Loading...
HomeMy WebLinkAboutCLE201900294 Approval - County 2022-06-22APPROVED by the Albemarle County Community Development Department Application for Zoning Cleaarai *�r' PLEASE REVIEW ALL 3 SHEETS OFFICE US OZ NLY 2 J3b I /q Check # 2S Date: l Receipt # [ ZO I Gi I Staff: PARCEL INFORMATION Tax Map and Parcel: 0t0 100 -00 - OD �- t t;_ 1 Existing Zoning M D N Parcel Owner: SCW 1+ r Ct_w\&A' TM C_ Parcel Address: "0 "92kJE,�etc fg\Ja City State iris Zip27-tat (include suite or floor) PRIMARY CONTACT Who should we call/write concerning this project? Address: 14i City State VA, ZipL Itl Vr Office Phone: (M3 o 971- 11(oCell # 322 it81 Fax # E-mail Seat\ &AN%e tdJACC%1N.bf1 APPLICANT INFORMATION Check any that apply: _ Change of ownership hange of use _Change of name New business Business Name/Type: Previous Business on this site IN�%� Describe the proposed business including use, number of employees, number of shifts, available parking spaces, number of vehicles, and any additional information that you can provide: ('464w Z„& t g Vnv M �e .�y,s '� s u-i1.0r1 t�.n levaa_w anon 'I d eiv2, 0, s.11� A» s V)%XA4 . 6,*A. s . . r 14 Cat. -This4CIcarmce 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. 1 also certify that the information provided is true and accurate to the best of my knowledge. 1 have read the conditions of approval, and I understand them, and that I will abide by them. Signature re' Printed /f� /'r ✓�i�-YAP^ APPROVAL INFORMATION [ ] Approved as proposed [ ] Approved with conditions [ ] Denied [ ] Backflow, prevention device and/or current test data needed for this site. Contact ACSA, 977-451 1, x 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. Notes: ��11 ��``'' Building Official Date � < _016) Zoning Official Date 2- —5 - 2- O Other Official n N Aqr)Ll� n ev e-(,7,rn, Date 2 —5� 2 Z) r County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 Revised 11 /02/2015 Page 2 of 3 Intake to complete the following: Is 1d Is u m Li, HI or PDIP coning? If so, give applicant a Certified Engineer's Report (CER) packet. vN there be food preparation? If so, give applicant a Health Department form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE Circle the one that applies Is parcel on private well ublic wv If private well, provide Hpaiha i f ea eorm. Zoning review can not begin until we receive approval from Health Dept. FAX DATE Circle the one that app Is parcel on septi r ublic sew VilN l you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit# 02CZ�0-09U'7 - S �Y)/ N 'Will there be any new construction or renovations? If so, obtain the proper emit. Permit V 61 020j`)-803M-NC 91- r5`22—t/ Zoning to complete the following: Reviewer to complete the following: Square footage of Use: 900 oet, mit Ahted as: C HR Z10Y-07 Under Section: <19, A Supplementary regulations section: Parking formula: 1 3! jeOD '3` Z /Cwa X Y3,2Yaj Required spaces: i Z S CBS _ ram° tl ���D�,p ,� Pk,, 1 Y/N Items to be verified in the field Inspector : Date: Notes: Viola'�lns: Li If so, st: q�( gbifij (n OU dl�y10 offers: Yso,List: 2619 s- ©y Ts 5 D-2sC Van' e: If /v If so, ist: SP' If / If so, is[: Clearances: �(�ti5 zoi9-295 SDP's 20(-30 � o1r I c CSC Revised 11/l/2015 Page 3 of 3 THE CENTER I r� o 4 I 2ii <i; 11