HomeMy WebLinkAboutCLE200800015 Legacy Document 2013-01-03- Xtypll%�a Llull lux
Zoning Clearance
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❑ Zoning Clearance = $35
PLEASE REVIEW ALL 3 SHEETS
Tax map and parcel• 0O 6b "- d C` d y — I3 �76 Existing Zoning: 1T
Parcel Owner: 1641M (A Id � L /
Parcel Address: 702 -�l tt`� ����C �u�iP 3 City C4r_h Ps✓t'1 /C� State Zip Z-L)0-
(include suite or floor)
Contact Person (Who should we call /write concerning this project ?):
Address 03aZ [r •LA fm ls,.J elz_ City State l/ �4 Zip ,.2 270
Daytime Phone ( I qO - 0 5700 Fax # L—) E -mail
Coll
Business Name /Type: ` ✓/YCC(�
Previous Business on this site: '51n,411d aae S
Proposed use:
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet 1)
Circle (if applicable): Fireworks / Christmas Tree
*This Clearance will only be valid on the parcel for which it is approved. If you change, intensify or move the use to a new location, a
new Zoning Clearance will be required.
I hereby certify that I own or have the owner's permission to use the space indicated on this application. I also certify that the information
provided is true and accurate to the best of my knowledge. I have read the conditions of approval, and I understand them, and that I will
abide by them.
Signature of Business 0 iner of Agent Date
Print Name
APPROVAL INFORMATION
fj] "Approved as proposed [ ] Approved with conditions
] Backflow device and /or current test data needed for this site. Contact ACSA 977 -4511, x 119.
] No physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the existing site plan.
] This site complies with the site plan as of this date.
Building Official Date I 3l
Zoning Official Date 4 / ;/,/Og
Other Official Date
FOR OFFICE U_$E ONLY A' CLE # 01602006
Pee Amount / L1� Date Paid ) 6b By who? S Receipt If CH / By: V Y
--xP26!�S
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 5/l/06 Page 2 of 4
;cant to complete the following:
Do you have one of the following?
2--'?ES ❑ NO
Tax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate)
P- 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; �� 17
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.
Tech to
Violations:
1/' YES ❑ NO
If so, List:
Variance:
❑ YES �Z NO
If so, List:
Mete the followin
❑ YES [Zf NO
Is use in LI(HI or PDIP zoning?
Engineer's Report (CER) packet.
If so, give applicant a Certified
❑ YES N 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?
® YES ❑ NO
Will you be putting up a new sign of any kind? If so, obtain
proper Sign permit.
Permit # L) :51— / -7 7
❑ YES 0 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 Xj NO
If so, List:
SP's:
❑ YES ❑/ NO
If so, List: i
5/1/06 Page 3 of 4
•Ier to complete the following: (/��
re footage of Use:
YES ❑ NO
Permitted as: 'To �j4 6
Under Section: < I
Supplementary regulations section: 2 Z' 2_ (/0
Parking formula: A 9 X `
Required spaces: rd
❑ YES ,.® NO
Items to be verified in the field:
Inspector Name & Date:
Notes
5 /1 /06 Page 4 of 4