HomeMy WebLinkAboutCLE202200174 Approval - County 2023-01-17Zoning Clearance Application
FOR OFFICE USE ONLY
Fee Amount: $ 61.36
Application fee: $59 + Technology Surcharge: $2.36
Clearance Number: CLE2022-174
Date Paid: 12/29/2022 By:
Receipt #: Check #: By: D.S.
Applicant - Fill out the entire page below and return to:
Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902
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Albemarle County
h- Community Da ebpmont
- �- 401 McIntire Rd, Nan Wing
Chanotlesvills. VA 22902
1 Phone 434,296,6532
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Name:
&ASHAN104 (n TRMPM1
E-Mail Address:
13RowA) BRoTHW 1138
Mailing Address:
1616 HULLy MILL, RD 8ARBou&VI V
Phone#:
>AI)_ 390 668o
Tax Map and Parcel
number and/or Address
of the Business:
I III A10 R04 D iT
(HAA"TTKUIL ,(- V14 2-29p I
2 2
Zoning:
Staff will flit Gut itunknown
C1 -Commercial
Parcel Owner:
Owner's Address:
21j STEV Ef-K CT whJH)V
Check any that apply:
New Business Change of Use . N41hange of Ownership Change of Name
Business Name:
6 g MR CoRT%16Q ST012E DELI
Description of Business:
Describe the business Including use, number of employees, number of shifts, availability of parking, and any additional info.
CONUIN(N-1 STa" WIIo 54)PPL ES Tlj( DAILY IMIC IvECAS SIkH AS ZobHIAtV
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Previous Business on Site:
Floor Plan:
Please attach either an architectural drawing or a sketch of the proposed business indicating the location of uses, the
uses of rooms, the total square footage of the use, and any additional information.
Total Square Footage Used
for the Business:
)500 SW i}
Is the Parcel Zoned Ll, Hl, or PDIP?
❑ Yes Q No If yes, fill out a Certified Engineer's Report (CERI
Will there be food preparation?
2`S &$ ❑ No If yes, provide Virginia Department of Health approval
Is the Parcel on public water or private well?
7 Public ❑ Private If on private well, provide Virginia Department of Health approval
Is the Parcel on public sewer or septic?
7 Public ❑ Septic If on septic, provide Virginia Department of Health approval
Will you be putting up any new signage?
Yes9lo 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. A p e
Signature Printed PAA3NftiVnfA Gn 14MANo)
Date 12.1 ;L,� 1 q0 2 2
2
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Albemarle county
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Zoning Clearance Application U —`—
Community Development
401 MCIn8re Rd, Nonh Wing
chadodesvige. VA 22902
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Phone 434.298.5832
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� a MAIZIC -T STa I I CLE2022-174
clearance number provided by Staff or business name
to a W a I L- L C the owner
Name of landowner on record
of Tax Map and Parcel Number ob l000000 1u6 80 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)
❑ Hand delivering a copy of the application to the owner identified above on
Date
❑ 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)
M
Signature of Applicant
Applicant Name Printed
Date
3
For Albemarle County Staff Review Only
Proposed Use:
I Convenience Store
Permitted:
VYes ❑ No
Permitted by Section:
I Sec. 22.2.1 (C)(2)
Supplementary Regulations:
Applicable Special Use Permit (Sp):
N/A
Applicable Rezonings (ZMA):
N/A
Applicable Site Plans (SDP):
SDP1999-5
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
I Defined by: I
SAIte Plan ❑ Zoning Ordinance ❑ CoD [-]Existing
Total Square Footage of the Use:
2,450sf (per SDP)
Required number of parking spaces:
12 spaces required (12 provided per SDP1999-5)
Associated Clearances:
CLE2014-8, 2005-103
Variances:
VA1974-39
Violations:
N/A
Is a site inspection necessary?:
❑ Yes VNo
Site Inspection on (date):
To Confirm:
Notes:
Conditions of Approval:
mmil
Additional conditions of approval apply to Fireworks and Christmas Trees
Must obtain VDH or VDACS approval, whichever applicable.
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:
No Objection
01/13/2023
Building Official
Date
Zoning Official
Date 01/17/2023
VDACS, VDH notified
1/3/2023
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
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