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HomeMy WebLinkAboutCLE202100002 Application 2021-02-04Zoning Clearance Application - Community Albemarle County 601 McIntire Rd, No" Wing chmOtlesville. VA 22902 Phone 434.296.5832 FOR OFFICE USE ONLY Clearance Number. Fee Amount: $ 54 Date Paid: By; \ ; S PAMOVED Receipt #:'� sq Check#: By:*ate bythe Albemarle County 53 munity D velopment Department Applicant - Fill out the entire page below _ 2 - �' 7 And return to Community Development 401 McIntire Rd, North Wing, Charlottesvile cUO Name: ITobey Bouch Address: 1612 Rio Road West Charlottesville, VA 22901 Tax Map and Parcel number and/or Address of the Business: Parcel Owner: Check any that apply: Business Name: i Description of Business 178 Properties LLC Phone #: Zoning: Staff will fill out if unknown 17 C� .O. Box 6010 Charlottesville, VA: 0 New Business ❑ Change of Use a of Ownershi ❑ Change P ❑ Change of Name Owner's Address: Describe the business including use, number of employees, number of shifts, availability of parking, and any additional info. Pawn shop, three employees, Mon -Fri 9-6 — Previous Business on Site: Hardee's 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: 3200 Is the Parcel Zoned LI, HI, or PDIP? ❑ Yes Q No If yes, fill out a Certified En in = a r 9 oil (.ER1 Will there be food preparation? as No If yes, provide Virginia Department of Health approval Is the Parcel on public water or private well? 0 Public ❑ Private If on private well, provide Virginia Department of Health approval is the Farce{ on public sewer or septic? I Public ❑ Septic If on septic provide Virginia Department of Health ap proval WIII you be putting up any new slgnage? �Yes ❑No If yes. obtain appropriate sign permit and list permit #below Will there be new construction or renovations? Yes No If es, obtain appropriate building g permit and list permit # below Please list any applicable Building Permit #a: t3Zn_I-5 -S -ZoZ -g3-S — coning 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 nformation provided is true and accurate to the best of my knowledge. I have read the conditions of approval, and I understand :hem, a a abide by them. :1 — signature Printed Tobey M Bouch )ate 1/5/2021 2 Zoning Clearance Application Albemarle County Community Development .4 g 401 Addlire Rd. Noah Mpg Chad-nivdWd, VA 22902 Phone 434.296,5832 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 certify that I will provide (or have provided) notice of this clearance application, Tobey'sPawn LL z(%Z 2- to M$KV Properties LLC the owner i Of Tax Map and Parcel Number 76_17B by either delivering a copy of the application to them in person or by sending them a copy of the application by Hand delivering a copy lof the application tl. (Please check o the owner denti identified above onne of the followinblo) i Date © Mailing a copy of the application to the owner identified above on Date 1/6a021 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�p�ning this information if needed) Signature of Applicant Applicant Name Printed Date M Bouch 3 For Albemarle County Staff Review Only Proposed Use: r . crifGe � Permitted: es ❑ No Permitted by Section: 22 I Z Supplementary Regulations: Applicable Special Use Permit (SP): Applicable Rezonings (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; i/ Zi'p hl Defined by: F0Site Plan E7oning Ordinance ❑ CoD []Existing Total Square Footage of the Use: 31 Loo Required number of parking spaces: Associated Clearances: l5 D e eN Variances: Violations: "zt/Qom( Is a site inspection necessary?: ❑ Yes o Site Inspection on (date): To Confirm: 14 Notes: Conditions of Approval: Additional conditions of approval apply to Fireworks and Christmas Trees Approval Information L�_VApproved 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. `nditions: Coet v Zfl2 —QC?ZQ �j,��j DC Additional Notes: Building Official Date Zoning Official Date Z I Z 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