HomeMy WebLinkAboutCLE201700247 Application 2017-12-04Application for Zoning Clearance
CLE # ()l rA74-
OFFICE USE x
PLEASE REVIEW ALL 3 SHEETS Check # l C 1 Date:
Receipt 1 Staff:
PARCEL INFORMATION ' ^
Tax Map and Parcel: " 7'41X Ata.t'� Z) r -1 Existing Zoni�a _
Parcel Owner. -Pk' l`i t7 P tet.�k kyl
Parcel Address:4q(v �-utAiflot¢ TYaai Cityiytl��i/t �� Siate� Zip I
(include suite or floor)
PRIMARY CONTACT{C r f
Who should wee call/write concerning tbis pr//oject?
Address: ! 2 �Gi w`ti �- 7 L /�o�s�city 'lam State t/ /1— Zip 2 Z 7
Office Phone: (- ) Cell # 01f ta► az # E-mail _�� cn� -/u �-�° �u a�`�
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name --New business
Business Namelrype: _k r z v fS a ? �r
Previous Business on this site �o 'S /3 4'-6e C" G
Describe the proposed business including use, number of employees,j�)umber of shifts, available parking spaces, number of
vehicles, and any additional information that you can rovide: 7d
,:,mod-•e�ifvtt eort_ r?af a�k.'•� 9P � aSS.VL- ? n� 1 .
*This Clearance will only be valid on the parcel for which it is approved. If you change, intensify or move the use to anew location, anew 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 1 understand them, and that I will abide by them.
Signature—�Z — `--t �I . Printed_
AP OVAL INFORMATION
j Approved as proposed [ ] Approved with conditions [ J Denied
[ 19fielfflow prevention device and/or current test data needed for this site. Contact ACSA, 977-4511, xl 17.
CvfNo physical site inspection has been done for this cleanince. 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: [�kQ5t (�•!E f:T 4/ f�' iP.ElIit PJT$
Building Official i Date
Zoning Official Date 11- —1 7
Other Official /I�� - (/�,�-£rj Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
Revised 11/02/2015 Page 2 of 3
Intake to complete the following:
Y /�N
[s u$e i LI, HI or PDIP zoning? If so, give applicant a Certified
Eng eer's Report (CER) packet.
Wil
l
N
l there 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
Is parcel orf twat 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-thaLapplies
Is parcel septic public sewer?
Y/N
ill you be putting up a new sign of any kind? If so, obtain proper
Sign
it## to OO Vf roc. fe(mt�
Y
Will ere be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Zoning to complete the following:
Reviewer to complete the following:
Square footage of Use: 1�0 o - � f
YEN
rmitted as: ! t! t✓
Under Section: l 0, Z
Supplementary regulations section: S. 1, li
Parking formula:
S, (,LIB• tt (fXPt'}10
Required spaces: 4 15f t r
virkln�
Y N
Ite o be verified in the field:
Inspector: Date:
Notes:
Vio s:
Y N
If so, Est:
Pro s:
Y so U
If isr
Val ' e:
Y
If so, Ist•.
SP's•
y
If s , Est:
Clearances:
CL. t.at3- $
400'S 61&
SDP's
0 Z-
n '5 r u llwnt Sod'
1611-
A++ 's (0" t+ of ,
Z QQ 9 - 3R
t'oj�lgs) Aof et
00G— n
NaV 4r c
Revised 11/1/2015 Page 3 of 3
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form must accompany zoning applications (Home Occupation, Zoning Clearance, Zoning
Administrator Determinations or Appeals, Sign Permits, Building Permits) if the application is not the
owner.
I certify that notice of the application, CLE V[ T' r-�4 ,
// (County application name and number]
was provided to FA1 t 16' 0 `4 L e 1`6 4vkn t-�k vlc4 the owner of record of Tax Map
[name(s) bf the record o ers of the parcel]
and Parcel Number 2-1 (7+ by delivering a copy of the application in the
manner identified below: 1
0 Hand delivering a copy of the application to /` j rl ► ,"� (lei
[Name of the rebord owner if the r6cord 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 / (JI / j `7
Date (
Q Mailing 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
Date
to the following address:
[address; written notice mailed to the owner at the last known address of the owner as shown on
the current real estate tax assessment books or current real estate tax assessment records satisfies
this requirement].
Signature of Appliciiit
Ct,.r)P,, (j 1�e
Print Applicant Name
Date
_lp
350 sq
References
1 McCartt, A.T.; Hellinga L.A.; and Solomon, M.G. 2008, Work schedules of long-distance truck drivers before and
after 2004 hours -of -service rule change. Traffic Injury Prevention 9:201-10.
2 Federal Highway Administration. 2015. Highway statistics, 2014. Washington, DC: U.S. Department of
Transportation.
01996-2016, insurance Institute for Highway Safety, Highway Loss Data Institute I www.lihs.org
Michael Dellinger
From: Laura Kerfoot <Laura_Kerfoot@hotmail.com>
Sent: Monday, December 04, 2017 2:09 PM
To: Michael Dellinger
Subject: Re: Zoning clearance
Hi Michael,
We're not doing any renovations. We're reconfiguring some of the existing shelving, but that's pretty much the extent of
the changes to the interior.
Thanks,
Laura
Sent from my Phone
On Dec 4, 2017, at 2:08 PM, Michael Dellinger <mdellinger@albemarle.org> wrote:
Good afternoon:
Just checking to see if you are doing any renovations or changing the layout of your proposed
market?
Thanks.
Michael