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HomeMy WebLinkAboutCLE202200067 Application 2022-05-16Zoning 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 ,t OF Albemarle County J=� rnV Community Development 401 McIntire Rd, NaM Wing _ _ " Chadottesville, VA 22902 hIeGINiP Phone Q4.295.58U Name: Robin Burger E-Mail Address: robin@banyancs.com Mailing Address: 650 Patrick Place, Brownsburg, IN 46112 Phone #: 317.747.0555 Tax Map and Parcel number and/or Address of the Business: 03200-00-00-04300 141 Community St. Zoning: Staff will fill out if unknown Parcel Owner: New Market-Hollymead, LLC Owner's Address: 3284 Northside Pkwy., Atlanta, G Check any that apply: © New Business © Change of Use ❑ Change of Ownership ❑ Change of Name Business Name: Sole Salon Description of Business' Describe the business including use, number of employees, number of shifts, availability of parking, and any additional info. hair salon; individual studios concept. 25 employees, day shift only, existing parking will accommodate our business. Previous Business on Site: Verizon Wireless 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: 4650 Is the Parcel Zoned Ll, HI, or PDIP? ❑ Yes ❑X No If yes, fill out a Certified Engineer's Report (CER) Will there be food preparation? ❑ Yes ❑X No 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 ❑X No If yes, obtain appropriate sign permit and list permit # below Will there be new construction or renovations? ❑ Yes ❑X No If yes, obtaiaiin appropriate building permit and list permit # below Please list any applicable Building Permit #s: 3 Z2 OZ" U l 3 D C, 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 qg�X` � Printed Robin Burger Date 5-12-22 2 Zoning Clearance Application : " M (�I1CtNtP Albemarle County 401 rtOOi,y Development 491 dottesree, North Wing NorthW Charlottesville, VA 22902 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, clearance number provided by Staff or business name to New Market - Hollymeade, LLC the owner Name of landowner on record of Tax Map and Parcel Number 03200-00-00-04300 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 5-12-22 kgoetz@newmarketprops.com 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 Date 9)Uv Robin Burger 5-12-22 3