HomeMy WebLinkAboutCLE202200090 Application 2022-07-05•
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Application for Zoning Clearance for
MOBILE FOOD VENDOR
Zoning clearance fee = 161.36 yoe nt
j Application fee: III + Technology Surcharge 11,11 9�
Mobile Food Vendor checklist (page 2 of application)_
V Certification that notice of this application has been provided to the - "rLs'
property owner, if owner is different from applicant. (page 4) t'�RGIN�a
Business Name KCvA RJO Cxh� BY Ry TE-�k%
Business Address 3(24 E/N V)L}C PCOP 1�/S/11,1&jVA �MIZ6
Tax map and parcel
Address Where Mobile Food Unit is Stored When Not in Operation ?
Vending Location & Days/ Hours of Operation
(please list separately for each location within Albemarle County)
FAMr-Ly
KSNGSY �f-+�D Ca ZC-TJ vA% MR32
wi 7�17P*YS Fq2ON\ 6, 00 PA —01 CU OAct)R-yS i-(�0►'1 l Am co
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Applicant (whoo should we.�contact
�about this project004,p)EGDJ-1� 't L
Street Address 3) 9j. 44"1' lS�fi��
city l ✓ V1 L-uk— State yX1 Zip Code 't
Phone Number Email 'k rt Y C-VI CILI a)(ArAcx. CCM
Owner of Record 9gPJ:; �� U✓1�i �+� �sT
Street Address N2A ►;WU SVILk,C "�'- ��//I/��77
City ;t-yl Lts1 State �� Zip Code 29g3�
Phone Number ° v,
Email C� n#t - Lgi LIL' (A01 ,,60M
County of Albemarle
Community Development Department
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
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9111; 9111111"t•
Application for Zoning Clearance for
MOBILE FOOD VENDOR
PLEASE CHECK EACH BOX SO THAT IT IS CLEAR THAT YOU HAVE READ
AND UNDERSTAND THE REQUIREMENTS FOR MOBILE FOOD VENDORS:
For additional details and contact information, please refer to the
Albemarle County Mobile Food Vendors FAQs.
Ed'Health Department Approval. Each mobile food vendor shall provide a copy of a valid Mobile
Food Establishment Permit issued by the Virginia Department of Health. No zoning clearance will
be issued without prior approval from the health department.
Permit Expiration Date:
downer's Permission. Operation of a mobile vending unit on private property for any length of time
,requires permission from the property owner.
lJ Verification of Site Plan Compliance. Mobile food vendors may operate by right in any
commercial zoning district. Operation at a single location for more than two hours at a time is
subject to compliance with a site plan. Mobile food units must be no closer than 30 feet from any
,
E3public right-of-way and 50 feet from any residential or Rural Areas zoning district.
Commissary Facility. State regulations require that food sold from a mobile unit must be
prepared and stored either onboard the unit or in a health department permitted commissaryfacility. Food may not be prepared or stored in a home kitchen.
7king. Each vending site shall provide a minimum of two parking spaces.
Business License. Mobile food vendors who operate in Albemarle County are required to obtain
a business license.
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Application for Zoning Clearance for
MOBILE FOOD VENDOR
Owner/Applicant Must
Read and Sign
I hereby apply for approval to operate as a Mobile Food Vendor in Albemarle County, and certify that
the address information provided on this application is correct. I also certify that I have read the re-
strictions on Home Occupations, that I understand them, and that I will abide by them. This certificate
represe/ts zoning appro I to conduct the vending activity identified above.
Signature of Owner or Applicant Date
C_C%WD'\/ 454) g 4-(q -7f,� W
Printed Name Daytime phone number of Signatory
APPROVALS
Other Official
Date
Zoning Official
Date
CONDITIONS:
FOR OFFICE USE ONLY CLE #
By who? Receipt #
Amount
Paid
By:
4111; 9Ir'L•
Application for Zoning Clearance for
MOBILE FOOD VENDOR
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form must accompany zoning applications (Home Occupation, Zoning Clearance, Zoning Administra-
tor Determinations or Appeals, Sign Permits, Building Permits) if the applicant is not the owner.
I certify that notice of the application, iaMAVZ>Nf V_r_—Q#-AA iATV4-,4T:
[County application name and number]
was provided to Klt LILY �1 �1EyAe� the owner of record of Tax Map
[name(s] of the record owners of the parcel]
and Parcel Number 15Sr�;o by delivering a copy of the application in the manner
identifie elow:
7Hand delivering a copy of the application to ynA6 Pt4dA11y V1tfgs4��
[Name of the record owner if the record owner is a person; if
the owner of record is an entity, identify the recipient of the record and the recipient's title or office for that
entity]
on S, Y-022
ate
Mailing a copy of the application to
[Name of the record owner if the record owner is a person; if the own-
er of record is an entity, identify the recipient of the record and the recipient's title or office for that entity]
on to the following address:
Date
[address; written notice mailed to the owner at the last known address of the owner as shown on the cur-
rent real estate tax assessment books or current real estate tax assessment records satisfies this require-
ment].
Signature of App cant
V?DVtlA P 1 k3�0s4T}-�
Print Applicant Name
Date