HomeMy WebLinkAboutCLE201400019 Legacy Document 2014-02-05cLe:-2.o)4 - Iq
Zoning Clearance for
Mobile Food Vendors
G), #-Gq 37 0'13 7�
C -* zs z.
AMoL"Ylk VLS V2S.•
Nvz4rd 5. wv-y c =�J
l�
❑ Zoning Clearance Fee = $50
❑ Mobile Food Vendor checklist items (See page 2)
❑Certification that notice of this application has been provided to the property owner of the business address,
if owner is different from applicant.
Business Name: !
�/� l S A--
C .�
/2LC4�.
/ ' / !� ^� u
Business Address: /�a ��.� /5CAxlellwi Z/V Tax map and parcel: '"I l� I� Z ' 2 r l
Address Where Mobile Food Unit is Stored When Not in Operation:
& del A 2 UJ� C - /rr rir'/v/Z z' 0 i `mss 0/'� -c:
Vending Location & Days/ Hours of Operation (please list separately for each location within Albemarle County):
Applicant:o /G
Address ®�tf �l {�:,V///r�f' �y��' /2 �� /'i/ City('% L� %��S %/I% r_'�st�a�e' 414 Zip/j
Daytime Phone ✓t _3' __5ZJT:� / "'r ax # E- mailAjAz ,�/LS��r //
Owner of Record (property owner of business address, if different from applicant)
Address
Daytime Phone (___)
City
Fax #
E -mail
Owner /Applicant Must Read and Sign
State Zip
I hereby certify that the information provided on this application and accompanying information is accurate, true and correct to the best of
my knowledge and belief.
Lk, 4�91141
Signature of Owner, Agent""
gen Date
Print Name Daytime phone number of Signatory
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
1/6/2014
f___. .
4�
O
MOBILE FOOD VENDOR CHECKLIST
PLEASE CHECK EACH BOX SO THAT IT IS CLEAR THAT YOU HAVE READ AND UNDERSTAND THE
REQUIREMENTS FOR MOBILE FOOD VENDORS:
For additional details and contact information, please refer to the Albemarle County Food Trucks Frequently Asked
Questions.
f Health. Department Approval. Each mobile food vendor shall provide a copy of a valid Mobile Food Establishment
Permit issued by the Virginia Department of Health. No zoning clearance till be issued without prior approval from the
health department. Permit Expiration Date: a,f nc+, -425/—
Owner's Permission. Operation of a mobile vending unit on private property for any length of time requires permission
from the property owner.
❑ Verification of Site Plan Compliance. Mobile food vendors may operate by right in any commercial zoning district.
111A Operation at a single location for more than two hours at a time is subject to compliance with a site plan. Mobile food
units must be no closer than 30 feet from any public right -of -way and 50 feet from any residential or Rural Areas zoning
district.
FZ11 Commissary Facility. State regulations require that food sold fiom a mobile unit must be prepared and stored either
onboard the unit or in a health department permitted conunissary facility. Food may not be prepared or stored in a home
kitchen.
0 Parking. Each vending site shall provide a minimum of two parking spaces.
Peddler's License. Mobile Food Vendors who operate in Albemarle County are required to obtain a peddler's license.
Owner /Applicant Must Read and Sign
I hereby apply for approval to operate as a Mobile Food Vendor in Albemarle County, and certify that the address
information provided on this application is correct. I also certify that I have read the restrictions on Home Occupations, that I
understand them, and that I will abide by them. This certificate represents zoning approval to conduct the vending activity
identified above.
Signature of Applicant Date
Other Official
Building Official
Zoning Official -: —e1
c
CONDITIONS: the::�'-aYt��nl� �� ,rases ray c
Date
Date
Date A, % llq—,l
1/6/2014
r ° CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form must accompany zoning applications (Home Occupation, Zoning Clearance, Zoning Aabninistr(ttor Deternairrations or
Appeals, Sign Permits, Building Permits) if the applicant is not the owner.
I certify that notice of the application,
[County application name and number]
was provided to
[name(s) of the record owners of the parcel]
and Parcel Number
the owner of record of Tax Map
by delivering a copy of the application in the manner identified below:
Hand delivering a copy of the application to
[Name of the record owner if the record owner is a person; if the owner of record is
an entity, identify the recipient of the record and the recipient's title or office for that entity]
on
Date
Mailing a copy of the application to
[Name of the record owner if the record owner is a person; if the owner of record is an
entity, identify the recipient of the record and the recipient's title or office for that entity]
on
Date
to the following address:
[address; written notice mailed to the owner at the last known address of the owner as shown on the current real estate tax
assessment books or current real estate tax assessment records satisfies this requirement].
Signature of Applicant
Print Applicant Name
Date
1/6/2014