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HomeMy WebLinkAboutCLE202100138 Application 2021-10-13(tOr AietZoning Clearance Application FNIf` FOR OFFICE USE ONLY Clearance Number: Fee Amount: $ 61.36 Date Paid: Application fee: $59 + Technology Surcharge: $2.36 Receipt #: C,� $ �3a3`�v7� Check #: N Applicant - Fill out the entire page below and return to: Community Development 401 McIntire Rd, North Wing, Charlottesville, Albemarle County Community Development 401 McIntire Rd. North Wing Ch.dotteeville. VA 22902 Phone 434.296.5832 By: f-\& bbb the Albemarle County evelerlment Department File VA 22902 _.._ Name: YCD/!?rYl Z1- C E-Mail Address: Uo� P it Mailing Address: Oar 16 Vlpeoi le /rcr 4pkr 1 Phone #: Tax Map and Parcel Zoning: number and/or Address / //�,� Caw �n Staff will fill out if unknown of the Business: Parcel Owner: 111xJ (LC owner's Address: a3���ap}/W 9 Check any that apply_ I New Business ❑ Change of use Change of ownership X Change of Name Business Name: _ Description ofBusiness: Describe the business including use, number of employees, number of shifts, availability of parking, and any additional info. %jjc�I� Previous Business on Site: cS;e2 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: oG 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 welt? P P �] Public � Private i If on private well, provide Virginia Department of Health approval i 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? it Yes No If yes, obtain appropriate sign permit and list permit # below ) Will there be new construction or renovations Yes �'TJo obtain appropriate buildin If yes,g 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 read the conditions of approval, and I understand them, and that I will abi y hem. Signature �7 Printed Date 65 Albemarle county Zoning Clearance Application '" °°mm°n'ryDeve 22902 '� 401 Mclntuc Rd. NortM1 Wing N°• CharloVesvdle_VA 22902 rtRGiPi�` 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, (�- LEzoZt - 13g clearance number provided by Staff or business name to 5L' 5*4zcf (PJ16mec 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 XMailing a copy of the application to the owner identified above on / to the following address: (Written notice to the owner and last requirement. Please see staff for hel Signature of Applicant Applicant Name Printed Date 31(7705 f address on our record books will satisfy this -te mining this information if needed) 3 For Albemarle County Staff Review Only Proposed Use: al t° Permitted: es ❑ No Permitted by Section: Z 5 ? , 1 1) -ai Z2 r Zr 1 (ci Supplementary Regulations: Applicable Special Use Permit (SP): •-- Applicable Razonings (ZMA): 2 f/ 09 Applicable Site Plans (SDP): 2-0l % , Z C Z O ( — 0Z Parking: If there isuUan 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 ap'proved Code of Development. Parking Formula: 41 t Q BD Defined by: I iqelte Plan ❑ Zoning ordinance ❑ CoD [I]Existing Total Square Footage of the Use: Required number of parking spaces: 1 '�n/� c� 2� ZLO �e ✓ SP 2 © (f Associated Clearances: ZOZ�tt—I3 OS 6 ,S -l1B �� f C Variances: 'ZO(6 •�� ltit,r t.vl�t Violations: Zvl D Zoo,1,� 6 L vto Is a site inspection necessary?: Elyse E7 ^e Site Inspection on (date): To Confirm: y( Notes: Conditions of Approval: Additional conditions of approval apply to Fireworks and Christmas Trees Approval 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 Zoning Official Other Date / 0"t Date le - 13 z County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Phone: 434.296.5832 Fax: 434.972.4126 4 Fi�J Adcomm �41 Sie�e`� CFiaQUt��e` V� �u�-Fc f OLi3 a$ is, V 70 / -f4pI x -h z jqi= r ! g$: r *log' o . z m Ia N i i (z 0 = wi i R � R 1 I 1 1 1 1 , R 1 1 ; 1 p o m R 1 e RI 3 a ( T� `• ( f � e 1 V 5' 4GES1TlE CPAPNIC 10' v ! TE[H POSTER lii 11: 11 5' LIfE$IYLE GRFPXI SV O WIN" BANNER Ll � � 6=�� --j = I �X 56" 5th STR STE 1003 CHARLOT�nTESVILLE VA SPRINT "C_2 ADCOMM 05.06.20,E 4NMAMIGHT I FGN WIFIFF. TW INFMMATIM EONTAINFO IN THIS nRAVMn IS THE SII F PRnKPTY nF VIRA INSIMT I I L ANY RPPRnufTinNIN PAPT IT WM F VRNMT TNF VPITTYN PFPRICCInN nC VTPA INacm I Pr It PPnw AITrn 4'x5' 4'n5' Wall Wall From From. 0ACC. ACC. O ACC. Stanchion Handsets Feature Handsets Zone ;OS `Ojh� v Li hl Table Window um ACC. OACC.Case Banner 10'x4' =ACC. Kits Wall Graphic Board00 m Case Seating Are. Li hl Table ACC. Case St o Case Case Feature F0, POS Handsets Zone Handsets ACC. ACL. ACC. 4'x5' 4'x5' Wall Wall Frame Frame StOe #DDDSuD Sth Street Suite 10D3 Sprint �► DATE 05/16/I6 Chadottesdlle, VA, 22902