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HomeMy WebLinkAboutCLE202000017 Action Letter 2020-01-271;3(4 101 9 2 2- 1:?> Iq t Acar����cc� Application Nk C peg I Partment Date File- Date: V1.E.%SE RENIF" ALL 3 SHEETS J. Re% rilot Staff: P%RCEL INFORktATIO'S 'Fat Map and Farrel: EtWing 7mi 1 Panel toper: Parcel t cllj7ip i include suite or n PRIMARY CONTWT -c rallOwritt concerning this pm*t? CA Addrr 2K C 01 r 1f1tv State Zip �)) W1 OMkv M nw. I 11YO SZ Cell Fit.0 P0 j (C�, Ot� 1 ..12f— C", APPLICANTINFORMAI 10% Chock any that al-44v: Chnime of Owne hi Change cif tme Ch-nner of name --irvew hu.%4n1'n._ zi rVI 19 -IA j r PvrviowN RoNin"s on W6 site Dr-A,n6c thm propo6td b"Ite%b Incluiling uw, number of rinplovers. nuint*r OrAm%, avoil"W parking spaces, number ot veh3cbcs, ad aniv additional inforww6iiin that wow can provwt: I �— tr7 e I, e-S vs!' I hi N ^ le-trAM r 'A 111 VO\ N .,did .,i j dit Ivwt:cI 1, n whlth It I, arrm., C-0 If %,A) i hfia i, IIIEOI-jfj k-r mmike Ow zL%r 44- ;% ne-A IL4v &:),t A r fir ivivermi 0 F-ri "K I kbti %wn tv hxiv I hr rmuce I Ii`11!-U ii, " I Uw Ow 'Jitlic Inch, Al"I - W- IN% 11M 1"ritic'ni 1 41 -,L, to i til r Lh.&A :hi- t ml w•r—,win rw % Oni J� rnL LK! jL'-ui.At ku ;fat 1v%A t 4 rn> IrVr*lkdg,� I h.ivc i Chd tth 1X1f"1JkM% k I( R.JWIIS Aj, JMA uru�--Arwi dft m QL,,�; I -A til &L-%JL U) uitrin sip-,> _ _ ��...j 0it APPROAL INFORMATION pnr,,A,.l PA,ktl,,V% 1-tt %( 110111t, Jr.,14:v and tit- t unrrd wit dau rwctiLd Itw this %,ir ('11i1U1I \4 'S k 07-7 41il 1, 11 �No phvit itiN)vkUt-in bas t%ccn done Ice Ous, cicafaixo, Rivivf4itv, it ii, w1A it d6cmimejon (d ctPir4AianCjL V61th dvi: CIONZIng site plan i lu-, site contplw% rAilh the 4jfv 144v as N dis date Notes. Other Officild Date -O 0 Date County of Albentarlit Npurtivient of ('omm unit) Dcvckvnitat 401 %I-rtntifv Road Charlunts011e, VA ZZM Voice: 14-141 F31. 1". 97.1412* Intake to complete the following: Is /s/�V Is u � LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y / Wil erQ e 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 r public�water�? If private well, provide Hea epar�t form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE Circle the one that applie Is parcel on septic public sewer? Y/N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # Y/N Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # Zoning to complete the following: Reviewer to complete the follo(w�ing: Square footage of Use: � `� �l N rmitted as: (� Under Section: V Z Supplementary regulations section: ,V / I Parking formula: Z Ci o ,ru 5 r Required spaces: I Y / Item be verified in the field: �q f l<<�5 CcCftG C-a �R Inspector: Notes: Date: Vio ns: Y/N If s ist: Prof s. Y/ If so, Varijj�e: Y/�N) If so, st: SP's Y/ If so, t: Clearances: L I✓ _ © z,� t� oo � 9 SDP� 's 1 i (boo f 3 Revised 1 I/1/2015 Page 3 of 3 CERTIFICATION THAT NC)TIC'E OF ME APPLICATION HAS BEEN PROVIDED `I'0 THE I.ANDONVNER This form nm1w aceompanr zonirW ap[dicWinns (Name Occupwwn, Zo►ung Clearamv. Zoning Administrntor DelerminWsons or Appeals, Sign Per► av, BuddM9 Permits) if the appliration is nip the © r716Y. 1 certify that not,z of the application, CLC�2-(--/ (CouniN application narric and numb-crj wAa pmwird to f �t.�� 't 1?. }' ,l 1 the o%%acr of record of Tax M. -p �oamr(s) of th� Q"�ws. t'the partxil :uid l'areel Number ' — (� �' b} deliwing a copy of the applicavk-m in the inatiner iclentifiod Mow: QHand dclivenng a copy of the application to (Name of the record owner if the rrwrd (m ncr is a penvm: if the oA-ncr of record is an cntit}, idcnuf) the recipient of the mcord and the mcipient's title or office for that cntit,,] 0 Date Mailing a ate- of the appht-ation to jName of the. mcurd owner ofth; record owner is a Nmin. if the o%v-mr of record is an enntN, identify the rrcipicnt of the racord and dic rocipient's title or officc for that entity on to the folio%mg address: Date {addrCss: wnticn aoLet made, to the owncr ffi the last knou-n address of thi o-A act as shuwn on the current real csLdr lax rises inwnt books or cur nt real estate W. assessment records gati5tics this requirrmcnt) aclift' of Appt 'ttt )—I PrintZlicattt, c MEE C. �-71 w, 1