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CLE202000141 Application 2021-11-17
qOF Albemarle County Zoning Clearance Application m�°� 401 WInhhe Rd, Ch Mcingree, N22 Wing ChdtloaesWlle, VA 22902 yRQM� Phone 4M.M.5832 FOR OFFICE USE ONLY Clearance Number: LLB zoZo ©c (+f Fee Amount: $ 54 Date Paid: lG121 /,, By: 1 <t//. c �.c ✓C f,�?t r= Receipt #: 1 z2 i1 L Check #:� J By, Q� S- Applicant - Fill out the entire page below And return to Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902 Name: '-� Conc � ad i3c: R MI ,,,., .�_ E-Mail Address: Mailing Address: Phone #: Tax Map and Parcel number and/or Address of the Business: Zoning: Staff will fill out If unknown C_ _ Parcel Owner: Check any that apply: 2rr17 Owner's Address: 15 Srmtn�leTfc New Business ❑ Change of Use ❑ Change of Ownership ❑ Change of Name Business Name: vA Description Of Business: Describe the business including use, number of employees, number of shifts, availability of parking, and any additional Info. `r{ Ur4c, 1... �_ .'f lag.,.... Ij, 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 uses of rooms, the total square footage of the use, and any additional information. Total Square Footage Used for the Business: Rkv irS 114- tluw Is the Parcel Zoned LI, HI, or PDIP? ❑ Yes No If yes, fill out a Certified Engineer's Report (CER1 Will there be food preparation? ❑ Yes ZNo 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? ❑ Yes No If yes, obtain appropriate sign permit and list permit # below WIII there be new construction or renovations? ❑ Yea 0 No If yes, obtain appropriate building 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. 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 Date (C,-ac'�J 2 3 or Albemarle County Zoning Clearance Application 401WnUyDeveNWh 401 oUesol Rtl. 229 Wing x�.• ChetlotlesNlle, VA 22902 P�4GIN4P Phone 4U.2W SM2 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, C U E 2e)z0 --/ I l clearance number provided by Staff or business name to i�rr a the owner Name of landowner on record of Tax Map and Parcel Number Ow w - a 2 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 to L7 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 J':?- - QyOdV 9 For Albemarle County Staff Review Only Proposed Use: 5toa't4 5'4 eS Permitted: es ❑ No Permitted by Section: ( FK4--C"-- Supplementary Regulations: -- Applicable Special Use Permit (SP): Z a l .� - Z✓ � _3 / t m Applicable Renings (ZMA): I Applicable Site Plans (SDP): 9 _, L ' 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 approved Code of Development. Parking Formula — Defined by: I ❑Site Plan ❑Zoning Ordinance ❑ CoD []Existing Total Square Footage of the Use: Required number of parking spaces: Associated Clearances: j-jLL-OSV Q� -ZCq Z� 5-•��� z0 -Zl %��?^%J�. �j�-. J Variances: i `t - 70 Z S- Z? ✓c `Z Violations: D1r 11,a14- v i o Is a site inspection necessary?: ❑ Yes Site Inspection on (date): ,._,� To Confirm: Notes: Conditions of Approval: Additional conditions of approval apply to Fireworks and Christmas Trees Approval Information Approved as proposed Approved with conditions Denied ❑ Backf low 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: i Building Official Date ZZ Zoning Official jl� 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 i APPROVED lay ihte Albaemarle Counjv v� fr en. P Applicatio" or1 on�ng �`�'ance u OFFICE USE ONLY PLEASE REVIEW ALL 3 SHEETS Check # 3118 Date: ]U' I A - I i3 j t>-t Receipt # 115L ' IR Staff PARCEL INFORMATION Tax Map and Parcel: LO I wp { A—z Existing Zoning C_ I Parcel Owner: 2 M Gi f Vtn� 1, Parcel Address: '�j'rljVld1-e [ L City C-Mwc State UR Zip (include suite or floor) PRIMARY CONTACT Who should we caU/write concerns g this project? r�- Net�►Vlf�.'1 rv� s,..ar�"�%'V :t ^ -a� y t, ry" Address: -F Y^bh City M `(, U Statey /t Zip 0 a t Office Phone: U( '� ' o�S 3kell # Fax # E-mail (�ne�w.�„.,o�2.Ce "n c C'sk net APPLICANT INFORMATION Check any that apply: _ Change of ownership _ Change of use _Change of name New business Business Name/Type: �,�,�,r-,.�r�.O U,26 J v A LL� Xwlt�, .�-v fk s13 A," Previous Business on this site (Jnt ��p U,-aw,.,•Q r�,n.-� Describe the proposed business including use, number of employees, num er of shifts, avail ble parking spaces, number of vehicles, and any additional information that you can provide: rkolll -lnee j 1 -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. 1 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 I�G.rt C_ 01c.. � APPROVAL INFORMATION ( ] Approved as proposed [ ] Approved with conditions [ ]Denied [ ] Backflow prevention device and/or current test data needed for this site. Contact ACSA, 977-4511, x117. [ ] 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. Notes: Building Official 5er Date Zoning Official Date Other Official 5ef Date &OP urn Cuumy u, Nmemarre Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 4ao'Dio Revised 11/02/2015 Page 2 of 3 Intake to complete the following: Is/ Is u to LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y /(N / Will ere be food preparation? If so, give applicant a Health Department form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE Circle the one that applies Is parcel on private well or public" If private well, provide Health De t form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE Circle the one that applie Is parcel on septic or pu c se r? Y/N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # /r.,{LTn„n� �4^ Y/N Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # Zoning to complete the following: Reviewer to complete the following: Square footage of Use: 15 CJ (D Y/N i Permitted as: SQD• C'Mx SQ�j Under Section: &A-yy-LLv-1 Supplementary regulations section Parking formula: Required spaces: S Y / Items o be verified in the field: Inspector : Date: Notes: Violations: Y/N If so, List: a`- ` Pro Y If so, ist: Variance: Y/N If so, List: t7 -t X ) SP's: Y/N If so, List: 75 ---7 7-5 — a y Clearances: SDP's X1 % Revised 1I/l/2015 Page 3 of Review Comments for CLE20180O219 Project Name: I CREATIVE CONCEPTS OF VA, LLC - XMAS TREE SALES Date Completed: Friday, October 12, 2018 DepartmentDivision/Agenvi: Review Status: Reviewer: Michael Dellinger CDD Inspections Approved Lea Brumfield From: Shawn Maddox Sent: Saturday, October 27, 2018 3:47 PM To: Lea Brumfield Subject: Planning Application Review for CLE201800219 CREATIVE CONCEPTS OF VA, LLC - XMAS TREE SALES. The Review for the following application has been completed: Application Number = CLE201800219 Reviewer = Shawn Maddox Review Status = No Objection Completed Date = 10/27/2018 This email was sent from County View Production.