HomeMy WebLinkAboutCLE200800009 Legacy Document 2013-01-03Zoning Clearance
U Zoning Clearance = $35
PLEASE REVIEW ALL 3 SHEETS
Tax map and parcel: u V 62 —0 T 003 o Existing Zoning:
Parcel Owner: /b,( -16 l t - &&C—
Parcel Address: 10%-1 S61141N+AIt vILI ✓6 City C14 gtil,0M- 's'yrI/ vt State V Zip
(include suite or floor)
Contact Person (Who should we call /write concerning this project ?): Cg /,C 6,' cP-y,,sq (-
Address B -n- 1 &uN'T'%l b'V6 6,4.46 city� Ib44 State V A Zips 2-I6C?
Daytime Phone I 10 ` COO JO Fax #L_) E -mail Sl�i�' IGy����y� ,in�e {l�ti�nlCv�G�y.G ®yr!
Business Name /Type: C..eUGayy4 TtLAee ) 1,�oiyfi y LMAA;fJAL aN71'� Scaool
Previous Business on this site: J3,4A'r ro c'- / t CT'�;I'T L4e,. Ng�S ro r-AiS sy ;Xt- '7007)
Proposed use: _ ig A01 AA M OarA, -1$c /}^.'--S CLA}S -S
SEE CONDITIONS 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 tb�'00111
Sga,Kur o usiness Owner or Agent Date
�14&IS l►..GUiYGA&
Print Natne - --
f Backflow Device and /or
AZOVAL INFORMATION
Approved as proposed [ ] Approved with conditions
Contact ACSA 977 -4511, x 119
[cicflow device and /or current test data needed for this site. Contact ACSA 977 -4511, x1 19.
No physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the existing site plan.
[ ] This site complies with the site plan as of this date.
Building Official JL Date I.
Zoning Official - Date 1
Other Official Date
FOR OFFICE USE ONLY - w CLE #Q0 i� 0�!0o I (/ f7 ��� ,
Pee An10Lln1 Date Paid t��By ho? ' ecei t tl Q ktl B
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 5/1/06 Page 2 ol•4
,,.Applicant to complete the following:.
Do you have one of the following?
9YES ❑ NO
x Ma and Parcel Number and or;
Address of use include unit or floor if appropriate)
YES NO
Do you ha or a Floor Plan (sketch or an architectural drawing) that
includes the following, and if so please provide it with the
application? ,3600 sre• 5-T'
The total square footage of 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.
ew)�
Tech to com
the following:
Viol ions:
Z
YES ❑ NO
If so, List:
0 � ( )
i
Variance:
❑ YES ZNO
If so, List:
❑ YES ( NO
Is use in LI, HI or PDIP zoning?
Engineer's Report (CER) packet.
If so, give applicant a Certified
❑ YES M-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 ,>�'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
Is on public water and sewer?
1'ES ❑ NO
Will you be putting up a new sign of any kind? If so, obtain
proper Sign permit. j y
Permit #
a'YES ❑ NO
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit # �� J
r.
❑ YES 0 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: '/
F1 YES ❑ NO
If so, List:
5/1/06 Page 3 oN
Reviewer to complete the foll N jngs
Square footage of Use: U66
[j2/YES ❑ N
Permitted as:
Under Section: d'4" �, ! ` 4,�-
Supplementary regulations section:
12
Parking formula: _'
Required spaces:
❑ YES ❑ NO
Items to be verified in the field:
Inspector Name & Date:
Notes
5/1/06 Page 4 of 4