HomeMy WebLinkAboutCLE202200113 Application 2022-08-29Zoning Clearance Application
FOR OFFICE USE ONLY
Fee Amount: $ 61.36
Application fee. $59 - Technology Surcharge: $2,36
Receipt #:
Clearance Number:
Date Paid. By
Check #: By:
Applicant - Fil! out the ersre page below arc return t.,
Community Development 401 Mc;^tire Rd Ncrth `fling,
Name: [_-'rNICVHUI-rr,Los-rr / / r E-Mail Address:
.:_... Afbe- a.ounty
JFa�caswlie ;a mr,2
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Mailing Address: I `30 e._3A_ X.I. el, C1�nrlo+lasu tie Phone #: L j 3L/ • LI Yl -,4 oT
Tax Map and Parcel Zoning:
number and/or Address Staff mil ill cci f erkrcr,r
of the Business:
Parcel Owner: - MRk4 MQ// Owner's Address'
Check any that apply: 1- New Business Charce of use — Charge of C•nrersmr — Crarce of dame
Business Name:
Description of Business':^, Cescrte me tcsir/e's�s�'.rcluclrg use run t;er of employees r.umter cf srift=_ availatilify of paramc. and any aeci*cral ink.
_L AQr r KN t �
/Yat- 1 ��/f V�+iln� k
V'C1tl� sorin
Previous Business on Site:
Floor Plan: Please attach either ar architectural Crwirc or a sketch of the crcpcsec cu_tress rcozarc the !ccator -f u_<es the
uses cf rooms, the iota; scuare fcctage cf fhe use, arc ary acciticral irfcrmaticr.
Total Square Footage Used,! 3 r (DpC-) Saer
for the Business:
I
Is the Parcel Zoned Li HI, or PDIP? Yes
— No If yes, III out avast=»
Will there be food preparation? Yes
,y No IF yes. provide Virginia Department of Health approval
Is the Parcel on public water or private well? .b aublic
sure If or nvate well. provide Virginia Department of -ealth p 9 approval
Is the Parcel on public sewer or septic? v =;Clio
saotic if on septic orov tle b irginia Department of Hear 3porcval
Will you be putting up any new signage? y Yes
No If yes. obtain approprate ,sign permit and list permit # below
Will there be new construction or renovations? Yes
Q� No tf yes. obtain 3pproprate building aer�it and list cemit # below
Please list any applicable Building Permit #s:
coning Clearance review carrot beg6r until the a ciicatiD^ ago-✓s is comoie:a 3r 3 a^c fees a afed
-his Clearance will Only be 'r 31� On ti a oarOel FOr N-;c_ it i3 3r^prOved. 1' 3a : ^ew_
toca9on, a new Zonlrg Clearance will be raquirad
i heraby. ertlf; oral` I own! Drnave "he Owne,,3 e.. ss0 '^e r!. n
p ae . 3pa�e md'ca � s a � 3,;on , also derF F r``a the
information provsd3d's tr-a and acdui to !ha be,, ^,y :i't,V6!edy3 .:.are'33n Ands 0,3 Or 300"OV3;, and nderl:3rd
^er and that ! will abide by re-+
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Data
CC1McIpur
Albemarle County
Zoning Clearance Application °ajalNorhWAare fta. North `2 Chaaoflesmlle •/A 229Crq
Phone 434296. 5a32
Applicant - If you are not the land owner, please fill out tine entire page below confirming that you have ether
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 pro 'de (or have provided) notice of this clearance application,
In V A 51 \o LGC
clearance number prcviced by Staff cr business name
to()yap, »I -c,4tibQCtoy-P— the owner
cc Name cf !ar-rF,e cn reccrc
of Tax Map and Parcel Number by either delivering a
TMF cumber cf prcperty
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
I
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
3
Conditions of Approval:
For Albemarle County Staff Review Only
Proposed Use:
Permitted by Section: _ - —
Applicable Special Use Permit (SP3
Applicable Rezonings (ZMA):
Applicable Site Plans (SDP):
Parking:
Parking Formula:
Total Square Footage of the Use:
Required number of parking spaces
Associated Clearances:
Variances:
Violations:
is a site inspection necessary?:
Site Inspection on (date): To Confirm:
Notes:
i
Ad6ticral ccrditicrs ct aprrcva� acFCr, Ic FFrewer<s arc Crnstrr.aS Trees
Permitted: — Yas — No
Supplementary Regulations:
Approval Information
-caiatad wth Ire carce� the cark.rg leeuiremerts m!i oe defined ty 're SDP. Same
'--arts are oererrr -ec ty a IMA or cy ar apercvec Ccde — Deve!epment.
Defined by: _S+te Plan Zoring Ordinance Coo Existirg
Yes Nu
Approved as proposed Approved with conditions Denied
Backflow 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
Zoning
Other Officia
Data
23wnoy of Albemarle Deoartnan: oe Communi_y Develooment
1J' Llcln^'ra Read VA 22902 P+ore 13.t.296.5d72 Fax. 45.1. 3-2.4126
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Charlottesville, VA 2901
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