HomeMy WebLinkAboutCLE202100077 Approval - County 2022-06-220 Zoning Clearance Application
FOR OFFICE USE ONLY Clearance Number. C;L.O Z62I 0Q57-7
Fee Amount: $ 54 Date Paid: (D I q' 2 l By. odta
Receipt #: i� -3 4 5 L Check #: 7811 By. odA
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Albemarle CountyCommunity Development
461 Wintee Rd, North WingN
Chadodese, VA 2Y
Phwre434.296.5832
Applicant - Fill out the entire page below
And return to Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902
Name:
M a v N k p
E-Mail Address:
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Mailing Address:
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Phone#-
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Tax Map and Parcel
number and/or Address
of the Business:
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Cylul%SStlly VA A-1901
Zoning:
Staff wdlfill out funknown
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Parcel Owner:
R o l h are d S i al d i u r
owners Address:
2c95 o ar ay d Str
G r44A�dlr h as.aJl
Check any that apply:
❑ New Business ❑ Change of Use ❑ Change of ownership ❑ Change of Name Alf t✓ o Caf,(0h
Business Name:
-AA i k t it
Description of Business:
Describe the business including use, number of employees.
rwrriber of shdts, avadabiliy, of parking, and any additional info.
P��SiCa( ru S'ervikRs 3`1 e
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Previous Business on Site:
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Floor Plan:
Please attach either an architectural drawing or a sketch of the proposed 6usiness 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:
D
Is the Parcel Zoned LI, HI, or PDIP?
❑ Yes No
If yes, fit out a Certified Engineers Report (CER1
Will there be food preparation?
❑ Yes ® No
if yes, provide Virginia Department of Health approval
Is the Parcel on public water or private well?
® pubes Private
❑
tan private well, provide Virginia Department of Health approval
Is the Parcel on public sewer or septic?
Public Septic
❑ p
if s spilt, provide Virginia Department of Health approval
Will you be putting up any new signage?
❑ YeS No
t yes, obtain appropriate sign penult and list permit #below
Will there be new construction or renovations?
❑ No yes
If es, obtain
y appropriate building permit and list permit #below
Please list any applicable Building Permit tfs:
Zoning Clearance review cannot begin until the application above is complete and all applicable fors 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 owners 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 L"'&� Printed 1 eic K T-✓ I e h 14 D
Date S"Id t iiN 1-t
2
CLE?.A2\ O boil
x
d .. APoemarle County
Zoning Clearance Application 401 �mD*dr
M. Rd, NMh C
4� �^ MMftesviie, VA J2902
,(d D fMiorre 434.]96.5832
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,
JlttKtiticS�orrs i?Q\, Se��; ee, 1, L L' ZC2-f -77
dearanm number provided by Staff or business name
to a S i �d G t the owner
Name or landowner on
of Tax Map and Parcel Number by either delivering a
TMP number of properly
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 Sl a -1 � a-r , L
D 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
�1arCC I vlev\�o
siloI7a�\
1't"
3
For Albemarle County Staff Review Only
Proposed Use:
Cr�
C/g�rc.. ` f
ue
Permitted:
u�"'s ❑ No
Permitted by Seelim
2.5A ---> C � C "j.,�(
Supplementary Regulations:
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Applicable Special Use Permit (SP):
Applicable Rezmings(ZMA):
�ZL?
Applicable Site Plans (SDP):
24;10 2 , 1 3
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 delermkred by a ZMA or by an Code of Development.
Parking Formula:
I 712o
Defined by: I
Mfift Plan [_j Zoning Ordinance ❑CoD -]Existing
Total Square Footage of the Use:
Z 63 a
Required number of parking spaces:
Associated Clearances:
Variances:
Violations:
Is a site inspection necessary?:
❑ Yes tb
Site Inspection on (date):
To Confirm:
—
Notes:
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Conditions of Approval:
Additional conditions of approval apply to Fireworks and Chrisbnas Trees
Approval Information
uApproved 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 Offici
Date U U)
r /
Zoning Official _ Date ^ t ( ^ 2—
Other
Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Phone: 434.296.5832 Fax: 434.972.4126 4
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