HomeMy WebLinkAboutCLE202300001 Application 2023-01-03Zoning Clearance Application
FOR OFFICE USE ONLY Clearance Number:
Fee Amount: $ 61.36
Application fee: $59 + Technology Surcharge: $2.36
Receipt #:
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
Albemarle County
Community Development
401 Ndotire Rd, North Wing
Charlottesville, VA 22902
Phone 434.296.5832
Name:
Nicholas Law
E-Mall Address:
RenewedLifePhysicalTherapy@gmail.com
Mailing Address:
2120 Bermkar Drive Suite A
Phone M
434-872-1850
Tax Map and Parcel
number and/or Address
of the Business:
2120 Bermkar Drive Suite A
Charlottesville, VA, 22901
Zoning:
Staff will fill out if unknown
Parcel Owner:
2120 Berkmar, LLC
Owner's Address:
2120 Berkmar Drive, Charlottesville, VA, 22901
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Check any that apply:
X] New Business ❑ Change of Use ❑ Change of ownership ❑ Change of Name
Business Name:
Renewed Life Physical Therapy & Fitness, LLC
Description of Business:
Describe the business including use, number of employees, number of shifts, availability of parking, and any additional info.
Renewed Life Physical Therapy & Fitness, LLC, is a single member LLC (myself, Nicholas Law). It is a physical therapy and personal training business. Ample parking is already clearly
afforded and marked out. Note that I am subleasing a small room from Elevate Training Studio, located at 2120 Berkmar Drive.
Previous Business on .Site:
As noted above, I am subleasing from Elevate Training Studio, which has and still does operate at 2120 Berkmar Drive.
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:
400
Is the Parcel Zoned LI, HI, or PDIP?
Yes No If yes, fill out a Certified Engineer's Report (CER)
Will there be food preparation?
Yes X❑ No If yes, provide Virginia Department of Health approval
Is the Parcel on public water or private well?
RI Public ❑ Private If on private well, provide Virginia Department of Health approval
Is the Parcel on public sewer or septic?
�R 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?
Yes No 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 Nicholas Law
Date 01/03/2023
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