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HomeMy WebLinkAboutCLE202100129 Application 2021-10-13i'vyWdOlaA - Zoning Clearance Application FOR OFFICE USE ONLY Fee Amount: $ 61.36 Application fee: $59 + Technology Surcharge: $2.36 Receipt* 05G QNO�$Xp4S1 i 925 CC4,�), Albemarle County Community Developmnt 401 McIntire Rd. NorthWng Cha,loaesville, VA U902 phone 434.2%.5832 Clearance Number: aO 1-001 a 9 Date Paid: Q/$[°�1 PP !D By:J &arrl, County Co m uprty Development Department Check#: EQaire- Zrty v File Yv`--. "_ /0 �)3-:Z/ Applicant - Fill out the entire page below and return to: Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902 Name: Jane Hammel E-Mail Address: skylineapothecarV@gmail.com Mailing Address: 1 4410 Foxcroft Farm, Keswick VA 22947 Phone M 717-575-9029 Tax Map and Parcel number and/or Address of the Business: 05500-00-00-109Ao 6181 Rockfish Gap Tpkr Crozet, VA 22932 Zoning: Staff will fill out ifunknown I'f( ////• 4l 6 Parcel Owner: 6181 Roush Gap Turnpike, LLC Owner's Address: 5974 Jarman Cap Rd, Crozet, VA 12932 Check any that apply: [New Business Change of Use Change of ownership D Change of Name Business Name: 'Skyline Apothecary CO, Description of Business: Describe the business including use, number of employees, number of shifts, availability of parking, and any additional info. Skyline Apothecary is a high -end CBD dispensary and store; there will initially be 2 employees, working 2 shifts 6-7 days per week. Parking is available in a private lot behind the buidling, with 12 total parking spaces, including 2 accessible parking spaces. Previous Business on Site: F&R - Froehling & Robertson, Inc. 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: 750 sq ft of building total 2,182 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 YNo If yes, provide Virginia Department of Health approval Is the Parcel on public water or private well? 2Public 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? &Yes E] No If yes, obtain appropriate sign permit and list permit # below Will there be new construction or renovations? I [Yes ❑ No If yes, obtain appropriate building permit and list permit # below Please list any applicable Building Permit #a: 13202101225AC (for paving, sidewalk); exterior (gutter/siding/roof permit) app submitted 9/3/21 ✓�1/ry rwa- , pnnll rVFIlIwlVlvvq• 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 II will abide by them. Signature 4`_ rnrr�Q Printed .LANE HAMNAEL Date g�1I -D21 2 A11NnVVYV00" Ilan G ,"' d3� For Albemarle County Staff Review Only Proposed Use: sc Permitted: es ❑ No Permitted by Section: Z [ 2 j Supplementary Regulations: Applicable Special Use Permit (SP): Applicable Rezonings (ZMA): Applicable Site 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 ap ed Code of Development. Parking Formula: t, 2,00 Defined by: ite Plan ❑Zoning ordinance ❑ coo ❑Existing Total Square Footage of the Use: 7 B Required number of parking spaces: 3S C `l !�U) ✓, S✓1 O _� �` Associated Clearances: Variances: GAO-Z l`�1?-63t 17S-oq Violations: Is a site inspection necessary?: ❑ Yes �No Site Inspection on (date): To Confirm: Notes: Kr 'l (✓ (�� u (�z�aue_ v��ll�CeS GLF_ ZOZj - 69) Conditions of Approval: Additional conditions of approval apply to Fireworks and Christmas Trees f N 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: &rfl� Building Officia Date 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 9QC yyyY3 S$$$ 9 cc 2g qq 5$ Spat p s m a x Fy d Si!�La A 'j it M. Y3 " xg Aa ' €� e51 IsBR� m F q gg y *la y=y R S a R o g O ¢ ¢ �.-p. � �T1 5� a CR 9 E4 G 4 G a P a ,P G f .. F .. 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