HomeMy WebLinkAboutCLE202200122 Approval - County 2022-09-27Zoning Clearance Application
FOR OFFICE USE ONLY
Fee Amount: $ 61.36
Application fee: $59 + Technology Surcharge: $2.36
Receipt M
Clearance Number: CLE2022-122
Date Paid: 09/08/2022 By:
Check M By: J. S.
Applicant - Fill out the entire page below and return to:
Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902
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Albemarle County
I�
Community Development
401 Mclesville, . Nonh Wing
McIntiree,
22h
Ch 2
Phone 434.296.5832
Name:
F2A
1 P µ
E-Mail Address:
Mailing Address:
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1AW*_RVftXr,��
Phone #:
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Tax Map and Parcel
number and/or Address
of the Business:
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pjZNrT� WAV07800 00 00 005B
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Zoning:
taffwillloutifunknown
HC-Highway
Commercial
Parcel Owner:
Owner's Address:
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Check any that apply:
New Business ❑ Change of Use ❑ Change of Ownership ❑ Change of Name
Business Name:PlIff
So H
A 0"
Description of Business:
Describe the business including use, number of employees, number of shifts, availability of parking, and any additional info.
Dig ORNAV f R JGU. 6!A16MPjA4ftj
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n P11111111044111111114 illrwmh
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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 business 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:
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Is the Parcel Zoned LI, HI, or PDIP?
Yes No
If yes, fill out a Certified Engineer's Report (CERI
Will there be food preparation?
Yes No
If yes, provide Virginia Department of Health approval
Is the Parcel on public water or private well?
Public Private
If on private well, provide Virginia Department of Health approval
Is the Parcel on public sewer or septic?
Public Septic
If on septic, provide Virginia Department of Health approval
Will you be putting up any new signage?
❑ Yes ❑ No
If yes, obtain appropriate sign permit and list permit # below
Will there be new construction or renovations?
Vag ❑ No
If yes, obtain appropriate building permit and list permit # below
Please list any applicable Building Permit #s:
B2022-2362NC
Zoning Clearance review cannot begin until the application above is complete and all applicable forms 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 owner's 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 I�abide
by them. �`�yi _s�
Signature 5MU1 Printedernueq lowN
Date V/ 2 ib2122. 2
W
OF A[R
Albemarle County
Zoning Clearance Application "`� °ommc°'ry°e4,NormW
,,1 Charlottesville,
McIntire Rd, 22M1 Wing
�'• n Charlohesville, VA 22902
�rRCINV� Phone 434.296.5832
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,
J'OtyiL 4510 L (/(riorloFj CLE2022-122
clearance number provided by Staff or business name
to T5 PANaM to M the owner
Name of landowner Mid
of Tax Map and Parcel Number 4DPI-om' 0001Q0 by either delivering a
TMP number d property
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
❑V Mailing a copy of the application to the owner identified above on
Date 0 tj - I l - lie to the following address:
1116 QIII izP• i CIA I T 2,M CM t"#Mj IV G M0 2-O`t
(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 Printer
Date
K
For Albemarle County Staff Review Only
Proposed use:
I Automobile Service Station
Permuted:
I SeYes ❑ No
Permitted by Section:
I Sec. 24.2.1 (51 )(a)
Supplementary Regulations:
I Sec. 5.1.20
'Applicable Special use Permit (SP):
N/A LZC2021-46
Applicable Rezonings (ZMA):
ZMA2013-2
,Applicable Site Plans (SDP):
SDP2022-26
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 determined by a ZMA or by an approved Code of Development.
Parking Formula: - - -
1 /employee + 2/service Stall
Defined by: I
SAIte Plan ❑ Zoning Ordinance ❑ CoD ❑Existing
Total Square Footage of the Use: -.-
1 ,514sf
Required number of parking spaces:-
11 required (11 provided per SDP2022-26)
Associated Clearances: --
N/A
Variances:
N/A
Violations: ;..
N/A
Wapiti alto Inspection noosearyl:
❑ Yes VNo
Site Inspection on (date)
To Confirm:,
Notes:
Conditions of Approval: --
Additional conditions of approval apply to Fireworks and Christmas Trees
Approval Information
Approved 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:.:.--�-
09/26/2022
Building Official oObiection Date
Zoning Official Date 09/27/2022
Other Official Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Phone: 434.296.5832 Fax: 434.972A126 4
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