HomeMy WebLinkAboutCLE202300036 Application 2023-03-21T
RDrA
Zoning Clearance Application
__
F O R O F F I C E U S E O N L Y Clearance Number.
Fee Amount: $ 61.36 Date Paid: By:
i Application fee: $59 +Technology Surcharge: $2.36
Rebeipt'#i .. .• .: -... , .,: 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 McIntire Rd, North Wing
ChadottesNlle, VA 22902
Phone 434.296.5832
Name:
i 4A1 ArrtS
E•Mall Address:
sayorse (ow e r o.<c r�
Mailing Address:
y3od el mm y. e sr. 1 8/01zz9//
Phone #:
TaiCMajiNlttl'Par el `"
/35? A <n
2dinirl-
14Ao-n� 144v.,teraat i c
number and/or Address
✓,• i //,J ze9//
Sieiwllill outifunknown
of the Business: -=' -
0 oo-oo-o 00
Parcel'Owner'�"`-'--
U�',AvS�° �io f>yPs TUG LLG
Owtiei'3Addressi-
3frliq
C. eck_any4hat:apply;- _*:
tJew usiness Change of UseChange of Ownemhip Change of Name
Business Name:-IFI-w
&t4tiwitopVdL
DBSCfIptlOn O} BUSI11e99_;
Describe the business Including use, number of employees, number of shlfts, availability of p rking, and any additional Info.
W� ,— Gr,fr .✓Q
1' 1, '[ ,/ 41-1 one_ ✓ w rewtl'
Previous Business on §It :
611, t„s % o
Flop Plii-n`•'""� _, --- - '-
Please attach either an 4rchitechiral drawing or a sketch of the proposed business ndicatlng the location of uses, the '
---`_""'-'"---"---'---'- :='
uses of rooms, the total square footage of the use, and any additional Information.
Total.Sgtiare.Footage-Us'ed
7" e "5� ten' pr+pa, fy w,.•r, s ( " - 30,797 3F G a s«e�./n
It s, N.1s • .G s 4e pl..
for the Business:
we lw+t� P
ZZ£r 1C-rs I
Is the Parcel Zoned LI; HI; or PDIP?
❑ Yes rZNo
lik
if yes, fill out a Certified Enolneer's Report (CERI
Will there be food preparation?
Yes [2"No
If yes, provide Virginia Department of Health approval
Is the'Parcel on public water or private well? .
2'Publlc ❑ Private
If on pdvate well, provide Virginia Department of Health approval
Is'the Parcel on public -sewer of septic*? `'
Q"Publlc ❑ Septic
If an septic, provide Virginia Department of Health approval
11VIIIgouba pphittg try any necv stgriae?
[/ryes No
If yes, obtain appropriate sign permit and list penult # below
wilherebenewconsruclon'orrenovatlons?
Yes ['No
If yes, obtain appropriate building permit and list permit below
Please list anyapplicabl0Buiiding,Permlt#ai
"e r "e N( a� /„!o«,✓le fd<� sr�. /� a s ae
J
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
e�
Date
21
Mayy,
Y
oliV ! Y F qel I IY
I' III
i�i i rj
gi
!
!fql
PC,1!Ipata}4i
I!
IF #�
tl
Y.t
as
t
r
P e i x-
I
I
b y
ages
�3
YI
YIF x 4P4Pel P f °'9P4gI P4 i14144
t i1 t I
! I !1[
la Y 4
£' etl�
H� [BaY
E
a .,f
alit Ea4fYYYp,tl
:�
�.ZdYe�
,
a
3 P g 4gggY a EB
#,pep;l 1f1¢Y¢(E9¢�
Sy; 13� ypp °a } f rPea
Y� 5 IPIQ }
i
Ail
1IIIIIIIiiI 1 11111
ti e
4..
Y
Y �
Y
i
I a
! e !
! W
;a
0
if
l
1 I ii ar q eY 3� a# Iaa Iat F 1 Yj l { if e• �! If � 4l if IJl {��:
� I; P� IY I= la !I; iIg jl Il iY• It IF 1� 11 �€ I' it �� 11 I` 44 Ea
lii
4, I, ii I! I I ij IE , ,l it
i if
?Ili I(i 1 H11 Ii Ilit ;?l it
Al
e
IY �CaW
a1�,
WVN]
y,
°
s '
99
7.
Ni
77
-9
K
I
1 �
_
• _.fir ---'
.. ��
I • '- - ..-
q
€ It-I-�.-.
g 3
p 1
6
1 p
•1
d
�1
••1
.A a' ®
� eA,1 gA,
i c
I k�Y
lx6� e .
Sj
III-IIV-I}I-IlFyll'lll-1'RI'JI
�
a\ 1
r /
40
Ila
�\
�� e• day
Ip
668p
Y,
v9
10900
Eg�p�pc
9
tin
■■�'0va
yB t
�
p.wsst OOe5. R