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HomeMy WebLinkAboutCLE200700106 Legacy Document 2013-12-12Application for Zoning Clearance Zoning Clearance = $35 PLEASE REVIEW ALL 3 SHEETS PARCEL INFORMATION _.• . ©9 OFFICE USE ONLY 2,©G" 7 J 0 / ,,, CLE # �/ Check # Date: 4 -ZO -CJ Receipt # 62, Staff: be 9 Tax Map and Parcel: Existing Zoning C Parcel Owner: 4 u k? i Applicant to complete the following: Y/N Do you have one of the following? Tax Map and Parcel Number and or; Address of use (include unit or floor if appropriate; Y/N 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. lvvzo 6;-e, inL- Tech to complete the Viol at'ons: If / If so, 1st: Intake to complete the following: Y/N Is m LI, HI or PDIP zoning? Engineer's Report (CER) packet. 9/28/05 Page 2 of 4 If so, give applicant a Certified Y ivy Wil ere 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 Y 0 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 y on public water and sewer? Y Wil you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # Y //§-) Wi ere be any new construction or renovations? If so, obtain tnPM, Permit # Y /� Is this for sales of Fireworks? If so, obtain a copy of F/R permit. Permit # Proff Y / If so, ist: Variance: SP's: y / Y / st: If so, ist: If so, i 7 /L6/u:) rage i or 4 Reviewer to complete the following: � Square footage of Use: I/N ermitted as: Under Section: Supplementary regulations section: Parking formula: ` Required spaces: Y,0 ) 1 Y/N Items to be verified in the field: Inspector Name & Date: Notes 3/28/05 Page 4 of 4