HomeMy WebLinkAboutCLE202100057 Approval - County 2021-05-04APPROVED
ev the Albemarle County
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Applicaearance
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OFFICE USE O 1,
PLEASE REVIEW ALL 3 SHEETS
Check # Date:
Receipt # Staff:
PARCEL INFORMATa _ , n„
,
t V Existing Zoning ICwi'
Tax Map and Parcel: Co O
Parcel Owner: Claudius Crozet Park, Inc
Parcel Address: Claudius Crozet Park City Crozet State VA Zip 22932
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? Ewa Harr
Address: 5678 Brownsville Rd City Chadottesville State VA Zip 22903
Office Phone: (... ) Cell # 703-209-4717 Fax # E-mail crozetbeerfest@gmail.com
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
Business Name/Type: Claudius Crozet Park. Inc
Previous Business on this site Claudius Crozet Park
Describe the proposed business including use, number of employees, number of shifts, available parking spaces, number of
vehicles, and any additional information that you can provide: No change in business lust applyinq for permit for an
The event w:11 be t`'e-GF8zet Hits and Grafst Festival upcoming event at t tf—a 0f cation.
t n wil o a d on p t e t t t r v ou , int fy r ownr0location, anew Zoning
Clearance will be required.
1 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.
Ewa ftarr Ewa Harr
Signature Printed
APP AL INFORMATION
[ pproved as proposed [ ] Approved with conditions [ ] Denied
[ ] Backflow prevention device and/or current test data needed for this site. Contact ACSA, 977-4511, x117.
[ ] 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 pl as of this da
Notes: iC At/L 1 ��_a,;�Q �'/,�
Building Official Date n
Zoning Official DateqAJ
Other Official Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
Revised 11/02/2015 Page 2 of 3 /jAl
Intake to complete the following:
Is /sz m Is u LI, HI or PDIP zoning?
Engineer's Report (CER) packet.
If so, give applicant a Certified
Y / N Food trucks TBA
Will there be food preparation?
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that applies
Is parcel on private well or public water?
If private well, provide Health Department f
Zoning review can not begin until we rece' a approval from Health
Dept. FAX DATE,
Circle the one that applies
Is parcel on septic or public
Y/N
Will you be putting up a ow sign of any kind? If so, obtain proper
Sign permit.
Permit #
Y/N
Will there be/anew construction or renovations?
Ifso,obtain oper Permit.
Permit #
Zoning to complete the following:
Reviewer to complete the f/ollowigg��
Square footage of Use: ✓�
Yu N
rmitted as
Under Section:
Supplementary regulations sectio
Parking formula:
Required spaces:
Y
Iter&-fo be verified in the field:
Viol t,ns:
Y /
Ifs t:
Propeq-
Y N
If , ist.. /
Variance:
Y/N
If so, List:
's:
Y/N
s(, List: )d A
Clearances:
SDP's
Revised I I/1/2015 Page 3 of 3