Loading...
HomeMy WebLinkAboutCLE202300045 Application 2023-03-24Zoning 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 OFNa_ 2 u � Albemarle County O Conv pity Devebpne g 401 Wn& Rd, North Wing Chaft gvili VA 22902 r�CINt� Phone 434296.5832 Name: E-MailAddress: well (Q Mailing Address: jjeA Phone #: 4341 _ q Ll _ 23818 Tax Map and Parcel number and/or Address of the Business: 061ZO-03-00-205BO Zoning: Staff win fill out if unknown Planned Unit Development Parcel Owner: Contrails LLC Owner's Address: 2237 Wingfield Rd, Charlottesville VA Check any that apply: New Business ❑ Charge of Use ❑ Change of Ownership ❑ Change of Name Business Name: Description of Business: gibe Me business including use, mbar of employees, number of shifts, availability of parking, and any additional info. —t-1 v, Previous Business on Site: Contrails LLC 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: 862 Is the Parcel Zoned LI, HI, or PDIP? Yes ❑x No If yes, fill out a Certified Enaineer's Report (CERI Will there be food preparation? 11Yes EA No If yes, provide Virginia Department of Health approval Is the Parcel on public water or private well? �x Public Private If on private well, provide Virginia Department of Health approval Is the Parcel on public sewer or septic? fl Public ❑ Septic If on septic, provide Virginia Department of Health approval Will you be putting up any new signage? Elyse N No If yes, obtain appropriate sign permit and list permit # below Will there be new construction or rare c:i -_^Elyea x0 N;: If yca, Please list any applicable Building Permit #a: 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 •_ ._ __, ___.._ _ _: m.. -_„AM e. I have read the conditions of approval, and I understand them, and that I will abide by them. Signatu��,Q�� _ . 3/rp/ate Albemarle County Zoning Clearance Application M Coe munily Rd,Np W Jg1 MAntlre Rd, CM1adollestile. VA 229 22902 •X4R+'� Ph.ne4 4, .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, W21.1 vAi_ eCfhr,LLL clearance number p ded by Staff or business name to Contrails LLC Name of landowner on record the owner of Tax Map and Parcel Number 061ZO-03-00-205B 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 W/ 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) Signature of Applicant Applicant Name Printed Date RECEIVED MAR 2 6 V23 COMMUNITY DEVELOPMENS 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 datennkred 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 Confirm: m: 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 Zoning Offi Other Off icia County of Albemarle Department of Community Development Branchlands Professional Center 1410 Incarnation Drive Charlottesville,VA 205A 2694 Sq. Ft., 2058 882 Sq. Ft. Elm cb r ...-�—¢�� II �FkILLI �LdElli� tdlLLi