HomeMy WebLinkAboutCLE201300273 Legacy Document 2014-02-19Application for Zoning ClearancerE��y
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OFFICE U f N Y
PLEASE REVIEW ALL 3 SHEETS
Check # Date:
Receipt #MA0b Staff:
PARCEL INFORMA IqN
Tax Map and Parcel: 111� Existing Zoning
Parcel Owner: Qo&-) ' C/ & �/ O t O W5
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6 2, c Vj , City V' ' V) I KJ State 0
Parcel Address: 1 [J ,
(include suite or floor)
PRIMARY CONTACT
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Who should we call/write concerning this project?
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U k ( State V / r Zip
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Address :
Office Phone: (� V-Z Cell # Fax # E -mail ar, Will CA-
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
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Business Name /Type: QQi iil S
Previous Business on this site IA
Describe the proposed business including use, number of employees, number of shifts available parking spaces, number of
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vehicles, and an additional information that you can provide: �t'
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*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 accurate to the e of my knowledge. I have read the conditions of approval, understand them, and that I will abide by them.
and
"and
Signature Printed n 0, l' w"j
APPR6VAL INFORMATION
pproved as proposed [ ] Approved with conditions [ ]Denied
[ ] Backflow prevention device and /or current test data needed for this site. Contact ACSA, 977 -4511, x117.
[ ] 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.
Notes:
Building Official Date f_
Zoning Official I 1j1_& Date
4�t�
,
Other Official( Y I I Date
County of Albemarle Lepariment or L,unimuuuy Lcvc.GNaa.o,.&
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
Revised 7/1/2011 Page 2 of 3
Intake to complete the following:
Y 6)
Is use in LI, HI or PDIP zoning?
Engineer's Report (CER) packet.
If so, give applicant a Certified
Y
Wil � ere be food preparation?
If so, give applicant a Health Department form.
Zoning review can not begin until receive a roval from Health
Dept. FAX DATE i I . w l�['ga, Is
Circle the one that applies
Is parcel on private well o public water?
If private well, provide He ent form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that appl'
Is parcel on septic ublic sewer?
Y
Wi be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Y N
W re be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
11 ..5. n 4 ..1 +� +1k inllnxxrints-
Reviewer to complete the
!�following:
Square footage of Use: O��' V
ermitted as:
Under Section:
Supplementary regulations section:
Parking formula:
Required spaces:
Y/N
Items to be verified in the field:
Inspector : �� Date:
Notes:
L on LV comp 1G6G 1.116. 1V 11V 1�a11
Violations:
Y/N
If so, List:
Proffers:
Y/N
If so, List:
Variance:
Y/N
If so, List:
SP's:
Y/N
If so, List:
Clearances:
SDP's
Revised 7/1/2011 Page 3 of 3
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form must accompany zoning applications (Home Occupation, Zoning Clearance, Zoning
Administrator Determinations or Appeals, Sign Permits, Building Permits) if the application is not the
owner.
I certify that notice of the application,
[County application name and number]
was provided to the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number by delivering a copy of the application in the
mf identified below:
7Hand 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
Ant � Applicant Name
3
Date
86'61"
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• Parts /Services
• Specials
• Lease /Rent
• Business Solutions
• About Us
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Home
• Juicers
• Citrus Juicers
• Other Juicers
• Juicer Accessories
• Mobile Kioslc
• OJ Vend r1
• S anllmc
• Other Ecluipment
• Ugolini Juice Coolers »
• Ueolini's Coact
• Ugolini's Deluxe
• Uaolini's A -19 A -12
• Blenders / Dispensers
• Juice Coolers / Slush Machines
• Smart De[easer
• Hot Chocolate / Coffee Machines »
■ WEGA MhNova Espresso Machin
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Rebecca Ragsdale
From: Myers, Eric (VDH) [Eric. Myers @vdh.virginia.gov]
Sent: Tuesday, February 18, 2014 3:45 PM
To: Rebecca Ragsdale
Cc: Campbell, Elizabeth (VDH)
Subject: Coffee Classics
Good afternoon Rebecca. Archer and I just talked and I let her know that the hold up with Coffee Classics was
connection to approved water and sewer. The owner finally got the mall management to provide these and after some
retrofitting of the unit, was able to be approved by VDH. Sorry that Archer and I had yet to communicate on this
location.
