HomeMy WebLinkAboutCLE202200030 Approval - County 2022-03-29.f OF
Zoning Clearance Application �Albemarle County
O `yy Community Davebpmenr
�l� 401 Mclnnre Rtl, Narih Wing
,a. Charloltesvire. VA I2902
r%kr:tN�P Phone 434296.58M
FOR OFFICE USE ONLY Clearance NumberUP, 20Z2. - 0002i0
Fee Amount: $ 61.36 Date Paid: By l/�?�!
Application fee: $59 + Technology Surcharge: $2.36 . nr;) t
Receipt #: 19-4-73% Check By: �1L, Q�p�
wrnrr, 4elopfflent Department
Applicant - Fill out the entire page below and return to: "[1 __
Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902FIIe
Name:
essl n Q(j$
E-MailAddress:
'es6;ca®fC1neSAnC1"M-
MailingAddress,
240 TWC►rTY NINTH PINCC CAJUK-11
Cr%ARI.OTTCSv1LLE VA 22A01.
Phone#:
(43LI) Clriel-8LISO
Tax Map and Parcel
number and/or Address
of the Business:
e��
240 Twet4 y N--N}h QIACCOr.
On o. f 10+1 -es V ; I l e , V A
22901
Fede-ii Qecil
Zoning:
Staff will fill out 0 unknown
'n
� Vs
Parcel Owner:
Owner's Address:
III ; -1C gFin
Check any that apply:
I ' New Business Change of Use — Change of Ownership '/Change of Name
a► ardrPfd,S -t'e W e
Business Name:
Description of Business'
Describe the business including use, number of employees. number of shifts, availability of parking, and any additional info.
P,e+a II \:Tew elntA 6�-oae. 0 peter 1A-F Io-(o & Siq-r 10-rl
to
Previous Business on Site:
Re i N e s Se W l e R S
Floor Plan:
Please attach either an architectural drawing or a sketch of the proposed business indicating the location of uses, the
uses of moms, the total square footage of the use, and any additional information.
Total Square Footage Used
for the Business:
2,280 Sa- U -
Is the Parcel Zoned LI, HI, or PDIP?
Yes Z No If yes, fill out a Certified Engineer's Report (CER)
Will there be food preparation?
Yes YNo If Virginia provide es, y p Department of Health approval
Is the Parcel on public water or private well?
YPublic ❑ 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 P No If es, obtain appropriate si n yg permit and list permit #below
Will there be new construction or renovationsil
I El Yes YNO If es, obtain appropriate buildin yg permit and list permit #below
Please list any applicable Building Permit #s:
41LL0
LZ.-0030L(
coning 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. T L1 �, �j
Signature Printed s'essice fRoGG`S
Date I
om
Zoning
Clearance
Application
�2�, oe Ilo
Albemarle County
°1MrinhoRd,O
'..
Cry
Ch otbe a Rd, 22 Wirg
W
ChatlotlesNlle, VA 22902
�BG[N�P
Phone 4M.2%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,
ei Ives & Roc'eas Se.wel eRs
clearance number provided by Staff or business name
to Feaeral Real}y S ja +rnenl Trvathe owner
Name of landowner on record
of Tax Map and Parcel Number _OCvl MO -00 - 12 - co I C) o 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 2 11 8122 to the following address:
2rYla;1: RP01and G federal f-ealiv . Co
(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
2.18. 22
For Albemarle County Staff Review Only
Proposed Use:
Permitted:
es ElNo
Permitted by Section:
Iz1 I Cl --� Z 2 t 2 (yf J C I
Supplementary Regulations:
�—
Applicable Special Use Permit (SP):
IGt 7,
L �INOC
Applicable Rezonings(ZMA):
Applicable Site Plans (SDP):
( S Z — ^1
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 pproved Code of Development.
Parking Formula:
51
Defined by: I
VSite Plan ❑ Zoning ordinance ❑ CoD ❑Fxdsting
Total Square Footage of the Use:
2 (1-w
Required number of parking spaces:
L lc a�i� L/ (/� ✓I t°!/ ✓'� P (' Z—
Associated Clearances:
Variances:
Violations:
Is a site Inspection necessary?:
❑ Yes o
Site Inspection on (date):
-
To Confirm:
Notes:
c
Conditions of Approval:
Additional conditions of approval apply to Fireworks and Christmas Trees
Approval Information
B/Approved as proposed ❑ Approved with conditions I 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
219
Zoning Official Date
3-z91z2
Other Officia
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville. VA 22902 Phone: 434.296.5832 Fax 434.972.4126 ,f