HomeMy WebLinkAboutCLE201000159 Review Comments Zoning Clearance 2011-01-11Application for Zoning Clearance -
OFFICE USE r4LY
Zonipmg Cl?sronce — S35 CLE # (fib t
PIZ,.SE lltl VrEW ALL 3 SHEETS Check# Date:
Receipt # Staff:
PARCH INFORMATION
Tax Map and Parcel: 00_0 9 0 ! Odom 0 0 Existing Zoning
Parcel Otmtt r: ���2o1 (l�/ L' Jai �� r C CC-
1'arcelAddress:?� U `°"���rl�s`�C;Cy C�jOyfilState j% Zip!
_,(include suite or floor)............................................. -_..._- - - -- - - - -- - - -- - - -- - - --
- -
Pi�.iMARY CON'>G'ACT ` /nt __
Who should we call/write concerning this project? ��Vi.�.lre", (�i t! ge �
Sdifi� %. (,c- Zip Addreae ✓116 F `S lt S_ o I City � Zip
i
6
OflicePrio>oe•(L�) �(�[ ®Sr}' CellmJt?, &f1/ 1G/ # 1- 12yq /7 E -mail 6Ctl -Cev %.v
-- --- - - ---- - - - -- - - --..-- •-- ----- ..._�h1 -- .__ --- -- --- ----- _. --- --- --- .�_�2 t� � dirA rp"\
PROJECT INFORII�ATYON ev
Business Name/Type: Aa-f
Previous Business on this site: Lam— &
Proposed use: L&—Pe— o ut , _rknu i e ; , -ieA S' ku -d (-v r av\
Vil
Circle (if applicable): Fireworks / C'hristtnas Tree 1 C1 0�clvb 01060)
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE tl5 \6012 Fl ORK OR CHRISTMAS TREE SALES (Sheet 1)
wMi Clearance will only bo valid on the parcel for which it is approved. If you change; intensify or mavZ the use to anew location, anew Zoning
Clearance will he roquircd.
I hereby certit tha oWn pr have the owns-' peat ion le use the space indicaW on this application. I also certify that the information provided is
true and accur tC bust of my knoyI C. vc read the conditions of approval, and l u them, and t7;, ill ,abi'd�e by them
Signature �•�
Printed U'� !-'"`�
Ai'PItOVAY.T��iFOR14fATION ------------------------------------------•-,._.._..-------------------------------------
...
I/ Approved ss proposed [ ] Approved with conditions
[ ] Backflow device and/or current test data needed for this site.
[ ] No physical site inspection has been done for this clearance,
site plan.
[ ] This site complies with the site plan as of this date_
C:ortact AC:SA 477 -4511, x119.
Therefore, it is not a determination of compliance with the existing
Building Official Dated o
Zoning Official Date /
Other Official U Date
................................... -- - - -- - - - ---
County of Albemarle Department of Community ]Development - - - -V
401 McIntire 1Zaad'Chsrlottssvi1 le- V•A 22902 Voice: (4-34) 296 -5932 Foor! (4-341()72-4126 l A /1d1A4 paean') ^F4
Applicant to complete the following:
i/N
N
have one of the following?
Tax Mar and Parml Number and or;
Address of use (include unit or flpor if appropriate;
� o
o y you have a Floor plan (sketch or an archi:ecttual drawing) that
includes the following, and if so please provide it with the
application?
7be total square footage of the use and/or;
'Me square footage of each room or area of use:
' Use of each room or area
If using less than the entire structure, note the location within the
structure.
rj ?ZS
oo r
Tech to complete the
Violations:
Y./ N
if so; List:
YIN
If so, List:
Intake to complete the following.,
YJ
Is usom L1, HT or ?DIP zoning
Engineer's Report (4ER) packet.
Ifso, give applicant a Certified
,Y I ( ,
Will ere be food preparation?
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval &on
Health Dept, FAX DATE
Yl
Is Pak on private well and septic?
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval from
Health Dept, FAX DA'T'E
/N
on public water and sewer?
Y/N
Will you be putting up a new sign of any kind? If so, obtain
proper Sign permit,
Permit # - /Vt&-V CPP /Y rk /-. 1we
Y/N
Will there be any new construction or renovations'?
If so, obtain the proper Permit
Permit # /4 V a-.Ap( , /
Y
Is for sales of Fireworks?
If so, obtain a copy of F' /k permit.
Permit #
r v vaaci as
(. N
Li
Vlt-o �,f q
I/ N
so, List:
y �IC
10,14/05 Page 3 of
r
Reviewer to complete the following: z
Square footage of Use:���- V
ted as: ui h
Udder Section: LI-1
Supplementary regulations section:
larking formula: o S e f e` A V ff
RC/
Required spaces: I
Y!N 1
Items to be verified in the field: f ilal K MA a)(! 0CA f M6
Inspector Name & Date:
Notes 1% 1���._
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