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Home My WebLink AboutCLE202100195 Application 2022-01-05Albemarle County Community Development Zoning Clearance Application 401 McIntire Rd, North Wing Chadonewhe. VA 22902 B, Phone 434.299.5932 FOR OFFICE USE ONLY Clearance Number: ClF,2OZA OOlGS Fee Amount: $ 61.36 Date Paid: JZI Z11Zi By: s� ShA W , pRj, w Application fee: $59 + Technology Surcharge: $2.36 Receipt # Check #: B : �ve4a afle C P 5C 1 �C U 6g1 2 �1 N b ' �' bl !�eye}�,pment L)e drtment ate / j` z t� Applicant - Fill out the entire page below and return to: iln Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902 "' -- - ---� Name: I oo ilwo -hu-w E-Mail Address: S D kh zack-A@ t71"- Mailing Address: Ilc$0 5-cmi(IOIC TiQlii (tOMeySy��Vk Phone#: 33-11 Tax Map and Parcel number and/or Address of the Business: ou 100- 00-00- l.%o TO a IIp$OSplYl%golt TY01d1 esylilt VP a,gOl Zoning: Staff Vol]1911 out ifunknow �ii 6WO-1 C�Otnl'Y mtraot.A Parcel Owner: powftwiri kxh Owner's Address; (bwSfkYl hDt,u-t(QA.ICItG Check any that apply: Now Business ❑ Change of Use Change of ownership ❑ Change of Name Business Name: bpvvr' bW V LIC Description of Business: Describe the business including use, number of employees, number of shifts, availability of parking, and any additional info. used auto saics—ii3 Em ioi I S'h *) lo5-rc tS-iPvreu(+Dm'e fpcil t dhat0 Cad Irf CIV9• Previous Business on site:' Floor Plan: Total'Square Footage Used--lllj ,for the Business: 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 mliormation. 30000 Is the Parcel Zoned LI, HI, or PDIP? f, Yes No If yes, fill out a certified Engineer's Robert (CER1 Will there be food preparation? Yes �No If yes, provide Virginia Department of Health approval Is the Parcel on public water or private well? t 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 Willyoube putting up any new signage? Yes No If yes, obtain appropriate sign permit and list permit # below Will there,be new construction or renovatiof7s Yes No If yes, obtain appropriate building permit and list permit # below Please list any applicable Budding Permit #Or�l 1u110 AC 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 provide true rid accurate to the best of my knowledge. I have read the conditions of approval, and I understand them, and that I ab d them. 11 �(r\•��, � / r J� Signature Printed !S6%:h2A0a- "WW1A \lfJ✓ �f ..Vh Ak Date t d d2 3 a' I 411; Abemarle County Zoning Clearance Application Community Development 4m Mtlmire ad. N00hWing Gttado6229esville, VA 22902 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, C.L£2.021 - I ` 5 clearance number provided by Staff or business name topflygM0yMhAtoEa jRr.Uc ei,*y zeoaurralty the owner Name of landowner on record of Tax Map and Parcel Number ouipp-op-OD IavTD 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) 9 Hand delivering a copy of the application to the owner identified above on Date ag) 31aO'1 ❑ Mailing a copy of the application to the owner identified above on Date 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 1a/A3/foa l 3 For Albemarle County Staff Review Only Proposed Use: ((O S= -fl Permitted! Li Yes _J No Permitted by Section: - Z�t Z� C Z5 Supplementary. Regulations. Applicable Special Use Permit (SP): �a 202 l C SS Applicable Rezonings (ZMA): Applicable Site Plans (SDP): 2207 _0� i5 btif)K{s) Parking: .: If there Is an approved site plan associated with the parcel, the parking requirements will be defined by the SDP. Some Code of Development. parking requirements are determined by a ZfvlA or by an ap ved " •4'= Ita Plan ❑Zoning Ordinance ❑ CoD []Existing Parking Formula: "f 3 CkA3ekt d" l Ao Total Square Footage of the Use: OD Q Required number of parking spaces: Associated Clearances: ow f d _ •. Variances: �' LV�Q uil3`Z� (� QR rViolations.- Is a site inspection necessary: ❑Yes blo Site Inspection on (date):. �— T.• j'L Notes: Conditions of Approval: Additional conditions of approval apply to Fireworks and Christmas Trees Approval Information [1I� 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 Additidna Building Zoning Other Official /-5-z2 County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Phone: 434.296.5832 Fax: 434.972.4126 Q 14 Cl�o�O J(� n(Ros I 1 G1ie2N�p.� I /A n Ocoe I T 5n*Y.F ruL i