HomeMy WebLinkAboutCLE201500008 Action Letter 2015-07-27Application f®r Zoning Clearance
CLE #
OFFICE USE ONLY
PLEASE REVIEW ALL 3 SHEETS Check # d Date: Lv
Re Staff:
PARCEL INFORMATION
Tax Map and Parcel: 08700-00-00-00900 Existing Zoning
Parcel Owner: Charlette Shelton
Parcel Address: 2545 Rural Ridge Lane City North Garden State VA Zip 22959
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? Erik Young
Address : 1000 N Kingsbury St. City Chicago State IL Zip 60610
Office Phone: (_P37) 901-1380 Cell # 937-901-1380 Fax # NA E-mail erik@runriffraff.com
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
Business Name/Type: The Hard Cider Run (5K event)
Previous Business on this site
Describe the proposed business including use, number of employees, number of shifts, available parking spaces, number of
vehicles, and any additional information that you can provide:
We are partnered with the Albemarle CiderWorks to host a 5K run on the orchard.
We will use mostly volunteers for the event. Attached is a map depicting the layout of the event,
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 certiN 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 and accurate to the b f my knowledge. I hme read the conditions of approval, and I understand them, and that I will abide by them.
Signature �._r--------�� Printed
AP INFORMATION
[y 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 i&4i6t'a determination of compliance with the existing
site plan.
[ ] This site complies with the site plan as of this date.
Notes:
Building Official Date
Zoning Official Date L12 I C�
Other Official Date
County of Albemarle Department of Community Development
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:
YN
Is us in LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y9 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 or public water?
If private well, provide Health Department form.
Zoning review can not be -in until we receive approval from Health
Dept. FAX DATE
Circle the one that applies
Is parcel on septic or public sewer?
Y/N
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.��
Permit
Y/N l�Yl
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit 9
log
Zoning to complete the following:
Reviewer to complete the following:
Square footage of Use:
Fennitted as:
1 I X11.
Under . I
Supplementary regulations section:
Parking formula: ) I
df 3 CI.ttad AJ 3
Required spaces:
Items— o be verified in the field: di-}-n&w
Inspector : Date:
Notes:
Violns:
Yr_,
If so,` -st:
Prof s:
YN
If so, -st:
Vari ce:
Y/N
If so, st:
SP's•
Y/N
If so,
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 Charlotte Shelton
[name(s) of the record owners of the parcel]
and Parcel Number 08700-00-00-00900
manner identified below:
Hand delivering a copy of the application to
the owner of record of Tax Map
by delivering a copy of the application in the
[_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
X Mailing a copy of the application to Charlotte Shelton
[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 1/6/2015 to the following address:
Date
2545 Rural Ridge Lane, North Garden, VA 22959
[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].
1/6/2015
Date
To Whom it may concern:
,/ilGemar&
CIDERWORKS
6 January 2015
Letter of Authorization
I, Charlotte Shelton, owner/operator of Vintage Virginia Apples LLC DBA Albemarle CiderWorks, give
RiffRaff Productions via Eric Young, permission to hold a 5k Hard Cider Run event on my property at
2545 Rural Ridge Lane, North Garden, VA, on 23 May 2015.
Regards,
Charlotte Shelton
434 297 2326