HomeMy WebLinkAboutCLE202300006 Application 2023-01-09Albemarle County
Comnunay Dewekrpnenl
Zoning Clearance Application Cpaommille VA A2292
hW ,.. of Winortl
Phone 434 296 SM
FOR OFFICE USE ONLY Clearance NumbecaBy
gas.
Fee Amount: $ 61.36 Date Paid: •
Application fee$59 +Technology Surcharge $236
Receipt #: Check #: By:
Applicant - Fill out the entire page below and return to:
Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902
Name:
v C� {�`�-}{P�vt «ri
E-Mail Address:
Mailing Address:
tOb5 G� Gr�� �k
Phone#:
Tax Map and Parcel
number and/or Address
of the Business:
XvIr J.Zoning:
J"" ~ � A�
Staffwnifit om,runknown
Parcel Owner:
LLB
owner's Address:
it 5• ty�
Check any that apply:
New Business 0 Change of Use Charge of Ownership C e of Name
Business Name:
Cyr r J 3�is ate
VI-C
Description of Business:
Describe the business including use, number of employees,
number of shirts, availability of parking, and any additional info.
Sp`-c it
Previous Business on Site:
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:
f
Is the Parcel Zoned LI, Hl, or PDIP?
Yes No
If yes, fill out a Certified Engineer's Report fCERI
Will there be food preparation?
❑ Yes QANo
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?
El Yes Q4
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.
<73 �A
Signature Printed
Date 1 6 / z 3
2
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AlbemaAe County
6 u
RYA?, Zoning Clearance Application
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4m Mftelil RCA2 Wng
ChaMttewi4e. VA 2i902
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Phone 434 2N 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
certify that I will provide (or have provided) notice of this clearance application,
&,p A:r C l o_jr10 y e5u;lie Lac
clearance number provided by Staff or business name
to (21 M � " ' the owner
NaoW of landowner on record
of Tax Map and Parcel Number 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)
[ Y� Hand delivering a copy of the application to the owner identified above on
Date 14 I Z 3
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 JaLob Gvcwf f �/
Date ) 14 iZ 3
3
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:
Defined by. I
❑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 Confirn:
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, 434.977.4511 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 Offici
Zoning Officia
Dther Official
Countyof Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Phone: 434.296.5832 Fax: 434.972.4126 4
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FIooT(Cn
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Commonwealth of Virginia
State Corporation Commission
Office of the Clerk
Entity ID: 11424620
Filing Number: 2208164850684
Filing Daterrims: 09/16/2022 08:55 AM
Effective Date/rime: 08/16/2022 08:55 AM
Entity Name: Get Air Charlottesville, LLC Entity Type: Limited Liability Company
Industry Code: 0 - General
Perpetual(forever)
*egiste. r _
RA Type: Entity Locality: VIRGINIA BEACH CITY
RA Qualification: N/A
Name: United States Corporation alzoom.com Email Address: ramana ement le
Agents, Inc. 9 Co3 9
The company's initial registered office address, including the street and number, if any, which is identical to the
business office of the initial registered agent, is:
Registered Office 4445 Corporation Ln Ste
Address: 259, Virginia Beach, VA, Contact Number: N/A
23462 - 3262, USA
ddress: 1005 Gardens Blvd, Charlottesville, VA, 22901, USA
rinclpal lnfonnation
Management Structure: Manager -Managed
Date Signed: 08/16/2022
Executed in the name of the limited liability company by:
Entity Name Entity Type Printed Name Signature Title
Stock
Legalzoom.com, Inc. Corporation Cheyenne Moseley Cheyenne Moseley Organizer