HomeMy WebLinkAboutCLE202100033 Application 2021-04-08 (2)Zoning Clearance Application
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Albemarle County
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Community Development
401 McIntire Rd, North Wng
Charlottesville, VA 22902
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Phone 4U 2%.5832
FOR OFFICE USE ONLY Clearance Number: ;iClot, 1-OOoi3
Fee Amount: $ 54 Date Paid: ! ( By: P-d�APPROVED
Receipt* Ia X9 O(� Check #: I S � a By. C y Imu^ ��re r6 Department
Applicant - Fill out the entire page below Date 4{-%-2-I
And return to Community Development 401 McIntire Rd, North Wing, CharlottesVw- VA ?2A02 Z°Z1-33
Name:
MELANIE DORION
E-Mail Address:
melanie@bevitalhealth.com
Mailing Address:
889 R10 E. COURT SUITE #B, CHARLOTTESVILLE
Phone #:
434-960-0214
Tax Map and Parcel
number and/or Address
of the Business:
06100-00-00-124A2
Zoning:
PLANNED DEVELOPMENT
MIXED COMMERCIAL
Parcel Owner:
MILWIL ENTERPRISES LLC
Owner's Address:
889 RIO E. COURT SUITE #B,
CHARLOTTESVILLE
Check any that apply:
EJNew Business W Change of Use aChange of Ownership e
Change of Name
Business Name:
Description of Business:
Describe the business including use, number of employees, number of shifts, availability of parking, and any additional info.
primary care and specialty care medical clinic, usual hrs are 8:30-5p M-F, 3-6 employees/shift,
space has ample available parking
Previous Business on Site:
RIO FAMILY MEDICINE
Floor Plan:
Please attach either an architectural dravring 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:
t s3s 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?
0 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:
N/A
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 Printed MELANIE DORION
Date 02 / 22 / 2021
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Albemarle County
Zoning Clearance Application 40mm°°tir°edNorte°Co McIntire Rh. None ntChanonesville, VA22902
Phone 4342%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,
Be Vital Health & Vitality IV Lounge C L IC,.2-( - 3 i
to MILWIL ENTERPRISES LLC
of Tax Map and Parcel Number
06100-00-00-124A2
the owner
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)
I✓ Hand delivering a copy of the application to the owner identified above on
Date 2/23/2021
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 MELANIE DORION
Date 02 / 22 / 2021
Doc ID. 0749294957775e4daaa4f64f7d0el45009223fcd
C
For Albemarle County Staff Review Only
Proposed Use:
ed < D Y (&le—
Permitted:
es ❑ No
Permitted by Section:
X5`A, Z , I
Supplementary Regulations:
Applicable Special Use Permit (SP):
Applicable Rezonings(ZMA):
�f.Z00�� 996>D A.A[/_1181
6 Z r� I O
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:
-Z oo
Delha d by: I
❑Site Plan E91oning Ordinance ❑ CoD ❑Existing
Total Square Footage of the Use:
55
Required number of parking spaces:
6 S c c.i
Associated Clearances:
to i — 17 !{d lie
-
Variances:
—�
Violations:
Is a site inspection necessary?:
❑ Yes NKO
Site Inspection on (date):
---
To Confirm:
Notes:
Conditions of Approval:
Additional conditions of approval apply to Fireworks and Christmas Trees
Approval Information
J Approved as proposed ❑ Approved with conditions ❑ Denied
Ll Backf low 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
f with the existing site plan.
❑ This site complies with the site plan as of this date.
Conditions:
Additional Notes:
/y
Building Offici Date
Zoning Official I Date
Other Official Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Phone: 434.296.5832 Fax: 434.972.4126
Doc ID: 0749294957775e4daaa4f64f7d Oel45009223fcd
889 RIO E COURT Suite #B