HomeMy WebLinkAboutCLE201000195 Review Comments Zoning Clearance 2010-10-29Ce
Application f ®r Zoning Clearan
'Vorting Clearance =S35
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PLEASE-REVIEW -ALL 3 SHEETS CEk;V
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PARCEL INFORMATION
Tax lMap and Parcel: wv-cqot(q14005c7o Existing Zoning_ 1 r C
Parcel Ow n e r. 6:Le_,e,- t _61 (Ij c, c-
P2rce I Ad dms-.,) 7V 4feir' Cc We- city ckcF(,',D�fS14 lkSt2te V zip��_Fll
finclude suite or floor}
0 ------------------------------------------- ___ --------------------------------------
------------
--- - N__ T__ -A
VVho should we call/write concerning this project? Ak,,k-Fe4
Address re'vt /hack if- pl�-t -kal lkstatt v4-
,1 01 City _iQ —zip
Office Phone,, fth cell # ro F 9 13 53>'-!�Ir-mil
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----------- I ------------------------------------- ---------------------------------------------
19- t 611
Business Name/Type: _V2 'A
Previous Business on this site: &C1 147 A/61-1
Circle (if applicable): Fireworks / Christmas Tree
SEE CONDITIONS OF .APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (,Sbect 1
!P'•is Clearance will only be valid on the parcel for which it is approved. If you change, intensity or move the use anew location, anew Zoning
Clearance will be required.
I hereby certify, I own or have the o 3 permi n to use the space indi=ed on this application. I also certify that the information provided is
true and ace the best of m I (adl
ge.. I read the conditions of approval, and I understand them and that I will abide by them.
Signature Printed CCC ✓°
---------------- - ---------------------------- - -------------------------------- ---------------
-- ------------------------
APDROVAL INFORMATION
Approved s proposed
r 1AFptcwed with oondition!F
�f -, L I
Backt1ow device an(Vor current test data needed for this site, C'j)rta,_t,6LCSA 977-4511, x 119.
No physical site inspection has been done for this clearance. T"nerefore, it is not a determination o-l"compliance with the existing
site plan.
[ ] This site complies with the site plan as; of this date.
Date
Building Official ,4<�'
Zoning Official Date to
Other Official Date
------------------------- ---------------------------------------- ---------------------- ...... -------------------
County of Albemarle, Department of Community Development
iReviewer to complete the following: i
Sgtwt footete of Use: I
Supplementary regulations section. C
xP
Ruking formula: P Q Arp 1
Required spaces:
Y _
Items to be vcrified in the field:
t
nspector N2nie & Date:
N6tes
10/:4105 Page 4 of
Applicant to complete the following.
(YIN
Do you have one of the followaig?
Tax Map and Parcel Numbed or;
Address of use (include unit or flpor if appropriate;
�
f V
o you have a )✓loor : °lan (sketch or an archi:ecaual drawing) that
includes the following, ald ifso p ie::cg�Vlcyvyrhc
application? C>�l
The total square footage of the use and,'or;
The smwe 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
5t uottffc.
Zoning Tech to
Vloltations:
Y/N
If soy List:
Variance:
Y/N
If so, List:
the
Intake to complete the following:
1 use Ll. HT or ?DIP zoning' If so, give applicant a C: rtincd
)engineer's Report (CER) packet.
—Y -1—
Will Vere 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
Y / 0
Is parcel 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 DATE
/N
Is on public rater and se«--er?
Y /O
Will you be putting up a new sign of any kind? If so, obtain
proper Sign permit, _-r- t /
Permit # - ectla�" trvr (I (,t, 1/'V
Y /�N GA (A-P cerf'!�O-
Will tyre be any new construction or renovatians'?
If so, obtain the proper Permit.
Permit #
Y / A9
Is this for sales of Fireworks?
If so, obtain a copy of FIR permit.
hermit #
PrO
Y/N
If soL ast:
ar �:
/N
f so, List:
IUJ14 /O5 Page 3 of
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