HomeMy WebLinkAboutCLE200800008 Legacy Document 2013-01-0301 =04 =2008 09:33 FIRST RUN CATERING 434 2935781
A A
Zoning Clearance
Tax mnp and parcel: 0
Pitt-eel Owner:
❑ Zoning Clearance = $35
PLEASE REVIEW ALL 3 SHE, ETS
ExislingZoning: C
PAGE2
r
Parcel Address: // r, Ric kt - -2i 4)City �hG� �s i l�.l�` (�� state V � Lii
(include suite or Moor) ,� r
Contact Person (Will) should we call/write conect•ning tills y is lrroject ?): ` A Q�y ( y� ��'�
Address /� ! / ►P5 IOMC < City BrelnU 47/Lt State V Q Zip
I)nytimePhtnic,� � 1-- .�ifl�V r •• �� );-mai
j
Business Name /Type:
Previous Iusiness on tills site: f QG C) - �SP� Z c--,,—
Proposed use: C, -C C lce li'U 'Y1?e -,. C-A r-e : l���CJJ�� VC r -le- DVS
Si;R CONDI I
4YS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet 1)
Circle (if applicable): Fireworks / Christmas Tree
*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.
Signature of Business Owner or Agent Date
V e-i 4--C✓ C3 v,1. \ 1`CLVA-S
Print Name
��VAL INTORMATION 15aCKtloW klevrice anu /ur
Approved as proposed [ Approved with conditions Current Test Data Needed
Contact ACSA 977 -4511, x 119
[ Backgow device and /or current lest data needed for this site. Contact ACSA 977-451 t, x 119.
[ No physical site inspection has been done for this clearance. Therefore, it is not a detennination or compliance with the exisling site plan.
[ This site comp] a y�ith�the site plan as of thisAdate.
Building Official Date_ F'
.Zoning Official Ce, Date
Other Official Date
)TQR OFrICI: SE ONLY krip • �Jo 6o0b l% c'Antount 5= Dale Paid 1 sy wl i t ud� Receipt it lJ WI V 9 By: _
County of Albemarle Departmertf of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice:. (434) 296 -5832 Tax: (434) 972 -4126 51i/06 rage z or4
01 4 -20oe 09:34 FIRST RUN CATERING 434
Applicant to complete the following:
Do you have one of the following?
❑'ES ❑ NO
T Map and Parcel Number and or;
Address of use (include unit or floor if appropriate)
[] YES [ NO
Do you have a Floor Plan (sketch or an architectural drawing) that
includes the following, and if so please provide it with the
application`?
The total square footage - the use and/or;
The 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.
4e'
Zoniur Tech to om lete the following:
Violations:
❑ YES NO
If so, List:
Variance:
El YES' YNO
If so, List:
i
i
t 1nT.aKC eu co aipieLe Liie iuuuvrlllg- PACE3
❑ YES (NO
Is use in LI; HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
❑ YES Ba�NO
Will there 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
❑ YES E� NO
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
YES ❑ NO
I .. ublic water and sewer?
YES eNO
W I you be putting up a new sign of any kind? If so, obtain
proper Sign p it.
Permit #
❑ YES NO
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
❑ YES NO
Is this for sales of Fireworks?
If so, obtain a copy of F/R permit.
Permit #
Proffers:
❑ YES NO
If so, List:
SP's:
❑ YES [1/N0
If so, List:
01-04 -2008 09:36 FIRST RUN CATERING 434 2935781
Square f6otage of Use:"
❑ NO OG(h
errnittcd as:
Udder Section:
r
Supplementary regulations section:
Parking formula:
j Required spaces: ,ea
I
f ❑ YES ❑ NO
EItems to be verified in the field:
i
1
'1
i!
i
�i
i
�I
•I
i
V'
�I
{
I'
°i
.I
I
�I
i�
I�
Inspector Name & Date:
Notes
PAGE4
I
511106 Page 4 oN