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HomeMy WebLinkAboutCLE202100145 Approval - County 2021-12-07APPROVED by the Albemarle County Zoning Cr'"�4gitation aDe1�"�c �tOe"`' File - 0.11.VA22902 --_-- ----. .- Phww<31.296-9= FOR OFFICE USE ONLY Clearance Number. Oeaoa\- i 5 Fee Amount: $ 61.36 Date Paid: By- '�N Application fee: $59 + Tedvaloyy Surcharge: $236 Receipt #. Check #. By. Applicant - Fig out the entire page below and return to: Community Development 401 McIntire Rd, North wing, Charlottesville, VA 22902 Name: I K Mailing Address: c 2., �f aye Mlle 2Z90 Tax Map and Parcel 30 �Z - Q a ✓V�AEv DY - number and/or Address of the Business I Gnuvki*-Suill-e r t/(A- ZZ9o1 Parcel Owner. It^_ V e - Check any that apply: Business Name: E-Mail Address: L-1 nc'k K 1230@ phone# Zoning: StaBwm UR out if unknown 1)c Owner's Address: New arrs:ress ❑ Ctkarge «use ❑ change of Ownership ❑ Change of Name ---- I-,( .----'.N 11-I rY\YC�ril wt%v L�> Description of Business: Describe the business including use, number of employees, rvarhher of shifts, avaM bmYy of perlirsty, and arty addltional info. Previous Business on Site: Floor Plan: Total Square Footage Used for the Business: it M0 Please attach either an architectural drawing or a sketch of tits uses of rooms. the trial square footage of the use. and Droased business indicating; the location of uses the any additional information. Is Me Parcel Zoned Li, HI, or Pow? ❑ Yes ❑ No will there be food preparation? ❑ Yes 0 No Is the Parcel on public water or private well? ® Public Private Is the Parcel on putrpc sewer or septic? © Public ❑ septic ill you be putting up any new signage? ❑ Yes © No YVIII there be new construction or renovations? ❑ Yes ® No Please list arty applicable Building Permit #s: If yes, fill out a C&Nfied Enolleer s Report JCERI If yes. Provide Virginia Department of Health approval If on private well, provide Virginia Department of Health approval If on saptkG Provide Virginia Department of Health approval If yes. obtain appropriate sign Permit and list permit # below N yes, obtain 81"pn>p"118 bLxkWQ Permit and list permit # below . .�•.w . -.�.. or n run ungnn unm Ine application above is complete and all applicable tones 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 location, a new Zoning Clearance wig be required. to a new I hereby certify that I own or have the owner's permission to use the space indicated on this application- 1 also certify ttnat the information provided b 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— L�o.�_ Prinled I/, I Date ai 26 120 Z . . ,?�q of Albemarle County Zoning Clearance Application � °ity Rd,Non W Chi l dd nd e, North Wing Cherlottesnre, VA 22902 '4C111�� Phone 4U.296.-IM 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, clearance number provided by Staff or business name to ClavdR� CI PLA-vslta r'— 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 M Mailing a copy of the application to the owner identified above on Date to the following address: 0A 2`ts9 (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 V Applicant Name Printed Kl cs+eve C-(-N Date Ica For Albemarle County Staff Review Only Proposed Use: !a. oP 'r}yr�g y Permitted: Yes ❑ No Permitted by Section: L.I : a IiijI Supplementary Regulations: Applicable Special Use Permit (SP): C� Applicable Rezonings (ZMA): a Applicable Site Plans (Sop): 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: ; oa)'S� I Defined by. ❑Site Plan Zoning Ordinance ❑ Coo ❑Existing Total Square Footage of the Use: q� Required number of parking spaces: Associated Clearances:LLJ _ .,� _ IG Variances: Y\ lk Violations: Mile Is a site inspection necessary?: ❑ Yes [XNo 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 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. APPROVED ❑ This site complies with the site plan as of this date. by the Albemarle County I Conditions: Additional Notes: LL B►lo 117/LMIIIIIIII �z Mi Zoning Other Date—*41 Date County of Albemarle Department of Community Development 401 McIndre Road Charlottesville, VA22902 Phone: 434.296.5832 Fax: 434.972.4126 2 UV T7, NO '70 '3`°1 /t, M E� 1lSI 39