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HomeMy WebLinkAboutCLE201600041 Application 2016-03-09Application for Zoning Clearance CLE # O — 9 1 0 OFFICE USE ONLY PLEASE REVIEW ALL 3 SHEETS Check # % Date: 2 Z!o ) Receipt # Staff: PARCEL INFORMATION Tax Map and Parcel: 016WO-01-OA-00800 Parcel Owner:Anvince Land Trust Parcel Address:340 Greenbrier Dr. Suite A-1 (include suite or floor) Existing Zoning Neighborhood District Model City Charlottesville PRIMARY CONTACT Who should we call/write concerning this project? Sue A. Albrecht Address :340 Greenbrier Drive Office Phone:4( 34 ) 973-6169 Cell # APPLICANT INFORMATION City Charlottesville State VA State VA Zip 22901 Zip 22901 Fax # 434-973-0732 E-mail sue@designenvirons.com LCheck any that apply: Change of ownership Change of use Change of name X New business Business Name/Type: Ellamonts, LLC / Hot Yoga Studio Previous Business on this siteMMA Institute 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: Hours: 6AM - 9PM Monday - Friday: 8AM - 5:30PM Saturday and Sunday; Yoqa Studio with 6 emplovees. One class room with up to 20 students. `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 and accuralylo the be5of m wledge. l h,4,A read the conditions of approval, and I understand them, and that I will abide by them. Print ��{i •�. I������-� APP kOVAL INFORMATION [L^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 detennination of compliance with the existing site plan. [ ] This site complies with the site plan as of this date. Building Official �— Date �A If G Zoning Official Date _ 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 1 1 /02/2015 Page 2 of 3 Intake to complete the following: Y �N Is use in LI, HI or PDIP zoning? Engineer's Report (CER) packet. Y/ND If so, give applicant a Certified Will there be food preparation? If so, give applicant a Health Department fonn. Zoning review can not begin until we receive approval fi om Health Dept. FAX DATE Circle the one that applies Is parcel on private well 4i2blic wa . If private well, provide 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 septic or a lic sewer? YJ/ N Will you be putting up a new sign of any kind? If so, obtain proper Sign perinit. Permit # In DrogtsS ©/N Will there be any new construction or renovations? If so, obtain the proper Permit Permit# B20kS — 017f 14t �C• Zoning to complete the following: Reviewer to complete the following: Square footage of Use: sqo 1 Irermitted as: 1� [I� Ill Y 1 • i Under Section: Supplementary regulations sectio�kww Parking formula: Required spaces: Y N Ite be verified in the field: Violations: l h Mk If o'�ist: /// `l � v`�S ers. f so, List: 1Q" v" + lVy V3 Variance: Y I N If so, List: 's: �Yl N so, List: B- U -t - Clearances: SDP's 6q—Lf f U `� 1 *0'-1Lr3 Revised 11/l/2015 Page 3 of 3 n a r rr+ PROJECT NAME: 211 m 340 GREEN BRIER DRIVE SUITE A-1 �. o CHARLOTTESVILLE, VA 22901 O DRAWN IM f., CHARLOTTESVILLE, VA DESIGNED • BUILT • FURNISHED • INSTALLED DATE: 9Y: SINCE 1075 M M-7al2 uv®w,E. wlw.mapinmNwu.com FM [.b47Ti dR �mew,c mrae au..ous mno..,nn �.,..��.,o.LL.sem•,®M�e,un+.ma.,wnu�s,.E,�,. s�..ow+rvoF vwnwiuec�°'� ne`"x °mea" xraF``oEsv"'+cM`�,mw.° m�`ieo'�iuwvan �.'�io'� u.°°�`inrrs 940 GREENSAIER DRIVE CHARLOTTESVILLE,MFIGINIA 22901