HomeMy WebLinkAboutCLE200800013 Legacy Document 2013-01-03ti�J�J11l.Cf1L1V11 1V1 a''�"r.
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JV �cfn Or oning Clearance = $35
FAA � Owem'J�r% PLEASE REVIEW ALL 3 SHEETS
Tax map and parcel: 04910JO °Q3 —6V .— Q &? i4 f7 Existing Zoning: U'r ✓Y�
Parcel Owner: L I I-vd - 8 /,he 1 G LLC
Parcel Address: 1233 00n,7n-- )01 -11C ty O-AVille State C L- Zip ZZ?O)
(include suite or floor)
Contact Person (Who should we call /write concerning this project ?): Z e e CiO k
Address .Lc f Lw Vrvtrlv '7)P'. City 46,,xr ifvffez -V.(re state Zip 221-c,,,
Daytime Phone (__J T7 —,IY'7 I Fax # (_)
Business Name /Type: —r.-,c C6 -er!r, k ct if," (l
Previous Business on this site: !"OL — -C M'i on 7-
Proposed use: C -Cr Spy gr &,rr
E -mail
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 them.
/ //� 4 ir
Signat re of Business Owner or Agent Date
71 4er- 1!15-009e
Print Name -- - --°---° --
Backflow Device and /or
PROVAL INFORMATION
Approved as proposed
[ ] Approved with conditions Contact ACSA 977 -4511, x 119
��OC111(11
ow de vice and /or current test data needed for this site. Contact ACSA 977 -4511, x 119.
ysical 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
Zoning Official
Other Official
t --
_.,,.! a.
RAW
—R!, f/Mr \
Date i 1-1 o f
Date Jlgq
Date
FOR OFFICE USE ONLY CLE # 00,f- /3 Q
Fee AnlOUnt $ o Date MCI ��By who? 6 Receipt 1/ U/ / tY Ck# s o By: E�
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 of'4
Applicant to complete the following:
Do you have ,one of the following?
IIES
Tax 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 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.
r
2 5-0 0
coning Tech to co
Violations:
❑ YES E' NO
If so, List:
Variance:
❑ YES ❑' NO
If so, List:
1
2sr
2 5-;�-
the following:
❑ YES ['NO
Is use in LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
❑ YES PINO
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 NI-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?
❑ YES [r'NO
Will you be putting up a new sign of any kind? If so, obtain
proper Sign permit.
Permit #
❑ YES ENO
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
❑ YES D/NO
Is this for sales of Fireworks?
If so, obtain a copy of F/R permit.
Permit #
Proffers:
❑ YES ENO
If so, List:
SP's:
❑ YES ❑''NO
If so, List:
5/1/06 Page 3 of 4
Reviewer to complete the folloyin
Sgtaarr footage of Use: y
EVES ❑NO�� �l
Permitted as:
Under Section: dx °CQ
Supplementary regulations section: YV 0 -t
Parking formula:
Required spaces:t/fJ� ^
❑ YES 2NO
Items to be verified in the field:
Inspector Name & Date:
Notes
5/1/06 Page 4 of 4