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HomeMy WebLinkAboutCLE202100180 Application 2022-01-05soya & fining Clearance Application Albemarle County m Comunity Development 401 McIntireeRd. North Wing Werl Chatlotlle. VA 22902 P/NCt , Phone 434 296 5832 ,30 FOR OFFICE USE ONLY Clearance Number: Ue `1.0ZA 001 Fee Amount: $ 61.36 Date Paid: (2 11120ZI Application fee: $59 + Technology Surcharge: $2.36 Receipt #: 11147 S-1 Check #: Applicant - Fill out the entire page below and return to: Community Development 401 McIntire Rd, North Wing, Charlottesville, By: App . (,(Andsw-pe.s By�ni�4a�. Summers ommunity Del rtment Date a z VA 22goTile Name: A poi kc(n i 4,, LAh al scc c S L « E-Mail Address: yt.5 r%�8w R 2q�!/tr+'!w ' 4 Mailing Address: 550% V1)0 wood /U era&)[PA Phone#: 3 �� y%$Z Tax Map and Parcel number and/or Address of the Business: /s��� �� 1po37 R-OC;F(3F (-4ro T k P I' Zoning: Staff will fllout ifunknown t Parcel Owner: _ rN ft•_ LL,C Owner's Address: n %LY, 1"�� 4`Pr,zc�j^A Check any that apply: ❑ New Business 0 Change of Use 0 Change of Ownership ❑ Change of Name Business Name: Description of Business: I�YA Describe business including use, number of employees, number of shifts, availability of parking, and any additional into. L -i -Idsc � r Cr A c Nil- , 6 - � e ^ kO e of -IZIO L,o � 7-5-Arles , / 0 fi-ce ,.i d G I S—Q/� to e Previous Business on Site: h l��S Usst 44 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: / 0 U fD 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? ❑ Yes No If yes, obtain appropriate building permit and list permit # below Please list any applicable Building Permit #s: 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 II yxwill /nabide by them. /ter Signature r�`� r'� /�� Printed /2Date lc ! ! 107-1 2 ?293L of Zoning Clearance Application ru. Albemarle County Community Development 401 McIntire Rd, Wing 229 �p �` ChaAotlesville. VA 22902 �2AG/NlP 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, Abf'�1u(c,t'ti11 tA401s,-kii Lit S70 prance number provided by Staff or 15usiness name to III vtl4 1✓ L L the owner Name of landowner on record of Tax Map and Parcel Number 556 — / 6 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 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 n�tkc'w 3 For Albemarle County Staff Review Only Proposed Use: I � iw f t4 r C%'Vr Lr Permitted: Yes ❑ No Permitted Section: 2f{t 7— 1 C. ZZ) Supplementary Regulations: '�' �C f� e4kVV. AeWq Applicable Special Use Permit(SP): f9Z 7K C�1'I j wh Applicable Rezonings (ZMA): Applicable Site Plans (SDP): �— 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: ( Defined by: I ❑Site Plan ❑ Zoning Ordinance ❑ Col) ❑Existing Total Square Footage of the Use: 11600 Required number of parking spaces: 6 fie. �ry3i Associated Clearances: zo(O— �6 Variances: 1.tit S- Violations: ` Lut tg Li 13--02— r{V e Issaa site inspection necessary?: Site a Inspection on (date): ❑ Yes EGAo 41 To Confirm: Notes: ``nn r t Ok9fy0d✓ 5 d✓Zis T- Ol{,V c ktV IV( -ffj5 rbtf .56V K i✓f�' 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 Official Date Zoning Official Date ! _ 5 - Z Z 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 0 -Von I I set found I go smm Z TM 558-1 -'-ROUTE 250 —� U- 5'- q Von found 55 _4. 3.06, Came/ loand NW al Iran Von found 359.1y way N 9f26.20"E van 63.53' I.-d f set In I Sly. 183.30 an an 9•Metal Sid n9 an I n 3 ; !—� 1511, 61y 00 Franc in o z ' CHAINLINK in Iron bon set FENCE c- v1 t c N TO 4r30-E 1= ENCLOSURE 29.9Y n io N a TM 558 - 16 w LO O A I' b 0.524 ACRE 1 TM' 55B - 15 ! w 1.986 ACRES 00 r ; o N R.•A. YANCEY LUMBER CORPORATION 0 — p o OR 363 - as o ¢ z in _ J 4 Z 8 - z TM 558-17 See PLAT 08 408- 382 } JEFFREY S. SPROUSE 'bon DS 2120 - 724 Iron sat .at See plot by PIC,1ARO A. YANCEY , ED.S. YANCEY Roger W. Ray aAcems- and SARAH YANCEY MAY dated 5-22-2004 78- 23 WB 70-95 o yeWS O O N z CINDERBLOCK - o BUILDING u, o TM 558 - 16A LOT A onn 1.211 ACRES ael N a]•33'40-W - 18 ta0' (51.30 Pipe II S sq-or40" W at metal fence Post al ten Car. I A �.•. Ydn TM 558 - 15A Iron round Wp4 ORA13 F05��— Y CERTIFICATE No. nYn 54-17-3(a)998 Ox �>; 54-17-3(b)171 J-° J4 AO LgND W. MORRIS FOSTER LAND SURVEYOR NELLYSFORD , VA. found Lg. Pipa at fence COI PLAT SHOWING SURVEY OF TAX MAP 55 B - PARCELS 15.16. and 16A 0,5 MILE t WEST OF BROWNS ILLLE WHITE HALL MAG. DISTRICT OF ALBEMARLE COUNTY, VIRGINIA DATE: 6-23-2004 REV.; A In w m wo