HomeMy WebLinkAboutCLE202300046 Application 2023-03-27Zoning Clearance Application
FOR OFFICE USE ONLY Clearance Number
Fee Amount: $ 61,36 Date Paid: By:
Application fee. $59 + Technology Surcharge. $2.36
Receipt #: Check #: By:
Applicant - Fill out the entire page below and return to
Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902
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401 taMc vfl 229 Rd. VArp
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Name:
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E-Mall Address:
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Mailing Address:
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Phone 0:
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Tax Map and Parcel
number and/or Address
of the Business:
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Zoning:
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Parcel Owner:
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owners Address:
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Check any that apply:
n New Business of use Change of ownership Change of Name
Business Name:
AChange
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Description of Business:
Describe the business including use, number of employees, number of shuts, availability of parking, and any additional Info.
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Previous Business on Site:
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Floor Plan:
Total Square Footage Used
for the Business:
Plus attach either an architectural d ng 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.
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Is the Parcel Zoned LI, HI, or PDIP?
Yes KNo If yes, 8A out a Certified Enaineer's Report (CER)
Will there be food preparation?
Yes No if yes, provide Vigima Department of Heath approval
Is the Parcel on public water or private welt?
9Public Private If on private well, provide Virginia Department of Heath approval
Is the Parcel on public sewer or septic?
Public Septic t on septic, provide Virginia Department of Heath approval
Will you be putting up any new signage?
[A Yes No vpta obtain appropriate sign permit and list permit # below
Will there be new construction or renovations?
Yes %No If yes, olitain appropriate building perm and list permit of 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 submirded.
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 owners permission to use the space indicated on this application. 1 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
Date 372qj2iS2 3
troth l..tI1CD�Y\
2
RECEIVED
MAR 2 6 2025
COMMUNITY
DEVELOPMENT
Albemarle County
Zoning Clearance Application `1WIM" N°
COt AoftM RQ 229 2
;• - WV
Chenonesville. VA 72907
rijcr{DP PM 434296.5M
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,
�2 QarKinSor;S Ack,v,�y at`d QeSoc�rce Cenke�
clearance number provided by Staff or business name
to geUa UO'n LLC the owner
Name 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)
❑ 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 0-2412 H /2023 to the following address:
70W 1rng1eside Lane, Char loff�Zsv; l le, VA 229ol
(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
03/2H /2023
3
For Albemarle County Staff Review Only
Proposed Use:
Permitted: I ❑ 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 ❑Fxdstirtg
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 Corhfimh:
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 Offic
Zoning Official
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
Zoning Clearance Information_�� Albemarle County
Cwrhu dy Development
' - * Glh ro"Mrt I R0, Nartn Weg
� J Charlonesrtlla, VA 22902
••4l[++�_ Phone 434.296. 5832
What is a Zoning Clearance?
A Zoning Clearance is verification from Albemarle County that a proposed use, whether it is a new business or other activity
(see Zoning definition of "Use"), satisfies all requirements of the Albemarle County Zoning Ordinance and ensures public
health and safety. A Zoning Clearance Application is reviewed by the Zoning Department, Building Inspections Department,
as well as any other applicable departments or agencies.
A Zoning Clearance is Required in the Following Circumstances
• Opening a new business
• Changing or expanding an existing business
• Buying an existing business
• Moving a business to a new location or changing its name
• Before natural resource extraction
• Any uses listed in Section 5 of the Albemarle County Zoning Ordinance as requiring a Zoning Clearance
Items Required to Apply for a Zoning Clearance
Before filling out a Zoning Clearance Application ensure you have or have done the following:
WV Tax Map and Parcel number or Address of the property. Include suitelunit/floor number, if applicable.
[� Description of the proposed business/use. Include any and all relevant information such as a description of the
business, the number of employees, number of shifts, availability of parking, etc.
A Floor Plan. A sketch or an architectural drawing of the total square footage of the use. If using less than the entire
structure, note the location within the structure. Note the square footage of and use of each room_
[� Provide notice to the owner if the applicant is not the owner. Within ten days of applying for a zoning clearance, the
applicant, if they are not the owner of the parcel and/or structure, shall inform the owner that they have applied for a
Zoning Clearance. Please fill out the form on page 3.
• Other Approvals/Documents if applicable.
• A Certified Engineer's Report is required if the parcel is zoned Industrial (LI, HI, or PDIP).
• Health Department approval is required for food preparation or if the parcel is on private well or septic.
• Bakeries require USDA approval.
• Any additional approvals the Zoning Administrator may require including Department of Social Services and Fire +
Rescue.
• If you have any questions feel free to contact Staff at (434) 296-5832
Submitting an Application
Once you have all the required information provided above:
1. Fill out an application. Please complete page 2 in its entirety.
2. Submit an application. Bring or send a completed application to Albemarle County Community Development at
401 McIntire Rd, North Wing, Charlottesville, VA 22902
3. Pay. The application fee can be paid for in person or online. If paying online please attach a copy of your payment re-
ceipt. A Zoning Clearance Application will not be processed until payment has been received.
4. Notify the Owner. If you are not the owner of the property please fill out page 3.