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HomeMy WebLinkAboutCLE202100133 Application 2021-10-13�yovn AJIber le County . Vd Comnn, e nevelop Zoning Clearance Application ° �t�"'i` 401 McIntire Rd. North Wing -r'• Chedoaesvtlle, VA 22902 %'IkCnrytT Phone 434.296sM FOR OFFICE USE ONLY Clearance Number: ?Oat - 000 23 Fee Amount: $61.36 Date Paid: QfIti)i By: 6,oliwe AF'P bVED Application fee: $59 + Technology Surcharge: $2.36 by the Albemarle County Receipt#: 655758L157037 N$y5 Check#: By: � ri�snl �tdar/a`I3`2)_dlopmeni Department Date Applicant -Fill out the entire page below and return to: File Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902 - Name: CQYD 1%, r\.G (ZDSS E-Mail Address: OfGv Pscvvi[CG Va- Mailing Address: P• 0 • BoCivrwi;av lilt qA Z,gUZ Phone # 4:1S- gS03 Tax Map and Parcel number and/or Address of the Business: (013 BeXKmar C+ ChAnofirstn14 VA VN01 Zoning staff wig fill N unknown PD—l" "c Parcel Owner. Pit,iC z11' Mork d J LrYZ OwneesAddress: pq tai[a Rill% or A41onVA Check any that apply: New Business Change of Use 0 Change of Ownership Change of Name Business Name: I' m, u— Dc S a• %f jin; Ir,L Describe the business including use, number of employees, number of shifts, availability of parking, and any additional Info. Mseription of Business' l non 4 1 i (p lU JChichtL¢ r S -A �roluirlkt Il 4+tYtG {i - 1t0Ut F q 5 D Previous Business on Site: 651 P(CAVAC-b0n5 Floor Plan: Please attach either an architectural drawing or a sketch of the proposed business indicating the location of uses, the uses of moms, the total square footage of the use, and any additional information. Total Square Footage Used for the Business: #M3121 Is the Parcel Zoned LI, HI, or PDIP? Yes No If yes, fill out a Certified Engineers Report ICER1 Will there be food preparation? Yes E;-�o If yes, provide Virginia Department of Health approval Is the Parcel on public water or private well? 9Public Private If on private well, provide Virginia Department of Health approval Is the Parcel on public sower or septic? EXpublic Septic If on septic, provide Virginia Department of Health approval Will you be putting up any now signage? Yes l y�No If yes, obtain appropriate sign permit and fist permit If below Will there be new construction or renovations? Yea No If yes, obtain appropriate building permit and Gat permit If below Please list any applicable Building Permit Ifs: 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 Cw� Li ✓l.4- Q r)SS Date 2 Y^y iF It B! abemarie county RC, NoM F'i Zoning Clearance Application �'"` �MMnmeB�° t 481 MclnW Wing Ch Ho8e5MAe, VA 22%2 Pro. 434.2%.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 ! certify that l will provide (or have provided) notice of this clearance application, SeYv�ct Dogs ak Vtfainial Inc Uf—wZ(— l33 clearance number pr6vided by Staff r business name to Priccntt, MoAbe. 4 JLtY-V- the owner Name of landowner on record of Tax Map and Parcel Number le"!3 R-Y-'I[ mr a Chat 0-wilLVA'129by 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 [✓ Mailing a copy of the application to the owner identified above on Date__/i I 2�21 to the following address: -114 I ook awl A-k11S Vf CIA 2 2clZL) (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 _ CtA rD \i v\.Z �ZO s S Date 'I/1N/ 2021 3 For Albemarle County Staff Review Only <.�� Proposed Use: J Permabd: Yas ❑ No /1 —` Permitted by Section: Z5f\,Z 7 L 'Z-(C( Supplementary Requisitions: _ Applicable Special Use Permit (SP): �— Applicable Ramonings (ZMA):- Applicable She 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 requirements are determined by a ZMA or by an appmved Code of Development. Parking Formula: t/100 Deflosd by: ke Plan ❑Zoning Ordinance ❑ CoD ❑Existing Total Square Footage of the Use: 3 l Z l 4 Required number of parking spaces: ' ' RG e O Vrfj' - Associated Clearances: 't i o O Variances: -- Violations: —_ Is a sits Inspection necessary?: ❑ Yes io Sae Inspection on (date): f To C;r firm: i1 Notes: Conditions of Approval: I 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 Ofrici Zoning Officia Other Official Date /P 0 -?- / County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Phone: 434.296.5832 Fax: 434.972.4126 4 673 BERKMAR COURT UNfT z 185 SF 673 BERKMAR COURT UNR2 3470 SF