HomeMy WebLinkAboutCLE202100146 Approval - County 2021-12-07APPROVED
by the Albemarle County
Community Development Department ,gFA2
Albemarle County
Zoning C l e • • o n ` m °� Commonly ped. North
eW
t e 401 McIntire Rd. 229 Wing
>."-�� Chatlotlasville. VA 22902
hRGIN�P Phone 434.296.5832
FOR OFFICE USE ONLY Clearance Number: C `e_.'-G3I — 'y VJ
Fee Amount: $ 61.36 Date Paid: W 115/ 0I By: NeW"krrv.� 0_xa4 -
Application fee: $59 + Technology Surcharge: $2.36 , „' J
Receipt #:'altOa(D Check#: 0GR' By:
Applicant - Fill out the entire page below and return to:
Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 2290
Name:
O V1 % 0.
E-Mail Address:
b c S n e k qo 1, coth
Mailing Address:
32
C vpek y. # 10 I ')
Phone#:
*31+ 25- 393S
Tax Map and Parcel
number and/or Address
of the Business:
3 2 M I II CYe e k by #1 1 O$
Chat-totte-svido, VA Zzloz
Zoning:
Staff will fill out if unknown
PO -SC
Parcel Owner:
7k p
0—ovp,
Owner's Address:
let e,45, aYn¢
Check any that apply:
New Business
Change of Use ® Change of Ownership Change of Name
Business Name:
Description of Business:
Describe th usiness includfng
use, number of employees, number of shifts, availability of parking, and any additional info.
'tak - e g e e s '4 t
paorkd
Previous Business on Site:
Floor Plan:
Please aftatA either an afAitectural dravdng 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:
See o(ci platN
Is the Parcel Zoned LI, HI, or PDIP?
Yes No If yes, fill out a Certified Engineer's Report ICER)
Will there be food preparation?
Yes No 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?
Sz Public Septic If on septic, provide Virginia Department of Health approval
Will you be putting up any new signage?
Yes 9 No If yes, obtain appropriate sign permit and list permit If below
Will there be new construction or renovations?
Yes V No If yes, obtain appropriate building permit and list permit # below
Please list any applicable Building Permit #a:
N/A
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_) �31li �"
Date 15 0 CIObPr, 2-oz-
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2
V
Albemarle County
Zoning Clearance Application Community DevebprmW461Mclevil Rtl. NOM W ing
Chatlotlesvllle, VA 228g2
Phone 4362965832
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,
G-Inha K�ha Res�a.uYanb
clearance tuber provided -by Staff or business name
to TL K05C imy r '�rP • the owner
Name of la downer 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
Mailing a copy of the application to the owner identified above on
Date 15 QC tA6Qr,_7-o 2 I to the following address:
23I SbLlf.h QTAt'yfe+t St,, 0G"V%oLeYsdh, Nc--2.75.36
(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)
r p `-
Signature of Applicant X �� 0 h1
Applicant Name Printed
Date
15 6r_�zb ZY seZ I
3
For Albemarle County Staff Review Only
Proposed Use:
Permitted: J:XYes
❑ No
Permitted by Section:A�.
aIX I
Supplementary Regulations:
Applicable Special Use Permit (SP):
Applicable Rezonings (ZMA):
` A �p-� _ .•vi
oc 1
Applicable Site Plans (SDP):
SIX l —5
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:
Site Plan ❑ Zoning Ordinance ❑ CoD ❑Existing
Total Square Footage of the Use:
)� •ay
Required number of parking spaces:
Associated Clearances:
Variances:
xi q,_ iA H _
Violations:
nl L\
Is a site inspection necessary?:
❑ Yes
No
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
NCI No physical site inspection has been done for this clearance. Therefore,
it is not a determination of compliance
1 with the existing site plan.
APPROVED
❑ This site complies with the site plan as of this date.
by the Albemarle County
Corarnmity Development Department
Conditions:
Date
File
Additional Notes:
Building Off icia llt�
) 7
Date / Z�
Zoning Official rA
Date_
I
Other Official
Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Phone: 434.296.5832 Fax: 434.972.4126
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