Hope you are doing well.
Thanks,
Eric S. Myers
Environmental Health Supervisor
Virginia Department of Health
(434) 972 -6219
Rebecca Ragsdale
From: Batten, Teresa (VDH) [ Teresa.Batten @vdh.virginia.gov]
Sent: Monday, February 03, 2014 9:25 AM
To: Rebecca Ragsdale
Subject: FW: CLE 2013 -273 Juice bar kiosk in mall
Attachments: 20140203091558567.pdf
FYI - The attached is denied. Please call or email with any questions.
Thanks,
Teresa
- - - -- Original Message---- -
From: Rebecca Ragsdale [ mailto :rragsdaletlaalbemarle.org]
Sent: Tuesday, December 03, 2013 3:22 PM
To: Batten, Teresa (VDH)
Cc: anwillis2003@yahoo.co.uk
Subject: CLE 2013 -273 Juice bar kiosk in mall
Hello,
The applicant for this juice kiosk was just by the office. I let her know we were still
awaiting Health Department approval so please let me know once its approved by the Health
Department or VDACS, if applicable. I believe the kiosk is an orange already located in the
mall. If you need additional information from the applicant, her contact information is:
Annie Kamau
2062889220
anwillis20030yahoo.co.uk
Thanks,
Rebecca
Rebecca Ragsdale, Senior Planner
County of Albemarle
Department of Community Development- Zoning Services
401 McIntire Road
Charlottesville, VA 22902 -4596
(434) 296 -5832 Ext. 3226
E -mail: rragsdale@albemarle.org
- - - -- Original Message---- -
From: Rebecca Ragsdale
Sent: Friday, November 22, 2013 12:07 PM
To: ' Teresa.Batten @vdh.virginia.gov'
Subject: CLE 2013 -273 Juice bar kiosk in mall
Please see attached zoning clearance for your review /approval.
- Rebecca
Rebecca Ragsdale, Senior Planner
County of Albemarle
Department of Community Development- Zoning Services
401 McIntire Road
Charlottesville, VA 22902 -4596
(434) 296 -5832 Ext. 3226
E -mail: rragsdale@albemarle.org
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Application for Zoning Clearance
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CLE # 2b I
0111 u N Y
PLEASE REVIEW ALL 3 SHEETS
Check # Date:
Recelpt # Staff-
PARCEL INFORIVA'I N
ExisfinGGg Zoning
Tax Map and Parcel: (Q
YvC �
/h &W `G �h5 ����
ParcelOtvner;
City &M I b, State V fT Zip
Pnrcel Address;
(include suite or floor)
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PRIMARY CONTACT �1n�0� 4^utlt�l� i�!
Who should we call /write concerning this project. L
h T rALK City kay I w uktnte Zip
Address: b
Office Phone: 22Z — IwCe{I# Fax# E- mall NQihf, 'Ll
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
Business Name/Type: b CIS. CX, [✓� .lA�L111,
i
Previous Business on this site_
Describe the proposed business Including use, number of emplo ees, number of shifts avnilable parking spaces, number of
!WE 23-n l S ` -
vehicles, and any,idditional information that you can provide:
V-
- --
"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.
1 hereby certify that 1 own or have the owner's permission to use the space indicated on this application. I also certify thatthe information provided
is true and accurate to the of my knowledge. I have read the conditions of approval, and 1 understand them, and that I will abide by them.
Signature Printed, Vanelll
APPROVAL INFORMATION
[ ) Approved as proposed [ ] Approved with conditions [ ]Denied
[ ] Backflow prevention device and /or current test data needed for this site. Contact ACSA, 977.4511, x117.
[ ] 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.
Notes:
Builtlzrig Official Date
Zoning Officia s Date
r—
Other Offfal Date 1
County of Aibemarle veparcmenc ui w,uiuunuy /J yV&VFJ .4 &V
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5337 Fax: (434) 972 -4126
Revised 7/1/2011 Page 2 of 3
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