HomeMy WebLinkAboutCLE202200055 Application 2022-04-28 Z Zoning Clearance Application Albemarle eoment
Cunty
Community DevDevelopment7 4Ch Mcln6re Rd,North Wing
ChartottesviB VA 22902
Phone 434.296.5832
FOR OFFICE USE ONLY Clearance Number:c( WZZ_ 0DO55
Fee Amount: $61.36 Date Paid: tit tit 22 By:J tt I C 0t
Application fee:$59+Technology Surcharge:$2.36 a
Receipt#: Check#: q 6 By: Di3 Kitt(�
Applicant- Fill out the entire page below and return to:
Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902
Q-NA ll c SIB 4 c e s G rA-eu 1 ca,ev%
Name: 34% G 30101 E-Mail Address: .j4cya�crc2S@bcao���•C4:,n
Mailing Address: y 2N )Ztctwoc Lc €.1)'''ty Yl zZ� f� \ Phone#: 51 I- ZI L - 1( i3
Tax Map and Parcel 1‘)Q0 ger f o6 is Zoning:
number and/or Address Staff win fin out if unknown
of the Business: t.aa-i y y v• l l t, 22-13(d
Parcel Owner: Ju,l i t'_ c�. Owner's Address: tft4 'l2-e¢wa o d tJcai c c I
2L 53`
Check any that apply: 1—tAew Business Change of Use I I Change of Ownership Change of Name
Business Name: �'vt' lc Siaccs,
Description of Business: Describe the business including use,number of employees,number of shifts,availability of parking,and any additional info.
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Previous Business on Site" ,.r p P,_ I n tl e - ?h Si u CLAel
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 23A.
for the Business:
Is the Parcel Zoned LI, HI,or PDIP? Yes No If yes,fill out a Certified Engineer's Report(CERZ
Will there be food preparation? Yes Ry'No If yes,provide Virginia Department of Health approval
Is the Parcel on public water or private well? Public T Private If on private well,provide Virginia Department of Health approval
Is the Parcel on public sewer or septic? I I Public /Septic If on septic,provide Virginia Department of Health approval
Will you be putting up any new signage? Yes R y No Ifobtain appropriate and list
I YI yes, signpermitpermit#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:
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 C ,`.1 �11�--� Printed Jt l 11 C. -30 ye I"
Date U `7'2y- yo?j
For Albemarle County Staff Review Only
Proposed Use: Permitted: 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?: L ]Yes j 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 I I Approved with conditions I 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 Official Date
Zoning Official Date
Other Official Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville.VA 22902 Phone:434.296.5R32 Fax:434.972.4126 A
RECEIVED
APR 2 7 2022
COMMUNITY
DEVELOPMENT
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W: WAncil I hereby certify to the best of my knowledge
and belief that construction of the units depicted
hereon is substantially complete and that this
3)t)41.-. plan is araurate, correct and in compliance with
the provisions of subsection 55-79.58 and
Virginia Code Anno. (1984 Cumm Supp.).
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Civil .,'finder my hof this 14 Ct dal, of cwtcr-1990.
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Stole Certified Architect
RECEIVED
APR 2 7 2022
COMMUNITY
DEVELOPMENT