HomeMy WebLinkAboutCLE202100182 Application 2021-12-16Zoning Clearance Application
FOR OFFICE USE ONLY
Fee Amount: $ 61.36
Application fee: $69 + Technology Surcharge: $2.36
Receipt ##f -I EGCZ 1103CAA3 y353
Clearance Number:C,E?pu DOI$2
Date Paid:) 2 j Zj V
Check #: p 1 fl
Applicant - Fill out the entire page below and return to:
Community Development 401 McIntire Rd, North Wing, Charlottesville,
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Albemarle County
V�l Community Development
401 Mdntlre Rd, Nw Wing
t,.. Chalonee KVA 22902
PM e434296.5632
By:0-0"1 Jac-ii Ont.t.,n,t.
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By: �rlir7}oe,)&uMW42gt'
Date
munity Development Department
VA 2290file
Name:
cG1�1 CA
E-Mail Address:
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Mailing Address:
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one#:
U-r7 U-�45�i1
Tax Map and Parcel
number and/or Address
of the Business:
103 GonnOp
S�\�e 9
Ch0.riD e``vv
5\� 2
a�
Zoning:
Staff Will fill out if unknown
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Parcel Owner:
any that apply:
Q�5�1Check
❑ New Business ❑ Change of Use Change of ownershipBusiness
NQW Mpr 2T nersAddrenparking,
Name:
Description of Business:
Describe the business including use, number of employees, number of shifts, avny additional info.v
L r- P Sw\
S Zr \o� fits \
a�
Previous Bidsiness on Site:
W
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 n
Ll
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?
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
No If yes, obtain appropriate sign permit and list permit # below
Will there be new construction or renovations
❑ Yas
No if yes, obtain app opr ate buildin g permit and list permit # below
Please list any applicable Building Permit #s:
6
y-03315
!Zoning Clearance review cannot begin until the application a
This Clearance will only be valid on the parcel for which it is
location, a new Zoning Clearance will be required.
I hereby certify that I own or have the owner's permission to
information provided is true and accurate to the best of my k
them, and that 1 will abide by them.
Signature
Date
is complete and all applicable forms and fees are submitted.
ved. If you change, intensify, or move the use to a new
space indicated on this application. I also certify that the
e. I have read the conditions of approval, and I understand
1. am,
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Zoning Clearance
A plication
ti of A
g
Albemarle County
so _
Commundy D.vwop ent
401 Mdndre Rd. North Wmg
Chadonesvdle, VA 22902
P om 43 .2N.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,
GI✓E"Zvzl—(BZ
clearance number provided by Staff or business name
to New r�r�� �- \a,\ , r% 1 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
E /Mailing a copy of the application to the owner identified above on
Date �a / l / a 1 to the following address:
PO Qux ��u930 c\r1G\r.r,al 0
(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
3
For Albemarle County Staff Review Only
Proposed Use:
�-C-rc t
Peted rmit:
es ❑ No
Permitted by Section:
2--YAz&Z (
I Supplementary Regulations:
—
Applicable Special Use Permit (SP):
'7 (7-� —0,5 { / 9G_ V S . 7C 3 f 1 r 03_!
1, (• / i
Oct
Applicable Rexonings (ZMA):
Z00D -i j 7 p `0
Applicable Site Plans (SDP):G�(—
( C
C� tt �G3/ �'6_ C• 7
Parking:
If there is an approved site plan associat 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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t06a
Defined by.
Ite Plan ❑Zoning Ordinance ❑ CoD ❑Existing
Total Square Footage of the Use:
( D o 3c) r�
Required number of parking spaces:
/' �j `
-t(e s C 37(( uH`
Associated Clearances:
GLf- 2,024 - 8 C — 1
Variances:
CZ 50 -U[ u c
Violations:
Ce cd- r
Is a site Inspection necessary?:
[:jYes No
Site Inspection on (date):
To Confirm:
14
Notes:
Li -
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 Offlcia
''
Date / 11/4`` 77
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Zoning Official
Date
V v /�L
Other Official i I r
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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