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HomeMy WebLinkAboutCLE202200009 Application 2022-02-02e Zoning Clearance Application Albemarle County C wnmuniy pedNepnanl 401 MUntire R0, NOM Wing Chadddew le. VA Z2W2 Phone 4V.2 Ss32 FOR.OFFICE USE ONLY Clearance Number:' 2• e Fee Amount:-$ 61.36 Date Paid: I I� (rya By; Application fee: $6e + Technology Surcharge: 32.36 +receipt#:3Ti5 U check#: 161A By:f1111� Applicant - FIII out the entire page below and return to: " Pur merit Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902 "-- --__ Name: i EVe e E-Mail Address: gVe gg r • Tse't•' MailittgAddress: 9545( n %re Ln- C-wA ✓4 2290I. Phone #: e'/3tf SaS 1878 Tax Map and Parcel 0&1100-02-00-00300 number and/or Address, Zoning: I'll CxmWw, ) 3D0p�r�n0.r�r.fCtV���tl✓/1 seHwnmloulruaknom of the Business: .09 Parcel Owner: but- __D__6 (,•I e* :Owners Address: 3oo26[rkP,atr Dr.2GaiticrV� Check any that apply: New Business ❑ Change of use Change of Ownership ❑ Change of Name Business Name: Cf--" FJ!fnt3S L'J-XA7 Descrinftnn of Busr.,e�e. Descnb --r--••-•---•••--••••••-.,.,i-cu..,vuae,,n,nmer or employees, number of shifts, availabilit of arkin and an additional info. Y parking. Y tlboblc Mark ho4 s Cn sit s►YIFhs�• Pith of u+ar�1 nr� r 9 - Previous Business on Site;: (} wtu q (,{tµr� Of ,gbr 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 fit for the Business: Is the Parcel Zoned LI, HI, or PDIP? ❑ Yes lir No - If yes, fill out a Qgrrfied En i leers R cod t Far Will there be food preparation? ❑ Yes EjrNo 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 8 below Will there be new construction or renovations Yes ❑ No If es, obtain appropriate buildin Y9 Permit and list permit t below Please list any applicable Building Permit #s:, r'd0oi I - D 3S 34 9 202Z —nn-2 q 4 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 IIwwill abide y them. Signature i Printed Eve 1"TGS.S�'i[Tfe� Date �� �� Zoning Clearance Application Albemarle County c.m...�y �ereN.M wt "OWe Rd, 229M GbMtlenNlb. VA ]2902 Ph.. A3I.]9 SAM 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, Ca..t F,Jry A L 1,C GL��ozz-0� clearance runiber provided by Staff or business name to 12erWr Park L P the owner Name of I ndowner on record of Tax Map and Parcel Number0(9jlaQ-D2�0[ - �D 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 J mail. (Please check one of the following below) LY Hand delivering a copy of the application to the owner identified above on Date I' I( I22 ❑ 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 determiiniinn/g,, this information if needed) Signature of Applicant A�.//LLiC Applicant Name Printed EVe Hesse //" -iA Date For Albemarle County Staff Review Only Proposed Use: 11 a cir Permitted: as ❑ No Pernikterl by Section: `I 7 ' ( 7. Z' I tb $ Supplementary: Regulations: Applicable Special Use Permit (Sp):-2— Applicable Rezonings (Zli .Applicable Site Plans (SDP): 4 A —7— Parking: If there is an approved site plan associated with the parcel, the parking requirements will be defined by the SOP. Some parking requirements are determined by a ZMA or by an a oved Code of Development. Parking Formula: - Total Square Footage of the Use: 100 c— Defined by: Its Plan ❑ Zoning Ordinance ❑COD ❑Existing it 7P Required number of parking spaces: Associated Clearances: 7 -tCe— O �%,_ 5 057_ 2.01, Variances: vlolauons:. % 0© Z'0a — p Is a site inspection necessary!: ❑ Yes o Site inspection on (date): � To Confirrrn• C 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. 7Additional al Date2/ /Z� Date Z—Z--�2 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 C M C Tf D Op A NE• l � A � �'• C.a .<1 En<r gtnc� JJ 53' Key: M=2'x2' A= Half Bath 1: 5' wide x 7' deep. Door is 3'. B= Half Bath 2: 7' wide x 7' deep. Door is 3'. ADA Compliant C= Foyer/Reception: 12' x 23' D= Shower/Changing Room 1: 5' wide x 7' deep. ADA Compliant E= Shower/Changing Room 2: 4' wide x 7' deep. F= Main Fitness Studio Space. 4 P x 30' G= Utility Closet 3' x 4' W D