HomeMy WebLinkAboutCLE202100053 Application 2021-04-09 (2)Albemarle County
�omminity Development
Zoning Clearance Application _ -
—1— McIntire Rd. N2Wing
NorthPhon4e .2e, VA 22992
Phone 43d.296.5832
FOR OFFICE USE ONLY Clearance Number: Lyrp,��b��� ^VnQAPPROVED
Fee Amount: $ 54 Date Paid: I may-^ M by the Albematie County
/� .-(� c ¢t 3//3l mun4 Development Department
Receipt #: ,lPyp I-jd I fir--r O:l j p I Check #: e By: 1�Date rl9' 2 1
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Applicant - Fill out the entire page below
And return to Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902
Name:
A /lb / Q IV
E-Mail Address:
6gr1OUV 1a&,
Marling Address:
a a06 6f tPl oktr:e, pr ,
Phone #:
y31. 960- $ 37 7
Tax Map and Parcel
number and/or Address
of the Business:
11D6 (grdenbr.er P1.
Char,�aa%l
Zoning:
Staff will fill out if unknown
<Q.
Parcel Owner:
Coy Piropeof;p5, "(L
Owner's -Address.-
Check any that apply:
X New Business [�] Change of Use [] Change of Ownership ❑ Change of Name
Business Name:
C jl Q d S 4j
Description of Business:
Describe the business including use, number of employees, number of shifts, availability of parking, and any additional info.
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Previous Business on Site:
Crvtw4orej f kys; to f Thera P y
Floor Plan:
Please attach either an architectural drawing or a sketch of the proposed business indicating the locatbn of uses, the
uses of rooms, the total square footage of the use, and any additional information.
Total Square Footage Used
for the Business:
q0o �'t l
/ !CC//
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?
Pudic ❑ 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?
Lj 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:
43 QLOI I - 666317
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 a ida Signature - -- Printed / [ U C�i^� ` / /'. �/ I p (p// Q,o4r, ( / V//
Date 3 ice/ 2
Zoning Clearance Application ' Albemarle County
o®r Chaft"eh Cevel22W2
001 McIntire Rd, Narih Wing
ChaMtlesvi9e. VA 229@
yBC1N\N, Phone 434.296.5832
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,
/O //ado4, S,pQ c CEw-Z-1
clearance number frovided by sill or business name
to 0�X A(goo (?yJ t E�-L � the owner
tfame of landowner orfrtitord
of Tax Map and Parcel Number 06 /1)d -bl -00 -ODl ao by either delivering a
TMP number o(propedy
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
Ix Mailing a copy of the application to the owner identified above on
Date
L
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
Signature of Applicant
Applicant Name Printed
Date
L
ning this information if needed)
For Albemarle County Staff Review Only
Proposed Use:
V��
Permitted: Yes ❑ No
Permitted by Section:
Z� i Z r I C6
p ementary Regulations: M RX 2-0 �o
Applicable Special Use Permit (SP):
Applicable Rezonings (ZMA):
. ?�-ZZ
Applicable Site Plans (SDP):
.Z� I q O _ L 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 roved Code of Development.
Parking Formula:
t 2po kfa
Defined by:
Site Plan Q Zoning Ordinance ❑ CoD ❑Existing
Total Square Footage of the Use:
2 l 0D
Required number of parking spaces:
O f' 5r&5 7 ✓04 c r). 2-W3—d
Associated Clearances:
�•.2Z6' ��d b�6-j� 2-0�����Qj 20!(-18
variances:
violations:
Is a site Inspection necessary?:
❑ Yes o
Site Inspection on (date):
To Confirm:
4
Notes:
Conditions of Approval:
ii
Additional conditions of approval apply to Fireworks and Christmas Trees
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 Offici
/� /
Date j9/�1
Zoning Official
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 4
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