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HomeMy WebLinkAboutCLE202200023 Application 2022-04-05E Cammuniry Development Albemarle County } ��k � i 401 Mclnlim Rd, Noah Wing Charbtleav le, VA 22902 i�aglN%h .. Phone Once you have all the required information provided above: 1. Fill out an application. Please Complete page 2 in Its entirety. 2. Submit an application. Bring or send a completed application to Albemarle County Community Development at 401 McIntire Rd, North Wing, Charlottesville, VA 22902 3, Pay. The application fee can be paid for in person or online. If paying online please attach a copy of your payment receipt. A Zoning Clearance Application will not be processed until payment has been received. 4. Notify the Owner. If you are not the owner of the property, please fill out page 3. 1 Zoning Clearance Application ,FOR OFFICE USE ONLY Clearance Number: GLG Fee Amount; $ 61.36 Date Paid: ino -fee 19 Application fie: $59 + Technology Surcharge: $2.36 _ —ilOn _ / } C1�°�T 1 .. Receipt #: Check #: F w1 By; . Applicant- Fill out the entire page below and return to: Community Develooment 401 McIntire Rd. North Winn Chsrlottasvifla VA 99gm Association 3C/MD1VA Chapter Name: - r30 Mailing Address:. Guide Drivel Suite 1501 Rockville MD 20850 Tax Map and Parcel 55.109E and 55.109 number and/or Address 6135 Rockfish Gap Turnpike of the Business: Crozet, VA 22932 Parcel Owner: Pro Re Nata Brewing Co. LLC E-Mall Address: Phone #: ` Zoning: staff will fill out ifunknown owner's Address: aatwillRalsinfo.ors 804-432-9539 6135 Rockfish Gap Turnpike Crozet, VA 22932 Check any that apply: ElNew Business ❑ Change of Use ❑ Change of Ownership ❑ Change of Name Busineesdame: , Description of Business'. Pro Re Nata Brewing Co. LLC Describe the business including use, number of employees, number of shifts, avaMabYity of parking, and any additional Info. Blue Ridge Ride to Defeat ALS departing and returning to Pro Re Nate parking lot. Only Ride to Defeat AILS Volunteers. Special Event Application - May 14, 2022, using existing Pro Re Nata parking lot, rest rooms, and ports potties. Previous Business on Site: N/A Floor Plan: Please altsch 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. (Please see attached) Total Square Footage Used for the Business: NIA i Is the Parcel Zoned LI, HI, or PDIP2 - ❑Yes QX No IT yes, fill out a Certified Engineer's Reoort (CF.RI Will there be food preparation? Is the Parcel on public water or prjvpte well? ❑ Yes No If yes, provide Virginia Department of Health approval QPubllc Private If on private weal, provide Virginia Department of Health approval Is the Parcel on public sewer or septic? — T ❑Public [] Sephc If on septic, provide Virginia Department of Health approval ._...._.__....._M....__..�_.�........�.,,�I� Albemarle County y Community OevebpmeM ... poem �AOITIS� I certify that I will provide (or have provided) notice of this clearance application, Pro Re Nata Brewing Co. LLC Clearance number provided by Staff or business name 6135 Rockfish Gap, LLC, the owner Name of landowner on record of Tax Map and Parcel Number 55-109B and 55-109 by either delivering a 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 QX Mailing a copy of the application to the owner identified above on Date: December 2, 2021, to the following address: Pro Re Nate 6135 Rockfish Gap Turnpike, Crozet, VA 22932 (Written notice to the owner and last known address on our record books will satisfy this requireme,it. Please see staff for help determining this information if needed) Signature of ApplicantO�xD� Applicant Name Printed��LQI Date � a • na - a.o `a• \ For Albemarle Proposed Use: HLY a.rt IXGr�...LL�• v U,vu arr hike M C2 — rw c'V" r Permitted: Yes ❑ No o Permuted 6y Seaton: ,iy. C_ .__ L.. .. ,C Llta �O(tt WtY Supplementary Regulations: Applicable Special Use Permit (SPY Applicable Rezonings (ZMA): A r Applicable Site Plans (SDP):, Parking: Parking Formula: n 0� 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. Defined by: site Plan ❑Zoning Ordinance ❑ COD xistlng Total Square Footage of the Use: -Required number of parking spaces: t`-- �1 NXi J , � o!t S-7� per —1 r I 1 �/ t 1 Associated clearances: GLG d�.�i"1 ' " WV-1 V-10o-n Variances: Violations: nip• Is a site Inspection necessary? El Yes XN, Site Inspection on (data): 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, 434.977A511 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 compiles with the site plan as of this date. Conditions: Notes: Camrmity Development 401 MVnft Rd. North Wing Cherloffew ille. VA''.2902 Will you be putting up any new.signage? ❑ Yes XQ No Will there be new construction or renovations? [lYes 0 No Please list any applicable Building Permit #s: Zoning Clearance review cannot begin until the application above is comp 00M4AlbemarleCounty Phone If yes, obtain appropriate sign permit and list permit # below If yes, obtain appropriate building permit and list permit # below fees are 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 2 Zoning Clearance Application Applicant - If you are not the landowner, please fill out the entire page below confirming that you have either informed oi' are going to inform the c. vner of your zoning clearance application. CERI]FICATION THAT NOTICE OF THE APPLICATION HAS PROVIDED TO THE LANDOWNER Building Zoning Offic Dther Date 401 McIntire Road Charlottesville, VA 22902 Phone: 434.296.5832 Fax: 434.972.4126