HomeMy WebLinkAboutCLE201000201 Review Comments Zoning Clearance 2010-10-13Application for Zoning Clearance
CLL # �9 n0!� a�� r
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Parcel Address: q.5-5- JLL)>Flli t�9rL F City State
(include suite or floor) If
Zip 272,
PRIMARY CONTACT `j
Who should we call /write concerning this project? C)s ,�r �LL'/�5 r�
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Address : �� �' ' L-.x,V 6— 7-o j V City %CLTIV6 " --IV State AZ/4 Zip !-a
Office Phone: (_fO 7 S ".S6 0 Cell # j3 l -7 2054)) Fax # E -mail Z /o5�,rtf _ � s''V'' a i
I APPLICANT INFORMATION /
Business Name /Type: 5 !: ✓'%7 ti / �/l�-�/� i1� �,>97c %�
Previous Business on this site o LD 1' 1AAl X
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: ,?te/`l hK !� , ,� �✓; Ass✓. —Low ��S>
A-melt ��� _5�. i 0-1`-1,r'L G'/ 0_6 .' 1O iz _- - -4, S H �=T, '
*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 accurate to the best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Y
Signature `�!� "/� Printed ='S ��'i� �✓ 't✓(✓ C.f9 S
Intake to complete the following: Reviewer to complete the following:
- Y / I Square footage of Use:
Is use in LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet. W/ N
Y /
Permitted as: SSn,tiA� P_V
1�
Will there be food preparation? Under Section:
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval from Health Supplementary regulations section:
T] ant _FAX_11ATF -- - - - -- - - -- - -- - -- - -
Circle the one that applies
Is parcel on private well o public ater?
If private well, provide Healt eparhnent 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 e) ewer?
/N
ill you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Aniy J1 /yY1
Wil e be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Zoning to comDlete the following:
Parking formula: /
Required spaces:
Y/U
Items to be verified in the field:
Inspector : Date:
Notes:
Violations:
Y/N '
If so, List: 4� IzX
Proffers:
Y /!I�1
If so, ist:
Variance:
Y /
If so, ist:
SP's:
& / -N
If so, List:
Clearances:
SDP's
Revised 04/28/08, 10/13/09 Page 3 of 3