HomeMy WebLinkAboutCLE202100166 Application 2021-12-16Zoning Clearance Application
FOR OFFICE USE ONLY
Fee Amount: $ 61.36
Application fee: $59 + Technology Surcharge: $2.36
Receipt #: 31 d8zsL`?5g69V
Clearance Number:
Date Paid:
Check #: if� C,
Applicant - Fill out the entire page below and return to:
Community Development 401 McIntire Rd, North Wing, Charlottesville,
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Albemarle County
O Community Development
°f 401 McIntire Rd, North Wing
Chadottesville, VA 22902
Phone 434.296.5832
By: c
By: 5yrtk APPROVED
by the Albemarle County
Community Development Department
Date__ t-Z�l6'7
VA 2290EI16 ___
Name:
IT King Jennings with Trinity Program Management, Inc.
E-Mall Address:
traceyjennings@trinitypminc.com
Mailing Address:
2472 Jett Ferry Road, Suite 400, Dunwoody, GA 30338
Phone #:
770-289-0781
Tax Map and Parcel
number and/or Address
of the Business:
61W-03-19A
Zoning:
Staff will fill out if unknown
HC: Highway Commercial
Parcel Owner:
OCT Stonefeld Property Owner LLC
Owner's Address: 1
240 Royal Palm Way, Palm Beach, FL 334
Check any that apply:
New Business F�] Change of Use ❑ Change of Ownership ❑ Change of Name
Business Name:
Description of Business:
Describe the business including use, number of employees, number of shifts, availability of parking, and any additional info.
100% organic lifestyle eatery/restaurant with dine -in and carry -out. Parking is provided by County -approved parking plan for The Shops at Stonefeld.
Previous Business on Site:
Business name unknown. Previous tenants were retail and restaurant uses.
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:
3,225sf
Is the Parcel Zoned LI, HI, 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?
X� Public Private If on private well, provide Virginia Department of Health approval
Is the Parcel on public sewer or septic?
Public �Se tic 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
Will there be new construction or renovations?
X Yes No If yes, obtain appropriate building permit and list permit # below
Please list any applicable Building Permit #s:
TBD. Building plans to be submitted to County concurrently with Zoning Clearance application.
P2_RZ-11 — U316
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 Printed Tracey King Jennings with Trinity Program Management, Inc.
Date November , 2021
2
For Albemarle County Staff Review Only
Proposed Use:XtAO-44t
Permitted:
Yes No
Permitted by Section:
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Supplementary Regulations:
Applicable Special Use Permit (SP):
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Applicable Rezonings (ZMA):
7490- 2 Dl1-07 -ON
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Applicable Site Plans (SDP):zol�
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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:
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Defined by: I
IlAte Plan Ll Zoning Ordinance CoD Existing
Total Square Footage of the Use:
31 Z
Required number of parking spaces:
15� L� Q ro ✓ I `ff_ / - Srj) 2plZ"O�J
Associated Clearances:
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Variances:
ZOt - Z�
Violations:
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Is a site inspection necessary?:
Yes o
Site Inspection on (date):
C,
To Confirm:
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Notes:
Conditions of Approval:
Additional conditions of approval apply to Fireworks and Christmas Trees
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Approval Information
Approved as proposed Approved with conditions
D Denied
l 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 tllhe,, site plan as of this date.
Conditions:
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Additional Notes:
Building Official
/
Date
Zoning Official
Date
Other Official V
Date
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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