HomeMy WebLinkAboutCLE202100080 Application 2021-06-30Zoning Clearance Application
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FOR OFFICE USE ONLY Clearance Number: �L�Ca —"OC—)
Albemarle County
Community Development
401 McIntire Rd, Nodh wing
ChedodesviXe, VA 22902
Phone 434.296.5832
Fee Amount: $ 54 Date Paid: Uj ciI_ \ By: APPROVED
by the A
Receipt #: � G� F � qck #: � Canty
I 'T r F t 3 �ment Department
Applicant - Fill out the entire page below File
And return to Community Development 401 McIntire Rd, North Wing, Charlottesville, AV 22
Name: Jun Li
Mailing Address: 5483 Oxbow Drive, Crozet, VA, 22932
E-MailAddress:
lijun133@hotmail.com
434-327-7231
Phone #:
Tax Map and Parcel t)
number and/or Address , D76k(—�Q_DD`�t�Zt�
of the Business:
Parcel Owner: 15th Street Station Ventures, LLC
Zoning:
Staff will fill out if unknown
owner's address:
777 C
y p` \G
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Check any that apply: , New Business J Change of Use Change of ownership Change of Name
Business Name: B.K.J. FOOD LLC (DBAStone C"_d�
Description of Business: Describe the business including use, number of employees, number of shifts, availability of parking, and any additional info.
Goldstone Creamery shop for providing ice cream product. 4 to 5 employess at most. 2 shifts per day
(This is the 5th street shopping center with public parking area. I
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 t
uses of rooms, the total square footage of the use, and any additional information.;
Total Square Footage Used
for the Business:
2221 SF --"
Is the Parcel Zoned LI, HI, or PDIP?
Yes No If yes, fill out a Certified Engineer's Report ICERt
Will there be food preparation?
i
`I 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?
P
Public Septic If on septic, provide Virginia Department of Health approval
Will you be putting up any new signage?
D Yes No If yes, obtain appropriate sign permit and list permit It below
Will there be new construction or renovations?
—j
Yes No If yes, obtain appropriate building _
�. g permit and list permit # below
Please list any applicable Building Permit #s##�
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coning t;learance 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 there. r V
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Signature _ Printed J V� VA
Date
.t OE
2� Albemarle County
Zoning Clearance Application O1Mcinbr DevebpdhW
40f ovosvee, 229 Wing
Charlovesviue. VA 22902
riaGEN�D Phone 434296.5832
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,
B.K.J. FOOD LLC (-L E 2ozl a
clearance number provided by Staff or business name
to 5th Street Station Ventures, LLC the owner
Name of landowner on record
of Tax Map and Parcel Number by either delivering a
TMP number of property
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
V Mailing a copy of the application to the owner identified above on
Date June 4, 2021 to the following address:
5 SW Broad Street, Suite B (P.O. Box 214), Fairburn, GA, 30213
(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 '� kyA `
J
Date c9S —z o' --/
3
For Albemarle County Staff Review Only
Proposed Use:
`FGC yyOtf,_S �0� Permitted ,.
25, Z --�N Z Zr 2,( C6) Supplementary Regulations:
Ies ❑ No
Permitted by Section:
Applicable Special Use Permit (SP):
20ba—D 1
l
2zS 2491?-0 Z
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 approved Code of Development.
Applicable Rezonings (ZMA):
Applicable Site Plans (SDP):
Parking:
Parking Formula:
I t 5 1/004)j ',. Defined by: ite Plan _: Zoning Ordinance ❑ coo ❑Existing
Total Square Footage of the Use:
�D 5
Required number of parking spaces:
',. Associated Clearances:
Variances:
p 1,
'L,o-L = I p/ �ZD—(D(�j� �7 �/
Violations: ! ZV/O 707- 2,56 If Ak Vt0
Is a site inspection necessary?: ❑ Yes -L o
I Site Inspection on (date): �/— ToConfirm: w
Notes:
Conditions of Approval:
Additional conditions of approval apply to Fireworks and Christmas Trees
Approval Information
t Approved as proposed ❑ Approved with conditions Denied
j 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:
i— —
�Additional Notes:
,Building Offici;
!Zoning Official
Other
k V - 2-
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Phone: 434.296.5832 Fax: 434.972.4126
9