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CLE202100185 Application 2021-12-10
Zoning Clearance Application FOR OFFICE USE ONLY Fee Amount: $ 61.36 Application fee: $59 + Technology Surcharge: $2.36 Receipt M OOT611jz(P6%2U3 Lt532ZK Clearance Number:C(11� 20ZA 001%5 Date Paid: 1 1 1 301 2-1 Check #: u I A Applicant - Fill out the entire page below and return to: Community Development 401 McIntire Rd, North Wing, Charlottesville, S� gF ii Albemarle County o Community Development V 401 McIntire Rd, North229 Wing 229 '+ChanotlesviYe, VA 02 �1Hft^�A Phone 434.296.6832 By: VQVIA 11 -IRr1Its v ff, Cody r11-t[(t SVfY WWrs Date �? vAl7 FFO�PP �-----_ Name: Kt E-Mail Address: kevin@martinhorn.cori Mailing Address: 2Road, 22902 Phone#: 434 270 0160 Tax Map and Parcel number and/or Address the Business: yninth place ct Zoning: StafwillfilloutifunknownD�of rParcel Owner: eality Investment Owner's Address: 1117 Emmet Street Check any that apply: 0 New Business Change of Use D Change of Ownership ❑ Change of Name Business Name: Describe the business including use, number of employees, number of shifts, availability of parking, and any additional info. Description of Business: golf club fitting and instruction, less than 5 empolyees, normal hours, Previous Business on Site: mattress company 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: 2, 640 Is the Parcel Zoned LI, HI, or PDIP? Yes No If yes, fill out a Certified Engineer's Report fCER) 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? Public Septic If on septic, provide Virginia Department of Health approval Will you be putting up any new signage? Yes Qx No If yes, obtain appropriate sign permit and list permit If below Will there be new construction or renovations? 0 Yes No If yes, obtain appropriate building permit and list permit # below Please list any applicable Building Permit #s: B2021-0314 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. Kevin Fink Date _ l 1 -,in- c' oe ate 2 Albemarle County Zoning Clearance Application ''" 401 0ommoCommunityRddeNorth t , Wing 229 $ Chado[lesvilleMcIntire R, VA 22962 �TRGSA�P Phone 434.296.5832 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, Club Champion Golf GLf- Z©Z' 33 clearance number provided by Staff or business name to Federal Realty Investment the owner Name of landowner on record 061 mo-00-12-001 C2 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 11-30-21 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 Kevin Fink 3 For Albemarle County Staff Review Only Proposed Use: It S � Permitted: Yes ❑ No Permitted by Section: Z SI 2 I I 2 2- L Supplementary Regulations: Applicable Special Use Permit (SP): i Applicable Rezonings (ZMA): Applicable Site Plans (SDP): �7 DI t� f 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 a roved Code of Development. Parking Formula: 75 d a90 Defined by: Site Plan ❑Zoning Ordinance ❑ CoD ❑Existing Total Square Footage of the Use: 4 6 yo Required number of parking spaces: l3 S kbe-s v I er 512F 203- !3 Associated Clearances: LQ-2SZ ! J J Variances: / l —0 j q3 17 Violations: OV102 D (GGZ — �Q 7i✓102 of Z ZQJ `-7 —06 Is a site inspection necessary?: ❑ Yes No Site Inspection on (date): To Confirm: yl. Notes: L L 2 �� 13Z �ori I✓r� Yrr'cl,S 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. ❑ 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 McIntire Road Charlottesville, VA 22902 Phone: 434.296.5832 Fax: 434.972.4126 4 an'"YO��'nisia•w'xwuynexixanoneo.ssa�xnavewm�nsawm siurerYmoaauuoanmmnxunnn 'saxne3sv�iw wva.waweae muYsmaw xvua�swamxaasw F ONI11II 10311H0 tl � � � O a�Yd-10a9 NO1dwdHJ MID a LL e 3 e 55 yy � > 4 ~ N y p Z y w � V Saa y 4 O U JN Q J k89 J ; Oil �fd W .1 Z y Su O oQ m d pppp e i �' w 3° = maY=3qqk bkia a a g@ Y IN Pf y M Y w V y n € $ y W z ck 3:ag Z E a e a Na ? \$ bye se a w#¥ a8 J LL, is U— g wa 1 Ni1 c¢z !n jgg� sIp- 1�1¢ sw � a g'4 ggygg� ' gg w€3Y a"s o2'.. p g �g'bY�F97E �2 g Vie. aY �a 9,51 :� tE UJIM, 8wswag"a-�g$g�o say € as sx Bill� I$ gs say g e e ^R - P ) l�^\7 S \OanV \EA7 �!!,. � ■ | [ , /w| \ §} \ \7 S NmawV o EA7 § !4G~nnn m,p }l222212 d 7