HomeMy WebLinkAboutCLE201300285 Legacy Document 2013-12-09Application for Zoning Clearance
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y J.I �IIIII
CIE # '200`- 285
+,
OFFICE US O
Date:
PLEASE REVIEW ALL 3 SHEETS
Check #
Receipt # Staff:
PARCEL INFORMATION
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Tax Map and Parcel: B - S5 118 - 2 Existing Zoning
Parcel Owner: Lu Xo LL C-
I L
Parcel Address: -{ C) �j (�� I r� �l City (f4&r („`t � i Ile State U%� Zip
(include suite or floor)'L
L
PRIMARY CONTACT _(_
Lf � `�\ � "t �VZ
Who should we call/write concerning this project? 1 12 A . Y� \ e-
Address: `cj !` �I�r��uc� �r^. City Ll'-1 State U)'q Zip 22'
j
S�EIi��UL/•�iKi4 j0.t«(CCYK�a n`�. L
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Office Phone: (3Y ) 470/ -918( Cell# 906-,'�5W Fax# E-mail'
APPLICANT INFORMATION
Check any that apply: of ownership Change of use Change of name New business
LChange
Business Name /Type: �Gtt�Sl .Lr�s "l5 � � Lhs,.yn�:(,'oh 1�s�, m,,A-Jr Iv.+, -,t $
Previous Business on this site V rkc -Ati' l -
Describe the proposed business including use, number of employees, number of shifts, available parking spaces, number of
vehicles, Y., es, and any additional information thatyou can provide: Si l°Yh/atry tgeS C'41' t — %
Intake to complete the following
Y /CN)
Is use in LT, HT or PDTP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y /Q
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
Circle the one that applies
Is parcel on private well o public water?
If private well, provide Health Department form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that applies
Is parcel on septic o public sewer?
YIN
Will you be putting up a new sign of any [rind? Tfso, obtain proper
Sign permit.
Permit #
O/N
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #aG96 — 0,1 & EY X C:
Zoning to complete the following:
Reviewer to complete the following:
Square footage of Use:
() /N
Permitted as: (J t 1') CL,
Under Section:
Supplementary regulations section:
Parking formula: �•
equired spaces:
N
ItKms to be verified in the field:
Inspector: Date:
Notes:
Violations:
Y/
If so, ist:
Proffers:
& I N
If so, List:
Variance:
Y/�
If so, st:
SP's:
Y-16 -
If so, Ist-
Clearances:
SDP's
Revised 7/1/2011 Page 3 of 3
n
1405 ROLKIN CT.
SUITE 262
LUXOR BUILDING 1 SUMS 202
SCALE: 1/8"= V-O"
a USABLE AREA. 1,511.75 SF
* LEASABLE AREA. 1,618.36 SF
SCALE:1/BA =a °-Q"
IWAC)