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HomeMy WebLinkAboutCLE201600138 Application 2016-06-23�i Application for Zoning ClearanceA CLE # a 40 "' 1In;% OFFICE USE ONLY PLEASE REVIEW ALL 3 SHEETS Check # a © Date: (P ' I cQ Receipt # _ UStaff: rx_ l _ PARCEL INFORMATION Tax Map and Parcel: 061 WO-03-00-019AO Existing Zoning Parcel Owner. A LBEMA R LE PLAC E EAAP LLC Parcel Address: 2050 Bond St. City Charlottesville State VA Zip (include suite or floor) PRIMARY CONTACT Who should we call/write concerning this project? cam'ba( Address: 310S bxs-rn-tc�V &V6 &0 LM City CAAphaTT"VA State Vw Zip25Z�o t OfficePhone:Cell# 0 '366- flSFax# E-mail M1A04w_QJbdra:QJf4"_6.co!M APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name X New business Business Name/Type:.Burger Bach / Restaurant Previous Business on this site N/A 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: 4--uga.aft-, fi 140 &Y„ La*ees 'Kw a SµthTs L4%e_C" fc 1��MG 4C+i N 4 tA� iN Tt W Y -- *This CIearance 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 led e. I have read the conditions of approval, and I understand rthem, and that I will abide by them. Signature A Printed M1C'V*'5L APPROVAL INFORMATION M Approved as proposed [ ] Approved with conditions [ ] Denied [ ] Backfiow 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 ty ( t Q Zoning Official zjDate /6 &6 Other Official f 1 Date 0 33 I1 (D County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 2%-5832 Fax: (434) 972-4126 Revised 11/02/2015 Page 2 of 3 Intake to complete the following: Y/N Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. t/N Will there be food preparation? If so, give applicant a Health Department form. Zoning review can not be ' u til we receive approval from Health Dept. FAX DATE b Circle the one that applies Is parcel on private well or ublic w ter? If private well, provide Health epartment 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? IN ill you be putting up a new sign of any kind? If so, obtain proper Sign permit. �� Permit # �6 0 YIN Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # j b14 — 5 4 v Zoning to complete the following: Reviewer to complete the following: Square footage of Use: 33 es Peit ermi Ptted as: ew{ ;Lc �sTf�bl;Sh l+�e Under Section: Al`. Supplementary regulations section: Parking formula: Required spaces: /� Y I I Items to be verified in the field: Inspector • Date: Notes: Viola 'ons: Y/W If so, List: ffers: /N so, List: tl —7 Variance: Y/E1 If so, List: SP's- Y4 If so, List: Clearances: SDP's Revised 11/1/2015 Page 3 of 3 1,7 NO visa { ♦ e .:a w.n w a B .. Si4m.3Tf W•1.r ri gar eq� . Y j �u y ,.4-(.�,..]. / f �d•� ....., AW .{. � � � s' ;i ,.f/ �� �� i. �4: - ,. !} '�er"1.- L•� it 6 1 ..:it a. .... jai f � i {/'1 E 1iQ Approi a Application for Zoning Clearance CLE # 1201k — I-V% , Fe '-5 La, OFFICE USE ONLY PLEASE REVIEW ALL 3 SHEETS Recelp �, _oil-�— staff: 9 PARCEL INFORMATION Tax Map and Parcel: D61 WD-03-00-019A0 Existing Zouime__ M� Parcel Owner. ALBEMARLE PLAC E EAAP LLC pal Address; 20550 Bond St. City Charlottesville State VA Zip (include suite or floor) PRIMARY CONTACT Who should we call/write concerning this project? Address. ; 1 $ sir rx rr✓ " City U—A State _ V i� ziV- V 0 Office Phone: (�) Cell # E-mail l�,►ua�ti ry6st r bey ,c APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name X New business Business Namelij pe: ,Burger Bach / Restaurant Previous Sudsm on this site NIA Describe the proposed business including use, number of employees, number of shRU, available patitl ig spaces, number of vehicles, and any addithml information that you can provide: , 0-^T,atatuu:r t^LAFA Poa.Wi wa. L41 FA; rwr: *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 requited. 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 . I have read the conditions of approval. and I understand lthem, and that I will abide by them. Signature - Printed N`lC i 1fiL `(�S£S APPROVAL INFORMATION ( ] Approved as proposed ( ) Appmved with conditions [ ] Denied l ) Bacltflow prevention device and/or current test data needed for this site. Contact ACSA, 977-4511, x.117. j ] No physical site inspeclinn has been done for this clearance. Therefore, it is not a determination of compliance with the existing site plan. j ] This site complies with the site plan as of this date. Notes: Building Official%, _-- Date Zoning Official Date 9ther Official 1) tI J W Date & P%6 County of Albemarle Department of Corrununity Development 401 McIntire Road Char eaville, VA Z2902 Voice: (434) 296-5832 Fax: (434) 972-4126 Revised 111=015 rage 2 of 3