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HomeMy WebLinkAboutCLE202100027 Application 2021-03-08Zoning Clearance Application FOR OFFICE USE ONLY Clearance Number:at9oZl-0d0a-7 `T Albemarle County - J i' Community Develognent 401 McIntire Rd, North Wing Charlottesville. VA 22902 4r,,tNi Phone 434.2% 5832 Fee Amount: $ 54 Date Paid: �I t �a ( By. rl-,e L;RAWETR �C Receipt #:3 K �139 d a il V by the Albe�arle County p f Check #: By: rfiu"4 6pment Department Date 3-LI-2 Applicant - Fill out the entire page below i:ile _ G C k -ZOzt —2 7 And return to Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902 Name: / r G ,v G E-Mail Address:; v Ad / Mailing Address: (qU s- Phone#: Syd Yd6'06et�z Tax Map and Parcel number and/or Address of the Business: C4%r(d fkS,, //e V4 97,71( 76 — 15 G 3 Zoning: Staff will fill out if unknown 04.1 tt idwt�%4ti� Iy•�im�� �QejM""` I Parcel Owner. T �5^ LLB Owner's Address: Check any that apply: New Business ❑ 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, availability of parking, and info. �any t4ftke BVI'ld, r (tr4 Morel rt O,n— —l� .� 4 �additional ✓a. 61 v^�-;sfr Sfrtiu{v�c. l2erl% ; d o sF' Previous Business on Site: 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: -- ($00 SF 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? 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 them. Signature Date 2 - /!' e2! y OP Albemarle Count Zoning Clearance Application TM`m 401 MclntreftdeNoorth County Charlottesville, VA 22902 �rBCIN�� Phone 4342W 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 I certify that I will provide (or have provided) notice of this clearance application, % tee_ U,) 117, to �a1"H 1OVV,5 MC*77s / the owner of Tax Map and Parcel Number %g -/5G3 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) © Hand delivering a copy of the application to the owner identified above on Date a -// - � I ❑ 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 h/L_ 1q. %Gil Applicant Name Printed _S o5A- M. Me eo�Aw- Date 2 - / (-? / 3 For Albemarle County Staff Review Only Proposed Use: D(, ) CIC Permitted: es ❑ No Permitted by Section: Z,( Supplementary Regulations: �- Applicable Special Use Permit (SP): II f - ?O Url e O(''L e i17-sfl C4 jiiL Applicable Rezonings (ZMA): Applicable Site Plans (SDP): ZO`7' 6 Lo o o -c S Parking: If there is an approved site plan associated with the parts , the parking requirements will be defined by the SDP. Some Parking Formula: I �p Defined by: ite Plan C.Zoning Ordinance ❑ CoD Existing Total Square Footage of the Use: l BQ `() Required number of parking spaces: 5 S qe{h L"X9 ✓bV1 5-J9fz017-a6 Associated Clearances: 2-v if j-2_L(z'1 Variances: 1����%a2 Lw,tv16t4,u Violations: r-- Is a site inspection necessary?: ❑ Yes No Site Inspection on (date): v To Confirm: Notes: Conditions of Approval: Additional conditions of approval apply to Fireworks and Christmas Trees Approval Information 11 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 Offici Date Zoning Official i Date v `1 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