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Home My WebLink AboutCLE202200175 Application 2022-12-30Zoning 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 - Fill out the entire page below and return to: Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902 y o} A ? Albemarle County QI'llr;� Community Oevelopmont 401 Mcln4re Rd. North Wing Charlottesville, VA 22902 �rRctbl Phone 4342%5932 Name: E-Mail Address: Mailing Address: l Phone #: Tax Map and Parcel number andlor Address of the Business: Zoning: Staff will fill out N unknown Parcel Owner: Owner's Address: Check any that apply: Le New Business ❑ Change of Use ❑ Change of Ownership Change of Name Business Name: Description of Business' Describe the business i4cluding use, number of employees, number of shifts, availability of parking, and any additional info. Previous Business on Site: t Floor Plan: Please attach either an areffitectural 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: 4476 SF Total Square Footage Used for the Business: Is the Parcel Zoned LI, HI, or PDIP? ❑ Yes V'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 VNo If yes, obtain appropriate sign permit and list permit # below Will there be new construction or renovations? ❑ Yes ZNo If yes, obtain appropriate building permit and list permit # below Please list any applicable Building Permit #s: 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 abide by them. Signature Printed )&1kg Date — .w— 2 Zoning Clearance Application V Albemarle County elopment °omma°i'Y°BV.NordhWClu McIntire Rtl. 22902C�atlotlasville, VA 22982Phone 4M.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, �1 Q nnPi ln, io cj�� clearance numiller provided by Staff or business name to 44Ntir-Cb"V USA- TNL the owner Name of landowner on record of Tax Map and Parcel Number &/ - / 3 1 by either delivering a IMP 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) Hand delivering a copy of the application to the owner identified above on Date 12� 301 91 ❑ Mailing a copy of the application to the owner identified above on 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 For Albemarle County Staff Review Only Proposed Use: Permitted: ❑ Yes ❑ No Permitted by Section: Supplementary Regulations: Applicable Special Use Permit (SP): Applicable Rezonings (ZMA): Applicable Site Plans (SDP): 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: '�„ 7=' ❑Site Plan ❑ Zoning ordinance ❑ CoD ❑Existing 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 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: Building Official Date Zoning Official Date 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 u %k� v� I�v 9-1(, sv, ENAQRJuCR i 3 m \ - .. ee 1 v p.euw. �4P q9 ,-n 9♦ 60 99 1 ee I � � I j 1 x _ CHARLOTTESVILLE _ Y` r m m > ` FASHION SQUARE T . Zr 11600 Rio Road East Charlottesville, VA 2901 Payment Receipt Your transaction has been successfully completed! ! Your Confirmation number is : 1000703544 Transaction ID: 22122915107635D66lC4A22122915107 12/29/2022 16:11:21 [EST] Account Information Payment Type: Tax Payment Bill Payer Detai is Brandon Miles 12321 Lafayette Trail Unionville, VA 22567 Payment Detai is Payment Amount: $61.36 Convenience Fee: $1.95' Total Amount: $63.31 Payment Method: VISA Card Number: XXXXXXXXXXXXX0392 Expiration date: 06/2025 Zoning Clearance Information Albemarle County CV, Community Development 401 McIntire Rd, NoM Wing Chado"OSAW, VA 22902 Phone 434.296,5832 Wh=ae ning Clearance? learance is verification from Albemarle County that a proposed use, whether it is a new business or other activity definition of "Use"), satisfies all requirements of the Albemarle County Zoning Ordinance and ensures public afety. A Zoning Clearance Application is reviewed by the Zoning Department, Building Inspections Department, ny other applicable departments or agencies. A Zarance is Required in the Following Circumstances • Opening a new business • Changing or expanding an existing business Buying an existing business Moving a business to a new location or changing its name • Before natural resource extraction • Any uses listed in Section 5 of the Albemarle County Zoning Ordinance as requiring a Zoning Clearance Items Required to Apply for a Zoning Clearance, Before filling out a Zoning Clearance Application ensure you have or have done the following: ❑ Tax Map and Parcel number or Address of the property. Include suite/unit/floor number, if applicable. ❑ Description of the proposed businessluse. Include any and all relevant information such as a description of the business, the number of employees, number of shifts, availability of parking, etc. A Floor Plan. A sketch or an architectural drawing of the total square footage of the use. If using less than the entire structure, note the location within the structure. Note the square footage of and use of each room. Provide notice to the owner if the applicant is not the owner. Within ten days of applying for a zoning clearance, the applicant, if they are not the owner of the parcel and/or structure, shall inform the owner that they have applied for a Zoning Clearance. Please fill out the form on page 3. Other Approvals/Documents if applicable. • A Certified Engineer's Report is required if the parcel is zoned Industrial (LI, HI, or PDIP). • Health Department approval is required for food preparation or if the parcel is on private well or septic. • Bakeries require USDA approval. • Any additional approvals the Zoning Administrator may require including Department of Social Services and Fire + Rescue. If you have any questions feel free to contact Staff at (434) 296-5832 Submitting an Application Once you have all the required information provided above: 1. Fill out an application. Please complete page 2 in its entirety. 2. Submit an application. Bring or send a completed application to Albemarle County Community Development at 401 McIntire Rd, North Wing, Charlottesville, VA 22902 3. Pay. The application fee can be paid for in person or online. If paying online please attach a copy of your payment re- ceipt. A Zoning Clearance Application will not be processed until payment has been received. 4. Notify the Owner. If you are not the owner of the property please fill out page 3.