HomeMy WebLinkAboutCLE202200006 Application 2022-02-11Zoning Clearance Application
FOR OFFICE USE ONLY
Fee Amount: $ 61.36
Application fee: $69 + Technology Surcharge: $2.36
Receipt (41NoLciL CIZ W
Clearance Number: �(' ,� onODD L'
Date Paid: I I U 1 ari.
Check* P (A
Applicant - Fill out the entire page below and return to:
Community Development 401 McIntire Rd, North Wing, Charlottesville,
Albemarle County
Community pevebo nt
401 McIntire Rd, Narth Wing
Charlottesville, VA 22902
P1 m 434.2 5832
By:Chvls+in.e Bowers
APPRObED
By [1DIttY ommunrty Development Department
Date _2-
VA 229001e
Name:
f
E-Mail Address:
r� SI2ze�
Mailing Address:
2 00 COM r 00 tt/i1l4
Phone #:
3 2 13 5Tax
Map and Parcel
229o/
11 18 Croz¢ t vv—
Zoning:number
and/or Address
Staff will fill out ff unknownof
the Business:
Gr02ei- VA 22.93.
Parcel Owner:
dav\I (
i% L
Owner's
11I$ ��
Check any that apply:
New Business Change of Use Change of Ownership Change of Name 229
Business Name:
ri
LLCi
Description of Business'
Describe the business including use, number of employees, number of s ills, availability of parking, and any addi to al info.
twwI .S e-c o
Previous Business on its:
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. 1 q 0 S� f " znd /�
00 v(
t-)
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 2No 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 F,4No If yes, obtain appropriate building permit and list permit # below
Please list any applicable Building Permit #a:61AA
I'
el
Zoning Clearance review cannot begin until the application above is comllilete 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 thatIwill by them.
laabide
Signature N — PrintedCi\C,,5N1" tiJ ills
Date tIce
�T/2n3--2
2
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>2
I,� %, Albemarle County
Community N.10 rent
Zoning Clearance Application � = 41Mdrdt R4 Norh Wing
G"00 tesville, VA 22902
Ph.. 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,
0-ci5kW &LQLrs L tAFT c,l.0 Aba C ks/bnQ Family �^'�rY
clearance number provided by Staff or business name C LC 2Z Z%-- Q E
to Ham',Ihn fl'ld I 1 C 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 1/&/On
❑ Mailing a copy of the application to the owner identified above on
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 (;s �1 r'Z F>Qw-ems
Date ] lb 11022
3
For Albemarle County Staff Review Only
Proposed Use:
i -
Permitted:
qKyes ❑ No
Permitted by Section:
; Z G f� �.� -
��'
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 requirements will be defined by the SDP. Some
parking requirements are determined by a ZMA or by an approved Code of Development.
Parking Formula:
'r2 C 1,45
Defined by:
FDSIte Plan ning ordinance ❑ Coo ❑Existing
Total Square Footage of the Use:
i l Ci L 2 k ri
Required number of parking spaces:
- Q G,
Associated Clearances:
ZE-Z,I " e�� C !
1
LLB -
Variances:
—
Violations:
Is a site inspection necessary?:
❑ Yes ❑ No
Site Inspection on (date):
To CConimn:
Notes:
` J.
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Conditions of Approval:
Additional conditions of approval apply to Fireworks and Christmas Trees
Approval Information
pproved asproposed Approved with conditions ❑ Denied
ackflow prevention device and/or current test data needed for this site. Contact ACSA, 434.977A511 ext. 117
r
o physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance
ith the existing site plan.
his site complies with the site plan as of this date.
Conditions:
_ kc , ' r A'6dej
Additional Notes:
/ / /
�
Building Official Date .�/ �6/��
Zoning Official Date Z—t
Other Official Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Phone: 434.296.6832 Fax: 434.972.4126 4
floorplan.jpg
1/6/22, 2:24 PM
16 C'
20.0'
8.0'
I120.0 sf
Porch
First Floor 8.0' 16.0,
FINLA
1140.0 sf
22.0'
b I o PORCH
q1 14Z0 sf
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