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Home My WebLink AboutCLE202200090 Approval - County 2022-08-010 0 Application for Zoning Clearance for MOBILE FOOD VENDOR Zoning clearance fee = 161.36 yoe Ata Application fee: $5g + Technology Surcharge $2.36 y� / �� ✓ Mobile Food Vendor checklist (page 2 of application) � �� 'V' Certification that notice of this application has been provided to the I property owner, if owner is different from applicant. (page 4) t�RGIN�a Business Name KC A KJO CxAZ 6Y w TE-�AL Business Address _ (2A FAQ _ V) L}C ePAP U/Sv ll,lE,VA DON-746 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 AtctilbDemarlleCounty) FlMGLjNaroqCRJ�OZ��+% Q�2 ! wi 7s17P*YS F120►A 5 00 4R4 60Am_ 4:c PM 5ot.1sv�4Yg vecm tt coA44- :do PM Applicant (who should we contact about this project):JJ-I�,i`i9�'t L Street Address 3194 SN/fi ",f� fZC)4D t' City mil ✓ lr� State V'i�c Zip Code g:7 Phone Number ! (�ni Email p„ ,n P C-V`i - -LLQl �i�i .j. (1�:� Owner of Record ,Y i,�� K9WVN lr:A 'T+J*AT Street Address �3(� 1-�'o`-✓/fJV�l j-� "/�'- City �X_;AQ4I6 V1 L State Y� Zip Code 2� Phone Number ,' Email C tOj ] b-�l t :mil Lie_' qlw Q't�f County of Albemarle Community Development Department 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 9111; III WAS 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: 13 Owner's Permission. Operation of a mobile vending unit on private property for any length of time requires permission from the property owner. ,2 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 public right-of-way and 50 feet from any residential or Rural Areas zoning district. IZ 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. dZusiness king. Each vending site shall provide a minimum of two parking spaces. License. Mobile food vendors who operate in Albemarle County are required to obtain a business license. • 0 Application for Zoning Clearance for MOBILE FOOD VENDOR Owner/Applicant Must Read and Sign 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 s zonin appro Ito conduct the vending activity identified above. Signature of Owner or Applicant Date .) '\/, �-K-1 4.0-- 6 �� j?, 4G -V4w Printed Name Daytirrfe phone number of Signatory APPROVALS Other Official Date Zoning Official Date 08/01/2022 CONDITIONS: Mobile food unit cannot be stored on street when not in operation. FOR OFFICE USE ONLY CLE # By who? Receipt # Amount Paid D.S. o11I: kik'NI 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, i'MAa9%f {Cr-Xl✓1A"ATF4-AY: [County application name and number] was provided to Klf LILY \/1 t�EYAe-P the owner of record of Tax Map [name(s) of the record owners of the parcel] and Parcel Number 55-5;0 by delivering a copy of the application in the manner identifie elow: 7Hand delivering a copy of the application to F-t°da11Yyl!�(F ?-� [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/ f "G� 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 Applfcant i17'Niia2D �% K�p�4►-}r�T}-�-T- Print Applicant Name �3-0 )y p0W, Date —� OFFICE OF REVENUE ADMINISTRATION AlbemarleCountyFinance@albemarle.org County of Albemarle tel: 434-296-5851 opt. 3 2022 BUSINESS LICENSE fax:434-243-7906 State Law Reference - Virginia Code §58.1-3700 et. seq. BUSINESS LICENSE ACCOUNT: 358410 - 909905 Licensee: RAJIT VACHPRASIT 3124 EARLYSVILLE RD EARLYSVILLE VA22936-0000 BEGINNING DATE: August 26, 2022 Trading As: KOW MUN GAI BY RV THAT UNKNOWN LOCATION CHARLOTTESVILLE VA 22902-0000 EXPIRATION DATE: 12/31/2022 The Licensee is hereby properly registered, licensed and authorized to engage in the following activity, exclusive to all other: 722330.00 Peddler, Mobile Food *NOTICE: This license will expire at midnight on the Expiration Date indicated above. Continuing to engage in any business activity after