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HomeMy WebLinkAboutCLE202200010 Approval - County 2022-06-10Zoning Clearance Application Albemarle County community Development 401 McIntire Rd, NoM Wing GhadomesAle, VA 22802 Phone 434.2e6.58n r O R OFFICE USE ONLY Clearance Numberc(,E�109,) Drx)l 0 Fee Amount: $ 61.36 Date Paid: k3 By: Application fee: $5,X+Tech ollloggy Surcharge: SSurcharge: $2.36 Receipt #: 'rt114 , t� Check #: By: t7 , Applicant - Fill out the entire page below and return to: OL i Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902 Name- LA A Mailing Address: B'I �Q ®�r� E-Mail Address: Phone #:Z Tax Map and Parce� G h i Zoning: number and/or Address 1 of the Business: Staff will fill out it unknown I�WrcelOwner: ---!I I9Ati Lif2—-ff- Owner s Address: ,;h—ck any that apply: t—' ew Business Change of Use Change of Ownership � ❑ g ❑ g p ❑ Change of NameSti�siness Name:D,;,,crilotion 7inro Cf Business' Describe the business Including use, number of employees, number of shifts, availability of parking, and any add ��.cy.�► c e ac t-e.. h 6 r _11 , 3 e r-l"IQ_Qu" <, Previous Business on Site: np ti Floor Plsn: - Please attach either an architectural drawing or a sketch of the proposed business indicatingtheIgc uses of rooms, the total square footage of the use, and any additional information. V[) do of uses, the �� Totai Square Footage Used fur the Business: Is the Parcei Zoned Ll, HI, or PDIP? No if es, nn ut a Certifed En i eer's R�oort fCERI --_._ L) a t a — — Wi6 there be food preparation? yes E"l-ko. 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 FIs the Parcel on public sewer or septic? Public r l Septic If on septic, provide Virginia Department of Health approval Will you be putting up any new signage? ,ri Yes If yes, obtain appropriate sign permit and list permit k below 1 Wiil there be new construction or renovations? Yeses If es, obtain appropriate buildin p �. Yg permit and list ermB bI below Please list any applicable Building Permit #s: i 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. ! have read the conditions of approval, and I understand them, and that I will ab' e b the Signature Printetlr"Yi NJ �1/ Date I `X O(P% 2 Albemarle County Zoning Clearance Application °1M.frty°ed,N.rthnt Ch McIntire Rd. North 2 GM1atlotlesWlle, VA 22992 Phane 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, to owner of Tax Map and Parcel NLmber 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 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 3 For Albemarle County Staff Review Only Proposed Use: rp t/t Ir ' Permitted: DYes ❑ No —� 1 ?ermitted by Section: 1 Z 6 Z Supplementary Regulations: J L2G2D08 -'Z4 rL Z.e—'2006 - (O Applicable Special Use Permit (SP): p _3D C N e Q K U 7 / D w£ $?_O /' f I J V`C-lL/ L U _ l L 6C Applicable Rezonings (ZMA): __ Applicable Site Plans (SDP): jam{ -Zb O ` 2-6 C r" lG f �/0 0 ^lam Z C 3 Z' 22 C Parking: If there is an approved site plan associated with the pa I, the arking requirements will be defined by the SDP. Some parking requirements are determined by a ZMA or by an approved Code of Development. Parking Formula: V r0-1"4'ti Definedby: I ZSIts Plan❑ Zoning Ordinance ❑CoD ❑Existing Total Square Footage of the Use:rON, ':4019'6�5 ko(, J t/O Ve— eI.(f df I? s Required number of parking spaces: I . 4f—S S'e/l/�a ®e rec. GIr O f;f'R�ft�i't o- S�P�o-67 ZDO`l� (�. C.T%'(Y 32--`uGc%./,.- _ / ...�-:= --.— ._— Associated Clearances: Variances: D L( - Di V'Ctf'id LS C fM P 32 -22.G5 Violationst . 2--2ZG3 - Is a site inspection necessary?: IFv �z—vWW-'?0- Yes ❑ No I Site inspection on (date): / p ' 2-0 ^2 To corairm: 'Pt1/R$ �i, i N L (Notes: Wb0 C- rc4r'ce S:g L^ �n�'�t^e, O a row CDiiC✓5 k(1r Z2G3 32'?Oy 2--Z (� 32--72-z 3Z-?3 --I 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, 434.977.4511 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: v44 &f7, v to zD2� I Additional Notes: ) lr �IC 'ki Atfd0 1'41r(evt lkallk Building Official Date Zoning Official Date / Zfl ZZ 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