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HomeMy WebLinkAboutCLE201500197 Approval - County 2015-10-0209/16/2015 09:31AM 4348232978 CRQZETBLUERIDGEDENTL PAGE 02 ZO g-Clearance..for rs '-"Piug Clearance Fee = 950 p� 1 � Iqq" [ obile l .O'odVendor checklist ite�no.s (See page 2) Weriificatiowhat notice oft*" applicatioh has been :provided .to the property owner of the business address, if owa,r is .different from -applicant. !t_)wrrv_,c*- . - Budinepe AddMMI- 2 ' ] CI—z �"' i�.� ��L? wx- mop *Ad parcel: Addraw Where MobBe Food,Uoit is Stored When Not inn OpeXation: Vending LocatiAu dk Days! Hours of Optrttl6b (0ease list sepairartsly for each locadon witW Albemarle County): r- 9� !►ddsti55+ 3 :�,:1b3>< +fid _ 6n 2A girf -J-. Statc _Zip I)aylimo-P�oaa Zi - � Fart#' — - E-mail jQC.APjn Q$W%"t.I•. M Owger of ik4o ..pxoptq awper of business address, if different from apptiednt) -ramp a5a - � IOvv4- Address Cily DaylimePhoot(,) Fax (_)' E-mail Owner.(Appic=t Most•.dtaid and -Sign stoic Zip I hereby certify that the, infvz'Mahiom.Provided ox-� tbuis application and accompanying information is -accurate, true and correct to the best of nay tOaow S (ure of DOW, Agedt Date PrintName. Day6ne phone nuaober,ofSipatwy Coup of A*Mxi lel),eP rt re�a�'af C©aaaauiu 7E1ev�lo cxlt X46 .b Road CWrAi� :##es e; VA,Z 902'voice; .(434} 296-�83x Eft:. (434) 9724-1-26 1/6/2014 09/16/2015 09:31AM 4348232978 CROZETBLUERIDGEDENTL PAGE 03 For additional details and contact information, please refer to the AlhqMgde Cqmuly food Trucks ErquezYtl Aske Questions. ❑ iri,'eaiih Peparimmt Approval. trach mobile food vendor shall provide a copy of a valid Mobile Food Establishmerit Permit issued by .the Virginia Departmeirt of Health. No g clearance will be issued without prior approval from the health department. Petndt.Expiratiion Date_ ;re =1 G_ Owner's Peordaioa Operation of a mobile vending unit on private property for any length of time requires permission from tbe•propeity owner. @-' rerif=cafion of SW Plan Conplfa:,ce. Mobile food vendors may operate by right in any commercial zoning district. 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 U-`Zdi ct. »P !wavy Facility. State regulations require that foots sold from a mobile unit must be prepared and stored either onboard the unit or in a health department permitted commissary facility_ Food may not be prepared or stored in a horse ki//tc''hen IIYParmng. Each vending site shall provide a. minimum of two parking spaces. D Peddfer's License: Mobile Food Vendors who -operate iza Albemarle County are required to obtain a peddler's license, Owner/AppReant:MastRead.and Sip I hereby apply for aFlrroval to operate as a Mobile Food Vendor in Albemarle County, and certify that the address information pravidcd•on this application is correct. I also certify -that I have read the restrictions on Home Occupations, that I understand theaoa, and that f *01 abide by them. This certificate represents zoning approval to conduct the vending. activity identified ve. (_4_ OW (W�� �'-/G Siig4t'ure of. A ppucaut Date C Other Otffieic�)< S%6 G mac. ' date / A ddb Bandung Official Date 7.sning Official �~ Ia��n CA.s OT LL. C. C�-_ 4k (5 V�v6, ie F.&4 vn,cl, (ti, FV), J ✓fit L-, s4- . 6y CL&s4c'- •er5 Q+ /0 -f-�_I_- V'4 P v LAJ ,. d-' "-,' , 1\10 6&WrC, E, Or'- • r�- . tkv VKFV +k re .� � c,4 &P +kl< -P'f-"., IOr'6-L-_'CVY ln'rG--�fr �L . n��..s W1 M q /%� C ;^ 4-ke R+ 4a;*% hF-g�-g65 -(:�+L.V-e; lorZ;,i.,sr 6(~11 0621014 r,-4- . t�,v^ IV 09/16/2015 09:31AM 4348232978 CROZETBLUERIDGEDENTL PAGE 04 4vJbl\.L AX xVtv'I i1xil`I A AArX 1 11 Vi lviU W.A i XAjU APPLICATION HAS BEEN PROVIDED TO TRE LANDOWNER Th afonrn most accompa sy zoning appheaftrra (Home Oecsipatdon, Zoe Cle"ance, Zoning Ad1»inU*UtOr,betermMaAew.s or . 4ppe* Sign,rerrrsfs, Brei7d ng.Pernda) ifthe apph eahtis sol the mower. I certify that notice of the application, �� c�_ur� ; ►rlati .g,.�!