printed Date O Z� For Albemarle County Staff Review Only i Proposed Use: �(a¢,x, ✓4411 S YJ P,Nsce t eAt Permitted: es ❑ No Permitted by Section: 21t7 ((Q-5 Supplementary Regulations: �— Applicable Special Use Permit (SP(: L `- 7-3 w99• t bN _ O Applicable Rezonings (ZMA): Applicable Site Plans (SDP(: f1 7` Parking: If the/re is anapprovedsite ppl n associated with the parcel, the parking requirements will be defined by the SDP. Some Parking Formula: W 2 ky /ISCO 54 Defined by. I VSite Plan ❑ Zoning Ordinance ❑ CoD ❑Existing Total Square Footage of the Use: ` -( '00 Required number of parking spaces: 55-u.c Associated Clearances: ` 5 ON, Variances: 11 ^ .S b fl h f I % ` ` {rPa✓ S ✓ rhrrlNG Violations: -� Is a site inspection necessary?: ❑ Yes o 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 Date /~ 7-2 Zoning Official Date Other Official Date Countyof Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Phone: 434.296.5832 Fax: 434.972.4126 4 4£ N 00 00 g r4 O 'p b£ � N � ru 12122/2020 .Centralized Aaynnentz (D Your Payment Was Submitted Transaction ID: Transaction Time: Total Paid: 5XC75740KA934783V 12/22/2020 04:40 PM $55.69 We will receive notification of your online payment at the time that it is made and we will credit your payment as of that day. However, you will not see the payment on your account for approximately 48-72 hours due to the time that it takes to get those funds into our bank account. G9 Cancel Payment (http://www.aibemartecountytaxes.org/default-aspx?pagelD=110ftmp=Master.Master) htry)s'"N'e°w.albemarlecoantytases.orglde[ault�aspx?pagelD=1108cmp=MastecMaster&token=EC-7NS98961IA 118031P&PayerID=MHZSKTTNMWPBL l R��...� J2 rio� Albemarle County o " Y Community Development Zoning Clearance Application ` Ch McIntiree North Wing Charlottesville, VA 229@ ��RG1NyN Phone 434298. 5332 Applicant - If you are not the landowner, please fill out the entire page below, confirming that you have either informed or are going to notify the owner of your application. CERTIFICATION THAT NOTICE OF THE APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER I certify that I will provide (or have provided) notice of this clearance application, AtliL� Vwo L.S i k-$ to EDGECOMB, GARY D OR ELIZABETH M the owner of Tax Map and Parcel Number 07700-00-00-008Ao by either delivering a 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) 0 Hand delivering a copy of the application to the owner identified above on Date 12/24/2020 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 Nrdhc- )4f4-KAJ ` Date lZ 1'L2 1 2-o7a 3