HomeMy WebLinkAboutCLE202100159 Application 2021-12-09i OP AI
Zoning
Clearance Application
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Albemarle County
Community Development
401 McIntire Re. North Wing
Chatlotlesville, VA 22902
Phone
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434.298.5832
FOR OFFICE USE
ONLY Clearance Number: G\ea,oa\— �5c1
Fee Amount: $ 54 Date Paid: \O AAl�RO?r
�a°t�a1 By �l�\'� ,+n�arle County
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Receipt #: $'E,O$3$40PW840O339 Check #: NIPt By: r nunity develop � nt Department
Applicant - Fill out the entire page below
And return to Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902
Name:
Mike Martin
E-Mail Address:
mike@permit.com
Mailing Address:
319 Elaines Court., Dodgeville, WI 53533
Phone #:
608-407-9090
Tax Map and Parcel
number and/or Address
of the Business:
045B1-05-OA-01100
Zoning:
Slag will fill cut if unknown
Highway Commercial
Parcel Owner:
Commercial Rentals LLC
Owner's Address:
1024 Carrington Place, Suite 100
Check any that apply:
New Business
Change of Use D Change of ownership E Change of Name
Business Name:
Starbucks Coffee Co
Description of Business:
Describe the business including use, number of employees, number of shifts, availability of parking, and any additional info.
Starbucks Coffee Shop, 4-6 employees per shift
Previous Business on Site:
N/A
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:
1,200 sf
Is the Parcel Zoned LI, Hl, or PDIP?
Yes No
If yes, fill out a Certified Engineer's Report (CER)
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?
W] Public Septic
If on septic, provide Virginia Department of Health approval
Will you be putting up any new signage?
Z Yes No
If yes, obtain appropriate sign permit and list permit # below
Will there be new construction or renovations?
fZ Yes ❑ No
If yes, obtain appropriate building permit and list permit # below
Please list any applicable Building Permit #s:
B 21)zl _D2cl
i'
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
Date 10/12/2021
Printed Michael Martin
For Albemarle County Staff Review Only
Proposed Use:
CD ¢,ep—
s6e YZ
Permitted:
Yes ❑ No
Permitted by Section:
z It Z, I L 16
^^ C 51. G
Supplementary Regulations:
q
L019 2.0 1 [ • Z
Applicable Special Use Permit (SP):
y E U U— Zq / C.. r;ve--`tl
[ w\ o%,
7AAlt
Applicable Rezonings (ZMA):
2D l i� I /
Applicable Site Plans (SDP):
Z D 7 1 — 2 Q
Parking:
If there is an approved site plan associated with the parcel, the parking requirements will be defined by the SDP. Some
Parking Formula:
0A 1a0
Defipedby:!;Mfifte,
Plan ❑ Zoning Ordinance ❑ CoD ❑Existing
Total Square Footage of the Use:
1 ZDD
Required number of parking spaces:
0 1
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Associated Clearances:
7-oil— Z Lj S
Variances:
.�
Violations:
-�—
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 C ristmas Trees
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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 Official
Date
Zoning Official
Date /L f
Other Official
Date
REC F!, `D County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Phone: 434.296.5832 Fax: 434.972.4126 4
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_I.IPMENT
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