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HomeMy WebLinkAboutCLE202100088 Approval - County 2022-06-228 Zoning Clearance Application FOR OFFICE USE ONLY Clearance Number: a-02-(-06?0d'�2 Fee Amount: $ 54 Receipt #:�_w1_ 3 76�6 J(yt 05'36 0)L Date Paid: -1/? V;� Check #: By: Sr ple�� -e-9 By: {'�pyl Pi Z u (r; v Applicant - Fill out the entire page below And return to Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902 Albemarle County Community Development 401 McIntire Rd North Wing Charlottesville, VA 22902 Phone 434.298.5832 Name: Spit.Indbi"A's CiB�rl�v C, E-Mail Address: 5 I�dp�q (J S "V46-_ Mailing Address: v-t Do`­`(Aws q1� � � $VyLt�t VA Phone#: Tax Map and Parcel number andfor Address of the Business: u5v $IZ Igo GW*f Lo In50 u I,L, V41 Z-y,l,al Zoning: Staff will fill out ifunknown r I� 'vl 0 Parcel Owner: GG'( yr , Ot~-t Owner's Address: Check any that apply: New Business dQ Change of Use Change of Ownership ® Change of Name Business Name: j S "Ovn's GO'K+4 Description of Business: I Describe the business including use, number of employees, number of shifts, availability of parking, and any additional info. yLS.�VV4ni'd IA Atif,4 Q✓v0lv&Ci1( 3-4 Pn.,�6-,&S K,&)( 1 S�'h ii3 W"SVhr �N l,t(n� 1 I ^ VCMr Previous Business on Site: 16 Ubp( 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: o Is the Parcel Zoned LI, HI, or PDIP? Yes No If yes, fill out a Certified Enaineer's Report (CER) Will there be food preparation? Yes 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 Ej 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: j j 2-02A _c7 0 17 _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 /A-' Printed T AT" (4 A ke QosS Date l A P (t t L " 1 2 �? llt � Albemarle County Zoning Clearance Application Community Rd.Npmen �',� 401 McIntire Rd. North W ng Chadotlesville, VA 22902 br,,...M Phone 434.296,5832 Applicant - If you are not the landowner, please fill out the entire page below, confirming that you have either informed or are going to notify the owner of your 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, S pl e�d� rAS C; eAw4� -2- z 1- gq to CT sko\-4t1e C&n; n Qwv,ov the owner Zo �,� O, Sf I Sa-c 110 of Tax Map and Parcel Number I W 0 -0-00 — M A 3 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 Mailing a copy of the application to the owner identified above on Date 0 1 21 to the following address: P^1%. \NM , Sk-f UD Palvw JlcfU � 133HSo (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 of Amn 1, 3 For Albemarle County Staff Review Only Proposed Use: 2t Permitted: es ❑ No Permitted by Section: I IV I„A cx r c 1 Supplementary Regulations: I Applicable Special Use Permit (SP): .0I LD - 2b t, Applicable Rezonings (ZMA): 20l`D7 �� // ! — D 8 _03 Applicable Site Plans (SDP): 28 it `1 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 appr ved Code of Development. Parking Formula: l l Defined by: ite Plan [-]Zoning Ordinance ❑ COD ❑Fxdsting Total Square Footage of the Use: 6 Required number of parking spaces: '7 C Associated Clearances: ZOZC-%Z -71 - 512-o2v—Mr lj—IZ'7 Variances: +-- Violations: G� d✓' 4(O' 1% 1� Is a site inspection necessary?: ❑ Yes ©.No Site Inspection on (date) — To Confirm: Notes: �l 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 "r k/ Zoning Official iG`2 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 i ,,tr,l - , J ^\` 4p0 I'^ E 11 I ",a ll�:,:Il 0 1� CJ3 I I' will am fag ow, Aa, I Ad