HomeMy WebLinkAboutCLE201000015 Review Comments Zoning Clearance 2010-07-19Application for Z®n, Clearance
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Zoning Clearance = $35
OFFICE USE Py
Check # Date: t/ U
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PLEAX REVIEW ALL 3 SHEETS
Receipt # 7 a Staff:
PARCEL INFORMATION l
1 (O v Existing Zoning
Tax Map and Parcel: /
Parcel Owner �—% / 06 k0l "/ Z&���
Parcel Address: C /�(�'/ `// f/ (�f 4.ty / i� % State Zip
(include suite or floor)
PRIMARY CONTACT
Who should we call /write concerning this project?
Address. �J.�C. City u`Q1�1p� State V H ZipQci
Office Phone: C Ce 1 100 •S33 Fax # E -mail
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
Business Name /Type:
Previous Business on this site
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:
*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 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 accurst to the best of my lunowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed i D \�
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APPROVAL INFORMATION
[ ] Approved as proposed [ ] Approved with conditions Denied
[ ] Backflow prevention device and /or current test data needed for this site. Contact ACSA, 977 - 1,x]117 .
[ ] 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 ofthis date. ��-- /I
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Notes:
Building Official r .. Date �j " I P
Zoning Official Date
Other Official W Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
Revised 04/28/08, 10/13/09 Page 2 of 3
111dv
Intake to complete the following:
Y/9
Is use in LI,1 -II or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
-YKi Il there be food preparation?
'so, give applicant a Health Department form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE Yt Al fft MA 4Z
"Jp (�
Circle the one that apl5lies
Is parcel on private well 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 that applies
Is parcel on septic or public sewer?
Y/a
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Will ate be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
7nninv to emminlete the fnllnwinu:
Reviewer to complete the following:
Square footage of Use: C9< `� G� �! �✓
1 ermrtted as:
Under Section:
Supplementa regulations section:
Parking forhula:` n !
'Y l N
Items to be verified in the field:
Inspector : Date:
Notes:
Violations:
Y /jam
If so, ist:
Proffers:
Y /I'
If so, List:
Vari e:
Y/F
If!), ist:
's:
/N
If so, List:
Clearances:
SDP's
Revised 04/28/08, 10/13/09 Page 3 of 3
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2010 Dogwood Festival Carnival layout at Fashion Suuane Mail
1N Area where the Carnival rides will be placed
** List & drawing attached **
Subject to change due to ride accommodations and grade of area.
2N Carnival parking
3N Carnival Parking
4N Carnival Parking ** Will be marked with cones, tape and signs
5,► A stationed person /s to help pedestrians with crossing
6-► A stationed person /s to help pedestrians with crossing