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CLE202100176 Application 2022-01-05
Zoning Clearance Application FOR OFFICE USE ONLY Clearance Number: C(,F,2-021 — 001'1(0 Fee Amount: $ 61.36 Date Paid: I (12ti 120 Application fee: $59 + Technology Surcharge: $2.36 Receipt # fpl 031-11 MoZAAS$1% I Check #: R Applicant - Fill out the entire page below and return to: Community Development 401 McIntire Rd, North Wing, Charlottesville, pF ALg =2 I,IIF"y Albemarle County O Community Development 401 Mclnbre Rd, North Wing ChadottevAl., VA 22902 �gCIN�P Phone 434.296.5832 ByAIb°tY1l (L ftrV;L&(1h_" c.C- By: u `t `^ �`o9Yh8 emar County 4 Community Development Department VA 2290p Is to ----L_.._., 2_ ZZ_.__—__ Name: Amanda Goodell E-Mail Address: agoodell@albemarlemanagement.co Mailing Address: 3 Boar's Head Lane, Suite B Phone #: 434-328-1063 Tax Map and Parcel number and/or Address of the Business: Charlottesville VA 22903 same as mailingf Zoning: Staff will fill out if unknown Parcel Owner: UVA Foundation Owner's Address: Check any that apply: © New Business Change of use Change of Ownership Change of Name Business Name: F-A Describe the business including use, number of employees, number of shifts, availability of parking, and any additional info. Description of Business' Exempt Reporting Investment Advisor, 1 employee other than the business owner Previous Business on Site: unknown 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: 1,062 sq ft 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 I will abide by them. Signature PrinteclAmanda Goodell Date 23 November 2021 2 ' 001A,4,4�� Albemarle County Zoning Clearance Application `0mm°°Iirety Rd. alhW 401 McIntire Rd. Natlh Wing Charlottesville, VA 22902 -- -Phone 434296.5832 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, Albemarle Management LLC G L G W-1-( —t ?6 clearance number provided by Staff or business name to UVA Foundation c/o Thalhimer as agent 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 ❑x Mailing a copy of the application to the owner identified above on Date 23 November 2021 to the following address: 3 Boar's Head Lane, Suite D, Charlottesville, VA 22903 (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 Amanda Goodell 23 November 2021 3 For Albemarle County Staff Review Only Proposed Use: ©� (� Permitted: es ❑ No Permitted by Section: `Z�e 2 4 C 2 D Supplementary Regulations: �— Applicable Special Use Permit (SP): `--� Applicable Rezonings (ZMA):--^_ Applicable Site Plans (SDP): Parking: If there is an approved site plan associated with the parcel, the parking requ. ements will be defined by the SDP. Some parking requirements are determined by a ZMA or by an approved CodeZ Development. Parking Formula: 70 yt 1 Defined by: I ❑Site Plan Zoning Ordinance ❑ CoD []Existing Total Square Footage of the Use: 1.4 06 2- Required number of parking spaces: q . V—e s Associated Clearances: 2-0 `Z 1 — 1 V 6 2-02P-6J / �r Variances: '? 16 ` z 3 � Mice w r sC- b9c Violations: Is a site inspection necessary?: ❑ Yes E94, Site Inspection on (date): c To Confirm: Notes: 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 Offic Zoning Officia Other Official County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Phone: 434.296.5832 Fax: 434.972.4126 4 3 Boars Head Lane, Suite B — Main Floor,1,062 Square Feet, $2,300 per month full service 3 Boar's Head Lane, Suite B — Main Floor, 1,062 Square Feet, $2,300 per month full service .......... . w LJ