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HomeMy WebLinkAboutCLE202100143 Application 2021-11-17UZoning Clearance Application FOR OFFICE USE ONLY Clearance Number: QC,9031— Albemarle County COMMiLltity Development 401 McIntire Rd, Ngth Wing Chanoaecville, VA 22902 Phone 434.296.5832 Fee Amount: $ 61.36 Date Paid: \ Q ho 2 By: KerWo FhgROVED Application fee: $59+ Technology Surcharge: $2.36 emarle County Receipt #: 1 ay 0V q Check A 5:3LA 6 B6o nity Develo ment Department Applicant - Fill out the entire page below and return to: /( `-Z-- Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902 _ Name: Mailing Address: ° E-Mail Address: Phone #: p Tax Map and Parcel number and/or of of the Business: ((((II —�^ (�jf IirY� l!Q' Zoning: Staff wllfill out "rfwknown �^ I Parcel Owner: Owner's Address: Check any that apply: New Business Hangs of Use Change of Ownership Change of Name Business Name: Description of Business: Describe the business Inclu ing use, number of employees, numbe f shifts, availability of parking, and any additional Info. �_ IO ✓Lt ctc Previous Business on Site: GG 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: �() } 5(/ 0 Is the Parcel Zoned LI, HI, or PD1P? ❑ Yes R No If yes, fill out a Certified Engineers Report ( Fa) Will there be food preparation? ❑ yes POW0 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? Public ❑ Septic If on septic, provide Virginia Department of Health approval Will you be putting up any new signage? es ❑ No If yes, obtain appropriate sign permit and list permit# below Will there be new construction or renovations? es ❑ No ifyes, obtain appropriate buildin g permit and list permit #below Please list any applicable Building Permit #s: _ C3a ow G 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 th=�, Ay�� ��// SignaturePrintetl�y/i/U/ 'i A, DateP 2 P �' Albemarle County Zoning Clearance Application °1McIntryRd,NonhWi 401 McIntire Rd, NOM Wing ?+` � GM1atlottesville, VA 22802 Phone 434.293.5a32 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 provide ) notice of this clearance application, Ccc CLLZOZ(-��3 c[ ance number provided by tall or business name to 417 I � 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 Z ❑ Mailing a copy of the application to the owner identified above on Date to the following address: (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 Date ��/ For Albemarle County Staff Review Only Proposed Use: Z5-� �hfi. S Permitted: PKes El No Permitted by Section: ;U. d q , Supplementary Regulations: Applicable Speeial Use Permit (SP): 2VV -ZI _ !�Lj 1�1 Scoff 1, 2-00.- q Applicable Rezonings (ZMA): Applicable Site Plans (SDP): ��/ 2 e) q ` /parcel, Parking: If there is an approved site plan associated with the the parking requirements will be defined by the SDP. Some parking requirements are determined by a ZMA or by an approved Code of Development. Parking Formula: 1 �(�➢ y Defined by: ite Plan ❑ Zoning ordinance ❑ COD [-]Existing Total Square Footage of the Use: 3� trt,5 Qf OZA.,gl l Required number of parking spaces: Dr 5 jG o,t U5 = 155,Q S o f� � Associated Clearances: 2-0l G — 75'3,ZAZ j 2V(a—� Variances: 6 —3 Violations: ZV10 70(9-00l77 CSC Is a site inspection necessary?: ❑ Yes ,® No Site Inspection on (date): To Confli i' Notes: i 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, 434.977.4611 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 Offici Date Zoning Official Date Other Official Date County of Albemarle Department of Community Development 401 Molntire Road Charlottesville, VA 22902 Phone: 434.299.5832 Fax: 434.972.4126 4 -WN? 0 n z� $m z� $m emit o e en� wxeo neaeer steam Y (i } \ - ..�... I | \ y� I\ , lig § ¥! : §© \\ ,! .