HomeMy WebLinkAboutCLE201600038 Application 2016-03-28Zoning Clearance for '
Mobile Food Vendors C�, PD*- 3t i
Zoning Clearance Fee = $54
Mobile Food Vendor checklist items (See page 2)
Certification that notice of this application has been provided to the property owner of the business address,
if owner is different from applicant.
Business Name:
Business Address: J.0 17�r— og LQ 1-1/;YA LvV Tag map and parcel: ' = -0 l'- M� f 9m
Address Where Mobile Food Unit is Stored When Not in Operation: ,
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Vending Location & Days/ ours of Op6ration (please list separately for each location within Albemarle County):
Aobilt vend t \n wx ib y %n des -r C pat�
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11icant (who should we contact about this project):
Address ffz�
�i02L0—' it 5 L'Ir� I _ State rZA Zip Code 0z'4711
Number �-
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er of Record ge2LAdZ L✓l dr, 6-54 19 L- L G
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Number, / �2 -9'2
Owner/Applicant Must Read and Sign
I hereby certify that the information provided on this application and accompanying information is accurate, true and correct to the best of
my knowledge and belief.
Signature of Owner, Agent i�hDate
Print Nam er.' /A%LiDaytime phone number of Signatory.
County of Albemarle
Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296}5832 Fag: (434) 972-4126
MOBILE FOOD VENDOR CHECKLIST
PLEASE
REQUIREMENTS FOR MOBILE FOOD VENDORS:
For additional details and contact information, please refer to the Albemarle CgILn& Fo T cks Freggog-y Asked Questions.
Health Department Approval, Each mobile food vendor shall provide a copy of a valid Mobile Food Establishment Permit
issued by the Virginia Department of Health. No zoning clearance will be issued without prior approval from the
health department. Permit Expiration Date: St f —r a (f_ V�Pjw
Owner's Permission. Operation of a mobile vending unit on private property for any length of time requires permission
from the property owner.
Verification of Site Plan Compliance. 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 district.
Commissary Facility. State regulations require that food 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 home kitchen.
Parking. Each vending site shall provide a minimum of two parking spaces.
Peddler's License. Mobile Food Vendors who operate in Albemarle County are required to obtain a peddler's license.
Owner/Applicant Must Read and Sign
I hereby apply for approval to operate as a Mobile Food Vendor in Albemarle County, and certify that the address
information provided on this application is correct. I also certify that I have read the restrictions on Home Occupations, that I
understand them, and that I will abide by them. This certificate represents zoning approval to conduct the vending activity
identified above.
Signature of Applicant Date
Other Official Date
Building Official
Zoning Official
CONDITIO
Per UD µ , F z Aq CYS
CUf OylI VVYGh U 6tS � bt
Date l�
Date
ui-w' I j 3 1) )y vp raa.1
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
nIs form must accompany zoning applications (game Occupation, Zoning Clean ante, Zoning Administrator Determinations or
Appeals, Sign Permits, Building Permits) if the applicant is not the owner.
I certify that notice of the application, L LA j j Gr C&rte \
[County application name and number]
/ 1
was provided to N O V . CL- �1i%1, G/� 1 the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number by delivering a copy of the application in the manner identified below:
Hand delivering 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]
M
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Mailing a copy of the application to �tle,6� C &/g A Cc c - - - - - --
[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
Cao Yzl ZF
written notice mailed to the owner at the last known address ofthe ownef as shown on the current real estate tax
assessment books or current real estate tax assessment records satisfies this requirement].
Signature of Applicant
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Print Applicant Name
Date