HomeMy WebLinkAboutCLE202300051 Application 2023-04-04• • �tiorugf Albemarle County
Outdoor Amplified Music yp Community Development
:1: -- 401 McIntire Rd., North Wing
Zoning Clearance Application Charlottesville, VA 22902
L2Rft>1.� Phone 434.296.5832
Application fee: $61.36
Submit this completed application with the following online, or to the address above: Appll�tl•,ss9+T�kaysurUaree$2,36
1. Outdoor amplified music plan showing an aerial plan of the music location(s) and at least two sound level test locations; the hours
when music will be played; and specifications of the sound meters to be used.
2. Proof of purchase of a sound meter in the form of a photo of the sound meter.
3. Certification that notice of this application has been provided to the property owner of the business address, if owner is different
from applicant.
1. Business Information
NAME OF BUSINESS:
(OQ5 kl�XSSAS
TAX MAP PARCEL:
364
ACREAGE OF SITE
Fil aCtQS
STREET ADDRESS:
CITY, STATE, ZIP:
6Ltj MA
2. Applicant
NAME:
D
STREET ADDRESS:
C Sas 46:v�-
CITY, STATE. ZIP:
PHONE NUMBER:
36,r 0 — J3�
EMAIL
,.,,t�
aIAAD1;A �ti%5•
3. Property owner
NAME
STREETADDRESS:
SAaMC a.S Q .Q_-
CITY, STATE, ZIP:
PHONE NUMBER:
EMAIL
4. Signature of applicant
1 hereby apply for approval for outdoor amplified music at the site listed above, and certify that this business will measure sound levels
created by outdoor amplified music twice per day during which outdoor amplified music is being played, and will record the measurements
for provision to the Zoning Administrator upon request. I also acknowledge that outdoor amplified music at a farm winery, brewery or
distillery is prohibited between the hours of 10 pm - 7 am Sunday through Thursday and 11 pm - 7 am on Friday and Saturday, and will
abide by this restrictions.
' SIGNATURE: I /4 /{A/V� I DATE: I 3 Z 2-3
FOR OFFICE USE ONLY
Fee Amt $61.36 Date Paid: I Sitelmeter inspection date: p Sound level meter ❑ CAM plan
Receipt #:
Ck#:
Received by.
CLE#
Inspection by:
Notes:
Reviewed By:
E] Approved 11 Denied