the expiration indicates your intent to renew this license and will therefore obligate the Licensee to renew by March 1 of the following calendar year, when the license renewal is due. This license can be renewed online at AlbemarleCou ntyTaxesOrg/Business. Nelsie L. Birch, Chief Financial Officer 07/05/2022 Date W W W.A LBEMARLE.ORG 401 McIntire Road, Suite 1331 Charlottesville, VA22902 COMMONWEALTH OF VIRGINIA VIRGINIA DEPARTMENT OF HEALTH Blue Ridge Health District CERTIFIES THAT Edward Keomahathai is hereby granted a permit/license to operate a Food Establishment TRADING AS: Kao Mun Gai RV By Thai LOCATEDAT. 3124 Earlysville Rd Earlysville, VA 22936 in accordance with authority granted by the Code of Virginia to the Board of Health of the Commonwealth of Virginia. Facility Type: Mobile Food Unit Permit Expiration Date: 0913012023 1I Monica Garcia Concerns or Questions Call:(434) 972-62oo This permit is not transferable from one owner or location to another. 91 GINEENE I NE4SO Ir r i r-4 W ZZ Environmental Health Division: Location Phone Fax C'ville/Alb 434-972-6219 434-972-4310 Fhrvanna 434.591.1965 434-591-1966 Greene 434-985-2262 434-985.4822 Louisa 540.967-3707 540-967-3706 Nelson 434-263-4297 434-263-4304 Commissary Authorization (Sample for Push Cart) This serves to notify the Blue Ridge Health District that: Annual Renewal Required YEAR: 1, the owner/operator of the foot[ facility note([ below, will allow my facility to serve as a commissary for the mobile food establishment noted below. I understand that as a commissary for the mobile food establishment, I niust allow the mobile food establishment to return for servicing on a daily basis. I understand that by signing this form my facility will be inspected periodically by the local health department to ensure the requirements are met. Name of Commissary 7 S l T 1 Address ofContmissary `� L so, Name of Owner/Operator VIM RLI-A) LktJ q A \ P Days/Hours of Operation M ,n — SUnI I -'1j U 2 -3 d QPA `/ 3o - c6' 3o Day Phone 4• cA_ to 3S E-mailAddress G WVTA5iE M — Conunissary Sewage Disposal Public _Private Commissary Water Supply _Public_Private Name of Mobile Food Establislunent KOW M614 Gars Ry RV M_Iok� Nawe of Mobile Food Establishment Owner/Operator P.4,Trr .,Ar C-tV9A9 SiT/EPWA9_P V. KF-Q�AAf.4AX9^3" The following services are provided for the Mobile rood Establishment by my Virginia Department of Health or VDACS reeulated food facility serving as commissarv: I. Adequate space for storage for food, utensils, and other 5. A food preparation area for mobile food establislmrent that supplies. Storage area shall be separated front the food conducts food preparation. Food preparation area shall be facility's food, utensils, and other items. separated from that of food facility or preparation will be Storage areas for the mobile establishment will be clearly completed at alternate time of day. marked. 2. Potable water for filling water tanks. 6. Sanitary disposal or waste water and grease. 3. A three con artment sink for sanitizing utensils. 7. Disposal of garbage and refuse. 4. Hot and cold water under -pressure for cleanijIg. 8. Storage of vehicle/cart. I, the owner or operator of the mobile food establishment noted above agree to use this food facility as a commissary for servicing on a daily basis. I will use the commissary for the requirements noted above. If I do not use the commissary, my Virginia Department of Health food -service permit may be revoked, and I Hurst stop operating until I obtain another commissary and provide a new commissary authorization document to the B1uet]Igidge 111txldi District. Food Establishment F_.DVJP42S) V, Print Nanie Date -W W Mobile Food Unit Plan ReviewApplication.01.2014doe.doe Page 10 of I I Revised May 3, 2010