-a�.c�-- r Q�jti1� � V ^� q f Cour lication narne and number] was provided to �cj'Vv-N the owner of record of Tax Map [mme(s) of the record owners of the parcel] and Parcel Number 5SJ aAXckc�by delivering a copy of the application in the manner identified belay Hard delivering a copy of the application to C►�hr , Sc Ancv� I ntr.J�L2.e [Name of the record owner if the rec rd owrucr 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 M,Wing 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 to the following address: Date [address; written notice maiiod to the owner at the last l nown address of the oNmer as shown on the current real estate tax assessment books or current real estate tax assessment records satisfies this requirement]. ' sig6tu re c pplicarrt Print Applicant Name 2 1 1101 nam 1/0014 ;MP 55 -SOBA NF FROEHUNG 8 ROBERTSON INC. ! 11124819, 818 FLAT I IMI I J evil. ROCKFISH GAP TURNPIKE U.S. HIGHWAY 750 (I VV RIVE pI H eC'6ffW E !LUIS NIbBI' RNYP —7- 4- 1 74- r 1 3". FAU NE0 L RWE WE 0, aXE OF QVAR . leepC: I � I Q,yt..Al j+ J 7TH 5810/8 CROAT LODGE NO, 21" LOYAL ORDER OF MOW INC. 10 57S6,788 DBI 810-M PLAT 110 ACRES --- -----rte TMP W10TA IF MARILYN V. WHITTING OB 3611-534 11��DeE 367-74 DEW. M ILDNG CoHm-caHGRETE DBVBED SIM DESC.•aSBCRIPTION EPS PAVB&NT EVF4RON ROD FOUND R94RONRODSET LTE�.f&I(TPOIE NI !'COR FORMERLY OHE=OVERII:AD EUICMC OHTWVFRHEADTMAPHONE RAEL+RRiHT OF WAY S.FPGQUARE FEET TMP -TAX NAP PAROM UP-Ui1L1TY POLE TMP 55.1 W NIF 7 RICA 4543-308 OB 707-138 PLAT 1 NIE TAA[ F NM DIRECTION 01ST. Li 8 W512T W. 41.71' L.2 N 08'S967" W 0150 LS NBS'W2B'E L4 9 04'41'00' E 61.IC • LN -1 IM14" /d•-a8-r� All— THE l— - — UNDERNGKINX BEMIS AREGBTEREO I LAND SURVEYOR OF THEOowoNWEAL.Tm OF MIA Q3CENSE NO. t08) DOES I YCERTIFYTOSI�OROCKFiSHSAP, FOLLOWS: T A7A THE CURRENT FEED >T B BABBD WERE MADE WTTH THR IMINWUM � FOR LAND BMIDA iY WG' ADOPTED BY THE COMIMONIMEALTH OF VIR(nNIA. 2_)1 HAVE REOEIVEDA COPY OF THE TITLE REPORT FROM OLD REPUBLIC TIlT E 9 SUPANCE COM PANY COL09TME ff NO. 58508. EFFEC I WE DATE OF OCTOBER B, 2014. THE PROPERTY SHOWN HEREON 19 THE SAME DESCRISM W S IEM e F- A IN I;1 THE ABOVE R19911ENCED COM MUMFM. 1 3.7 THIS FIAT CORRECTLY SHOVES THE jLOCATION OF ALL SUILDINGS. STRLcn REs AND OTHER IMPRDVEMENTS.WANY, �U SITUATED ON THE PROPERTY SHOWN HEREON. AS SHOWN HBROW THTAE ARE I � NDYUBBLEFJIBEMETVTB,D>S�ANCIEB, 1 CONFI-C"TS, FENOES, STREAMS, RIVERS, IROADS, OR RIGHTS OF WAY OF WHKai THE I I UNDERSIGNED HAS SEEN ADVISED. I I 0.)PROPERri LHB WITIBN FLOODzoNE "x-. I NOT A FALMJU. DEFINED 100•YEAR FLOM I PLAIN. I I B PROPERTY MASULMT TOY IONB OF RECOM j 7.) EASEMENT GRANTED VHMM PUBLIC I I SEAVICE COMPANY RECORD w D9 I ! 201-179 DOES NOT APPLY TO BIBJ[GT 131 PROPERTY. TMP wl N!F JM I ES 11 LLC DB 5189.87 DB 403.277 PLAT BOUNDARY R PHYSICAL SURVEY jl 6135 ROCKFISH GAP TURNPIKE ALSEh(ARLE COUNTY. MRGINIA j BGLE l%w If OCT08M2%2O14 SURVEY PREPARED FOR. 6105 ROCKFISH OAP, LLC KIRK HUGHES & ASSOCIATES LAND SURVEYORS EUPIANNERS 220 EAST HIGH STREET CHARLOTTESVILLE, VA 22902 (494PB54M2 FILE-CASURVEYS=%i2014179 LBRE12014-174.OWG r I TMPSma / NIF JEFFREY S. IL � � MncI�LLE B. aPRousE � DB 4000•iB5 DB 1267-60/ PLAT B BOUNDARY R PHYSICAL SURVEY jl 6135 ROCKFISH GAP TURNPIKE ALSEh(ARLE COUNTY. MRGINIA j BGLE l%w If OCT08M2%2O14 SURVEY PREPARED FOR. 6105 ROCKFISH OAP, LLC KIRK HUGHES & ASSOCIATES LAND SURVEYORS EUPIANNERS 220 EAST HIGH STREET CHARLOTTESVILLE, VA 22902 (494PB54M2 FILE-CASURVEYS=%i2014179 LBRE12014-174.OWG COMMONWEALTH OF VIRGINIA DEPARTMENT OF HEALTH CERTIFIES THAT OTC LLC Over The Counter LLC is hereby granted a permit/license to operate as a Mobile Food Unit by the Albemarle County Health Department in accordance with the regulations of the Board of Health , Commonwealth of Virginia. FACILITY NAME: OTC PHYSICAL ADDRESS: 6135 Rockfish Gap Turnpike Crozet, VA 22932 MAILINGADDRESS. 5974 Jarmans Gap Road Crozet, VA 22932 EXPIRATION DATE: September 303 2016 CONDITTIONS: Follow conditions on the letter dated Sept 22, 2015, Eric S. M rs, REHS Environmental jAealth Supervisor Please direct questions or concerns to, the Albemarle County Health Department, Environmental Health Services, (434) 972-6219. This Permit Is NOT TRANSFERABLE From One Individual or Location to Another.