HomeMy WebLinkAboutCLE202100089 Approval - County 2022-06-22Zoning Clearance Application
2� a oe nc
tp'
Albemarle County
V
Community Devekomem
-
401 Mdntre Rd, N" Wing
.AT
Chadadewlle, VA 229M
/RCINtA
Phone 1.296.59
FOR OFFICE USE ONLY Clearance Number: CL97=100089
Fee Amount: $ 59 + 4% Technology Surcharge Date Paid: 7/2 J21 By: 'rich dph+Ack
Receipt Check#: By: 406t
Applicant - Fill out the entire page below �I
And return to Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902
Name:
Haynes Patrick Law Group, P C
E-Mail Address:
todd@toddgpatrick.com
Mailing Address:
P.O. Box 223, Crozet, VA 22932-0223
Phone #:
434-220-6088
Tax Map and Parcel
number and/or Address
of the Business:
056F1-00-00-00100
Suite 202, 375 Four Leaf Ln
Crozet, VA 22932
Zoning:
SW will fill out if unknown
eum
po/k
Cam//R �I
Parcel Owner:
Shoppes of Clover Lawn LLC
Owner's Address: I
P.O. Box 17, Charlottesville, VA22902
Check any that apply:
® New Business ❑ Change of Use Change of Ownership ❑ Change of Name
Business Name:
Haynes Patrick Law Group, P C
Description of Business:
Describe the business including use, number of employees, number of shifts, availability of parking, and any additional info.
Provision of legal services. A total of 4 people will work at this site, including the 2 owners.
There are multiple parking spaces surrounding the building.
Previous Business on Site:
Jeffrey S. Haynes, P.C.
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:
Approx. 924 sq. ft.
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 Np If y_,Ate, provide Virginia Department of Health approval
Is the Parcel on public water or private well?
Pmbli: , 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 KJ No - If yes, obtain appropriate building permit and list permit 8 below
Please list any applicable Building Permit #a:
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 abidebythem.
Signature /� Printed Todd G. Patrick
Date 2 July, 2021
2
Q4
Zoning Clearance Application Albemarle County
II, Community Development
401 MdnGre Rd. Nonm
�• lMng CharlottesN229
lle. VA 22902
Phone 4 .298.5832
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 shoppesofcloverLawn LLpameoflandomeronrecord Go Down.,&A..,.tas the owner
of Tax Map and Parcel Number 656F1-00-00-00100 TMP number of property
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
0 Mailing a copy of the application to the owner identified above on
Date 2 dely 2921 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
Todd G. Patrick
Date 2 July 2021
3
For Albemarle County Staff Review Only
Proposed Use:
��� /��
Permitted:
Yes ❑ No 1
Permitted by Section:
. a is 1
Supplementary Regulations:
Applicable Special Use Permit (SP):
Applicable Rezonings (ZMA):
'7 .sn� 9
GnaoG
Applicable Site Plans (SDP):
1 _ -;I C/
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.
ite Plan ❑Zoning Ordinance ❑ COD ❑Existing
Total Square Footage of the Use:
Required number of parking spaces:
5 , � 5 dy �� � . ay k�
Associated Clearances:
add-
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
❑ Backflow prevention device and/or current test data needed for this site. Contact ACSA, 434.977.4511 ext. 117
n No physical site inspection has been done for this clearance. Therefore,
it is not a determination of compliance
with the existing site plan.
1 This site complies with the site plan as of this date.
Conditions:
Additional Notes:
Building Official
/
Date
<,
f Z
Zoning Official
Date
I
Other Official
Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Phone: 434.296.5832 Fax: 434.972.4126