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HomeMy WebLinkAboutCLE200900070 Legacy Document 2012-08-30N f 1'�{��. ��,�� ?�-!.1 �`C.l�i�. �(-J rl'_ C.;d•1fi•%�.7 �- �'�..�tii'u'td'�., :�-''...E•'�- -' ,i,dsit. -1G� t Application for Zoning Clearance Y •t � � �r Zoning Clearxnce = S35 PLEAS REVIEW VIE ALL 3 SHEETS PARCEL INFORMATION Tax Map and Paresl- 00 V © 0 1 6 /1 0 050 0 Existing Parcel Owner: 4FICE USE itt`r)rY ", — � C}ieck At Z 6e Duce: i 1Rcccipt # ==. Staff i Pardel Addfress: J d �r�e�16r�er iJ('�b2r City �/�ar(fo6i' state _ jyncluciesuiteorfloor} - - - -- - - - -- - -- -- -- ---- ----.._,- ....... ----------------------- PlR�EMARY OONT,A.OT -- - `Whoshould.we carWwrrite concerning this project' � a (' O✓-, l / s. y(4 Address �� 6 L - l -1 d. s]�� �-/Wf .?,?1J& City LC #_r�A# rfer J11 Stott office phone; t a n dSJP Cell # ;Y�Z/0/ Fax # � �YWYOS��E -mail CP.R,(ok lo'c' t� PROJECT INFORMATION Business Name/Type: rl < P P VMC,, /1,C, Previous. DUSiDe9s om this site: W't a r�� c Y yt fe ! I rl o� rr R Y1 C 1 Proposeduse: . Crwfr,51'!^C f h. k i- a ✓1 i h V✓!l—'`1 ; S Circle (if applicable ): Fireworks / ChrisTx= Tree _ Zip c,.,6a!' wA, i tenfan��,e %r„c i --5 1?VIq SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FlIUVORK OR CHIUSTNIAq TREE SALE-8 (Sheet 1 ) $This clegrooe will only be valid on the parcel for which it is aprrpr"ed, if you change; intensify or move the use to a. ntw lucarion a new Zoning Clearance will be required. . I hereby certify t Town pr have owne-' pert:ission to use chs space iyidioated on this application. t also ce tif}• th•i:the:inf=r all, provided IS y true and acearx the bost of my owl e. l hav the conditions of approval, and l understand them, and that I will ahrda by tticm. ' Signature printed A��]�.Ct'vAL Ii�FOR�I�ATI4ly -......-- •- - - - - -- . ----- •--------------------- - - - -., ...,...-- • - -• -• •-- - - -• -; -�• -' - - -- sV [ ) Approved as proposed [ ,a.ppryved with ;:ondi;iops Sacktlow device and/or current.test data needed for this site, C'ortao ACSA 977 -4511, xl 19. j:, [ ] No physical site inspection has been done for this clearance, 7berefore. it is not determination of compliance with the existing • site plan. i [ This site compiles with the isite plan as of this date- Building Official , r Data Zoning Official. Date Other Official Date _ ................................ . - .._ - -- - -- ........._.._ -- -------------------- ......... -------- - --------- C'nnn.ty n-r hfhatnarin T1ar►srtmant of ramtnrrnitv i)nvuMnme,nt ti I. . i� j` i- Applicant to complete the following: �7O/ N you iiavc one of the fallowing'? Tax Map, and Parcel Number and or; Address !f use (in4lude -unit or flQor if ap7ropriate; E N �3o y5u Have a F1oor Plan (sketch or an archi:ectiu'al drawing) that incluiii s the fb:lloN�ing, acid if so please provide it with the The to'Ia square fbbtage of the use and/or; The � e footage of each room br area of Use 0f 6�ch room ;or area Ifusi1 g lless than the entire structure, note the location witlih) the ,Ar,(�%'cAf 3a Zs qo i i ,2anin'sa Tech to. the Intake to complete the following. Is Usk Ll. H7 or PD1P zoning? If so, give applicant a Ccrfitjed 1= nrineer's Rrport (CER) packet. Will there be food preparation? If so, give applicant a Health Department form.. Zoning review can not Deegin until we receive approval from Health Dept, FAX DATE ' 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 ; E' Health Dept, MK DA'C'E �N on public water and sewer? f N ill you be putting up a new sign of any kind? If so, obtain proper Sign permit. �.Q It -V. k/I it WID permit a V, ! N Will there be any new construction or renovations`? If so, obtain the proper Permit. Permit # — . Moly Y / (if Is thoor sales ofPiroworks? If so, obtain a copy of'F /A permit. i'ermit tF Y /N' if go; LI Proffers: Y/N If so It I-T I I Varis Y l If so, 10.`14/05 Page 3 of Reviewer to complete the foil Square jfootnge of Use: —1000 / N er=itted as: UQ/ Under Section: a C) I �� Supplementary regulations section. lG L' J _ �arkingj formula: I i �l i i i I. ;4 R Reviewer to complete the foil Square jfootnge of Use: —1000 / N er=itted as: UQ/ Under Section: a C) I �� Supplementary regulations section. lG L' J _ �arkingj formula: I i �l i i i