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CLE202200131 Approval - County 2022-10-10
Zoning Clearance Application FOR OFFICE USE ONLY Fee Amount: $ 61.36 Application fee: $59 + Technology Surcharge: $2.36 Receipt #: Clearance Number: CLE2022-131 Date Paid: 9/28/2022 By: Check # By:,J•S• Applicant - Fill out the entire page below and return to: Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902 Albemarle County Community Devebq nt V 401 Jftlttesire Rd, No Wng Charloville,VA 22802 Ph°ne 434 296 5832 Name: V4v'14lL Connell E-Mail Address: dav;c� ��nnel� �a glep .co n Mailing Address: 25•b7 Tv Sfrinj j Lq CA44-#Pwdlf 10 Z241`1 Phone #: 1134 #0 `II L Tax Map and Parcel number and/or Address of the Business: COD F -3 1 1 a701 H ! (rxfm6G RA- J C� qr b✓ w,lle r V,4 2-ZW 1 MI Staff l fill out if unknown NMD Parcel Owner: 6Go:5000w, LLG Owner's Address: jybcLe4j-,4vcS+03 2LI02- Check any that apply: New Business ❑ Change of Use ❑ Change of Ownership ❑ Change of Name Business Name: Len}mot Vi ;��. end od4n}iGf I P. �. Description of Business: Describe the business including use, number of employees, number of shifts, availability of parking, and any additional info. liPn-hs+-�ndodom►;t* Seven P�pl� ae.i M-Tt, 8-S Previous Business on site: 2 7' RA S+e AoS c4er(z, �1V'/le �/q 2Z901 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: 2Z%7 Is the Parcel Zoned LI, HI, or PDIP? Yes [�?-No If yes, fill out a Certified Enaineer's Report (CER) 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 es, obtain � y appropriate sign permit and list permit #below Will there be new construction or renovations? Yes No If yes, obtain appropriate building permit and list permit # below Please list any applicable Building Permit #s: g2022-02616 AC 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-l-wilta a by them. Signatu Pnnted LJ4 ;4 (',.,e1,J Date �4 27 202Z 2 2R�or"� Albemarle County Community Development Zoning Clearance Application m r 401 McIntire Rd Nosh Wng Chadottesville. VA 22W2 �2$GIL1�� Ph. 434 2M 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, CLE2022-131 Ll� (V,' �Int v .1�.(onl u I p•� clearance number irovided by Staff or business name to Pop(rguU- w,.l Gr> ;��w� LL-6- the owner Name of landowner on record of Tax Map and Parcel Number 60 F-3 by either delivering a TMP number of 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) Rf Hand delivering a copy of the application to the owner identified above on Date pgP,7 gz-Z ❑ 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 14 ill 2-7!2012- 3 For Albemarle County Staff Review Only Proposed Use: Professional Offices Permitted: I Vies ❑ No Permitted by Section: I Per NMD COD Supplementary Regulations: Applicable Special Use Permit (SP): N/A LZC2020-31 Applicable Rezonings(ZMA): ZMA2006-14 Applicable Site Plans (SDP): SDP201 9-62 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 /200sf nfa Defined by: I iAite Plan ❑ Zoning Ordironce ❑ CoD ❑Existing Total Square Footage of the Use: 2,265sf Required number of parking spaces: 9 required (50 provided per SDP2019-62) Associated Clearances: N/A Variances: N/A Violations: N/A Is a site inspection necessary!: ❑ Yes &eNo 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 ❑ Backflow prevention device and/or current test data needed for this site. Contact ACSA, 434.977.4611 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: All electrical wiring must comply with 2017 NEC Article 517 for health Care wiring. Additional Notes: Building Official See conditions above. Date 10/10/2022 Zoning Official Date 10/10/2022 Other Official Date County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Phone: 434.296.5832 Fax: 434.972.4126 4 a- rm Z n m Zn C D w � w 0 m O 0 a '-5" 4'-0" , 11'-6" T <I �x II j� C _vaur ,- 6'-3" z,a U I �u CL II n I I iz; o II II g Ci II ® II II I II o o I F� II s� o 5'-6" I- op 5'— pR Z x m x N v� A Z _ D G<l — H < 14'-3r D G N 02021 HENRY SCHEIN INC. THE INTEGRATED DESIGN STUDIO IS PROVIDING THIS PLAN AS A PROFESSIONAL SERVICE AND IT y> IS NOT INTENDED FOR CONSTRUCTION. PERMIT DRAWINGS ARE THE RESPONSIBILITY OF THE ARCHITECT. THIS PLAN MAY � NOT BE USED OR REPRODUCED WITHOUT EXPRESSED WRITTEN CONSENT OF HENRY SCHBN INC. AND FULL PAYMENT OF ^T ANY ASSOCIATED DESIGN FEES. IT IS THE ARCHITECT AND/OR CONTRACTOR'S RESPONSIBILITY TO VERIFY THAT ALL CODE RESTRICTIONS AND CLEARANCES ARE MET. A 3D N z J_ CO W U LL LL O z 3 O W Of O W U J D Q } 2 � LL N LL WN �m >� Wb �� Ww m