HomeMy WebLinkAboutCLE202200142 Application 2022-10-24Zoning Clearance Application
FOR OFFICE USE ONLY -eararcahumce-
Fee Amount $ 61.36 Gate Paic Bj
Application fee: $59 - Technology Suroharge 32.3E
Receipt #: --heck #: _�-
Applicant - c,I' .re -13:-a ce'c,n, a-=
t'i~4' LL yr7
Mailing Address:
1 ax Map and Part
number andlor Address Staff mll ill out i erkrcwr
of the Business: G(nm rld 1ke3v°�
Parcel Owner: Cwne- s Address:
Check any that apply: n'E'w 6sresQ crares _r — _ - _ �;har CE rf �'trrerEfl[ !'harCe %i IIaMe
Business Name: KV IOtiv b 1Ac
Description of Business: [scree Ire Lsxtass rdtb rc use r;r ' a [I ,Eec rV:v,cer :/ sriRc _.ad c, 1.. crr Haralrc arc any accricra; ric
Previous Business on Site:�1
Floor Plan: Please anacn ertner =_n a cr^.rec;cr c , N,:-,c cr a ;zercc ct tna pcpcssc o. _ as; rcicatinc ae cca;icr ses ire
Jses Cf %cerrsthe total scuare fce.--ace c'tl-e _se arc ar,, additiera, 'riot-rr:r
Total Square Footage Used-
forthe Business:
-
Is the Parcel Zoned LI, HI, or PDIP?
—_ -
Will there be food preparation?
If ,ej if fir^ir:3lnf"drl �E31t"?[C r�i
Is the Parcel on public water or private well?
�P'-cI ,c
^ ?,vate ;f 3r cr•,at „ell : c
� _� ce `irr^irla Ce' artf^er[ a• �ealih a oraval
Is the Parcel on public sewer or septic?
_NI , „c
= se, rc If cr ,actic 3rowce ,;rgi la Ieoa ranc , -a3e 3ccr,.3l
Will you be putting up any new signage?
_ No If yes ,otalr apprap-at 3.g, pernit ane i;t oer" :t f 3elow
Will there be new construction or renovations?
J va;
,c :f yes ,,,a;r 330r3c-ata auIldurg 3ernit and'ris: _er ,t x ,e:cw
Please list any applicable Building Permit #s:
LJ^Ing e3r3.-Je ,3- ::eg:, _ _�na v _ 3 e e 3,
:^C� 3 3J0 03J.... Jr^•.3 a., e,s a,"9 0 ., .-._.
•.y '�re3 3,02 bV I. -. •,3 _3 ,.• rv^.. _ _ .'S 3 J Je.. ; y8L 3.^d:^� nh»3 Af, J' :T'.Jb3 .. .33 ;.. _. 3',Y
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Zoning Clearance Application =G — ,R RhN 5
e. I� me�
1e a 229C2
Applicant - if you are not the land ow-e, N ease fiL C,.t [^a e _.ra raga celow corfirm;ng that you have e [her
informed or are going to rform the owner of your Zoning clearance apc'icatior.
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 appi cation,
clearerce nLm6er ;rcli<ec ty SiafNa tusiness name
to N7az �1Rs'`, the owner
Name ct !arcc•Hrer c . reccm
of Tax Map and Parcel Number by either delivering a
TMF number cr prcperry
copy of the application to them in person or by sending them a copy of the application by
mail. (Please check ore of the foliowing below)
Hand delivering a copy of the application tc tl-e cwner identified above or,
Date
Mailing a copy of the application to the owner ideetified 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
,For Albemarle County Staff Review Only
Proposed Use: permitted: - 'gas Nc
Permitted by Section: Suppiementary Regulations:
Applicable Special Use Permit (SP,:
Applicable Rezonings (ZMAI:
Applicable Site Plans (SDP):
Parking: li there s ar accrc;ec site par a�scc�atec eiil' ne cane. re carx ry9C�_�rer*'drr; Nur re5ret t; -�_ _rP Sane
ca'4,rg .elj�rsrrers are cerer� rec t) a'_GI? :r-,; a,- accrc,ec Ccce - :eve.cpne�r
Parking Formula: Cefined by Sle P'ar Zor,rg Crdicarce CcC EX.stirg
Total Square Footage of the Use.
Required number of parking spaces.
Associated Clearances:
Variances:
Violations:
Is a site inspection necessary?. Yes No
Site Inspection on (date;: To Connrrn:
Notes:
Conditions of Approval: Adciticral ccrcincrs cf acrrevai aCc�, is F'rgw rks arc Chrstrras Trees
Approval Information
Approved as proposed Approved with ccnditions Denied
Badcflow 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 Official
Other
Da'>
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