HomeMy WebLinkAboutCLE201500100 Application 2015-06-01Chipotle Mexican Grill is a fast casual Mexican restaurant. i nere wnt.:De:aproximatei.y:ca
There will be two shifts dailyWith vary amounts of employee dependent an`how busy. the restaurant is':at those time. 71'Shared:surface parking spaces
*This Clearance wilt only be valid on he parcel; for which''it is approved. ed. Ifyou change, intensify er move the use to a new location, anew Zoning
l As
Intake to complete the following:
Y /
Is use LI, HI or PD1P zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
PN
ill there be food preparation?
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that applies
Is parcel on private well publi r?
If private well, provide Hea Depa ent form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that applies
Is parcel on septic o u lic se er?
Y/N
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
�/N
ill there be any new construction or renovations?
If so, obtain the proper Permit.
Permit # _p, Zo/e/ — 4 Cl
Zoning to complete the following:
Reviewer to complete the following:
Square footage of Use: 2,213
0/ N
Permitted as: % 2. M
Under Section: �—S •/
Supplementary regulations section:
Parking formula:
Required spaces:/
It / T�
Itemso be verified in the field:
Inspector : Date:
Notes:
Violations:
Y/
If so st:
Proffers:
6/N
If so, List:
Vari nce:
Y/5
If so, List:
SP's:
6/N
If so, List:
Clearances:
SDP's
20/N—,L�
Revised 7/1/2011 Page 3 of 3
z7 r
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, Chipotle Mexican Grill #2406
[County application name and number]
was provided to Riverbend Management the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number 2040 Abbey Rd. Suite 101 by delivering a copy of the application in the
manner identified below:
Emailing
XX Pfantd�a copy of the application to Riverbend Management
[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 5/13/2015
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].
$ 1<j ;�
Signa`t e of Applicant
David Coletti, Agent
Print Applicant Name
5/13/2015
Date