HomeMy WebLinkAboutCLE202200046 Application 2022-04-14Zoning Clearance Application
FOR OFFICE USE ONLY
Fee Amount: $ 61.36
Application fee: $59 +Technology Surcharge: $2.36
Receipt #:
Clearance Number:
Date Paid: By:
Check #: By:
Applicant - Fill out the entire page below and return to:
Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902
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Albemarle County
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Community Development
401 McIntire Rd, North Wing
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Chadcttesville, VA 22902
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Phone 434.296,5832
Name:
E-Mail Address:
eriC @ 171 ar(i1a elsN..
Mailing Address:
Igoi3 WEST YVID(Z"IF cW11% 5r CK*1t�w-TT6jO
Phone #:
9 g0, all. 9 SIZ
Tax Map and Parcel
number and/or Address
of the Business:
1%bo `Z16 VkILL CEoTW.
C�►r *T-ITSVILLE)V{t 249ol
Zoning:
Staff will fill out ifunknown
Parcel Owner:
SC.'t R'10 1}ILt, L LC.
owner's Address:
ISm CGALLC F4A PKwvf SE,
Check any that apply:
[ New Business ❑ Change of Use ❑ Change of Ownership hange ofirfame 3033
Business Name:
pwcy— ?*be— sroc-:�
Description of Business:
Describe the business including use, number of employees, number of shifts, availability of parking, and any additional info.
RE'1KILW1Ef-aN TiLE L46. 3 -4 EMPLoYCES MAii C-/M -SA WT , 1- z. 5111441FTF FIM VA ,
TN13 % AN EXPANSIaN of Am N"w(. 14kc1c- R^oM S}bEs WTO AN Ej - C lwiliJim sue.
Previous Business on Site:
?AtV 7-serv% SKt-i PLUS A CLFi4i 6?ke
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:
-�ts7■
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 C J No If yes, provide Virginia Department of Health approval
Is the Parcel on public water or private well?
Fol"I 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:
ST022 — 0056S - AG
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 �1Printed f?-IL VNO
Date 11 14 �1 iz
2�� OF AGB�
9 Albemarle County
Zoning Clearance Application ° "� 401M Community Rd,
Charlottesville.
Mctesvil etl, 229 Wing
Chatloilesville. VA 22902
r lNCINFP Phone 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,
P-►�ttL V-CoM sows
clearance number provided by Staff or business name
to SC.-T i4b HILL LAG the owner
Name of landowner on record
of Tax Map and Parcel Number 0g500-00-00-094Ao 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 4 MI IS-- to the following address:
Soo GkLtP-?- k PKw,( SE, yt-k2t *k-Tyw-A Gh 3o331
(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 `*C,�,fi�G
Applicant Name Printed
Date
3
For Albemarle County Staff Review Only
Proposed Use:
Permitted:
I ❑ Yes ❑ No
Permitted by Section:
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:
Defined by: I
[_]Site Plan [_]Zoning Ordinance ❑ CoD ❑Existing
Total Square Footage of the Use:
Required number of parking spaces:
Associated Clearances:
Variances:
Violations:
Is a site inspection necessary?:
❑ Yes ❑ No
Site Inspection on (date):
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
❑ Backf low 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 Official Date
Zoning Official Date
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