HomeMy WebLinkAboutCLE201800027 Application 2018-02-23•I•I: �rt•l�\A:
Application for Zoning Clearance for
MOBILE FOOD VENDOR
PLEASE CHECK EACH BOX SO THAT IT IS CLEAR THAT YOU HAVE READ
AND UNDERSTAND THE REQUIREMENTS FOR MOBILE FOOD VENDORS:
For additional details and contact information, please refer to the
Albemarle County Mobile Food Vendors FAQs.
L`J 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: , C I n t' d C / `l
E Owner's Permission. Operation of a mobile vending unit on private property for any length
,- of time requires permission from the property owner.
LJ 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.
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Commissary Facility. State regulations req ire tha fo sold from a mobile unit must be
prepared and stored either onboard the unit or in a health department permitted commissaryfacility. Food may not be prepared or stored in a home kitchen.
IJ Parking. Each vending site shall provide a minimum of two parking spaces.
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LI Pell�lddler's License. Mobile food vendors who operate in Albemarl County are equir�td to
obtain a peddler's license.
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Application for Zoning Clearance for
MOBILE FOOD VENDOR
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 corFect. I also certify that I have read the re-
strictions on Home Occupations, that I understand them, and that I will abide by them. This certificate
represen pproval to conduct the vending activity identified above.
Signature of Owner or Applicant Date
Printed Name Daytime phone number of Signatory
APPROVALS
Other Official
Date
Zoning Official
Date
CONDITIONS:
FOR OFFICE USP)LY I CLE # 0 U I � (-) (/ ( )U` [ Fee Amount $
By who? I 1 -z— Receipt # J
Ck#
Date Paid
By:
fill: NI&W01Mill ■:
Application for Zoning Clearance for
MOBILE FOOD VENDOR
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form must accompany zoning applications (Home Occupation, Zoning Clearance, Zoning Administra-
tor Determinations or Appeals, Sign Permits, Building Permits) if the applicant is not the owner.
I certify that notice of the application, Sf e v w t-1 _� 4 - 2; i - `% k,
[County application name and number]
was provided to L7)gl i`dlr 1-?i t P_ the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number li by delivering a copy of the application in the manner
identified below:
Hand delivering a copy of the application to %i/1 n 2L( L,{? L1-711 r tZ
[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 t� // a
Date
Mailing a copy of the application to
[Name of the record owner if the record owner is a person; if the own-
er 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 cur-
rent real estate tax assessment books or current real estate tax assessment records satisfies this require-
ment].
�jgnaturd>of Applicant
i/'9t1 J- 7ffi,
Print Applicant Name
l f�li�'
Date