HomeMy WebLinkAboutCLE201600008 Application 2016-03-28Application for Zoning Clearance
CLE It _ .
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OFFICE
USE LY
PLEASE REVIEW ALL 3 SHEETS Check # Date: -
Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel: 02600-00-00-05700 & 0570A0 Existing Zoning Single family resident -land use
Parcel Owner: Bradford & Rebecca Cogan
Parcel Address: 5275 Sugar Hollow Rd. City Crozet State Virginia Zip 22932
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? Victoria Brunjes, President, White Hall Ruritan Club (WHRC)
Address :2200 Rocky Run City Charlottesville State VA zip 22901
Office Phone:4(__ 34 } 296-8539 Cell # Fax # Email ybrunjes@gmall.com
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
Business Name/Type.- 5k110k footrace along Sugar Hollow Road on Saturday moming, March 12, 2016
Previous Business on this site farming
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:
An up -and -back 5k/10k footrace beginning near Sandridge Road turning near the dam and finish! no at the field near
5275 Sugar Hollow Rd. We expect less than 200 runners, and wi11 have off-road panting. This is fundraiser for WH RC.
*'Phis 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 accurate to the best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature g,//f 10.A t PrintedVictoda L. Brunjes
4PPR6VAL 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 i -2� --C-
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 11/02/2015 Page 2 of 3
Intake to complete the following:
YN
Is us LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y llWill a 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 begin until we receive approval from Health
Dept. FAX DATE
Circle the one that applies
Is parcel on septic or public sewer?
Y/Q
Willbe putting up a new sign of any kind?
Sign permit.
Permit #
If so, obtain proper I
Y /
WiIIiwT
be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
ITA
Zoning to complete the followine:
Reviewer to complete the following:
Square footage of Use:
V1 N
as: r� I
au -
Under Section: RMP Hui
U
Supplementary regulations section:
Pariong formula: 11z
Required spaces:
Y/NY/
Items to be verified in the field:
Inspector • Date:
Notes:
Violations:
YIN
If so, List:
Proffers:
Y/N
If so, List:
Variance:
Y/N
If so, List:
SP's:
YIN
If so, List:
Clearances: IAI
SDP's
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Revised 11/1/2015 Page 3 of 3
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LAND USE PERMIT
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Special Event Approvals
August 26, 2014
APPROVAL DATE COUNTY ADMINISTRATOR / TOWN MANAGER OR DESIGNEE
Remarks:
_January 14, 2016_ Sergeant Miller Stoddar
APPROVAL DATE LOCAL LAW ENFORCEMENT AGENCY
Remarks: The Albemarle County Police Department is in approval of the Sugar Hollow Bridge Run that will take
place on March 12, 2016. This race is run on Sugar Hollow Road that is a dead end and does not see a high volume
of traffic. This is also a low volume race with less than 80 runners. Caution signs will be placed by ACPD at the
beginning of the race to warn motorist. There will be no road closure and no ACPD Officer on site.
APPROVAL DATE VIRGINIA STATE POLICE (Sergeant/Area/Division)
Remarks:
APPROVAL DATE VDOT REPRESENTATIVE
Remarks (include any changes that may be made by VDOT):
Cc: County/Town Administration
Local Law Enforcement
Virginia State Police
VDOT Residency Office / Maintenance AHQ
Event Summary:
Sugar Hollow Bridges 5 and 10 K Run. March 14, 2015. Race starts at 8:00 AM on
Sugar Hollow Road, White Hall VA. Race is followed by a Pancake Breakfast @ the
White Hall Community Building. Pre -registration: $30.00. On -Site registration, $40.00,
cash or check
Event Details:
RT -81 0
Crow! 5
6
Garth (Barracks)
The Sugar Hollow Three Bridges 5 and 10 K Race is sponsored by the White Hall
Ruritans. Proceeds will aid in the restoration of the White Hall Community Center,
a historic building in Western Albemarle County, and for the many community
services provided by the organization, including scholarships to area college
bound students, 5th grade achievement awards, highway clean up and many
other projects.