HomeMy WebLinkAboutCLE200700132 Legacy Document 2013-12-13aton for Zoning Clearance
Applic g
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OFFICE US EOl Y': .( %
Zoning Clearance = $35 CLE # v1
PLEASE REVIEW ALL 3 SHEETS Check # :7 2!Z5 Date: — `7
Receipt # frr 5le 7 7 Staff: �^
PARCEL INFORMATION
Tax Map and Parcel: O 3�i,(�o " Lo' oo- [) 3-7ao Existing Zoning /V
Parcel Owner: Lla�) r CX - �Gi._ t__C_ (�!_
Parcel Address: &33-0 - City 1 no L fy, I State 1 o Zip 3—P 15
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APPLICANT INFORMATION
Who should we call /write concerning this project?
�4 f v„ r ��. State Zip Z � Address':�G ( Co�,C2�� City 7
Office Phone: U Cell # 0160-S'12-(I Fax #
E -mail
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PRIMARY CONTACT
Business Name /Type: J__� Y Y-1C- J
Previous Business on this site: D l J A 1-V7 v ice- /V-A
Proposed use:
Circle (if applicable): Firkorks f/Christmas Tree
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet 1)
*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 wn 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 t e best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed
APPROVAL INFORMATION
[ ] Approved as proposed
[ WINO physical site inspection has been done for this clearance.
site plan.
[ ] This site complies with the site plan_ as of this date.
VJ Approved with conditions
ti
Therefore, it is not a determination of compliance with the existing
Building Official Date
Zoning Official Date
Other Official � Q NU aJ 81" Date
51&
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County of Albemarle Department of Community Development
401 McIntire Road Charlottesv/i�lle, VA 22902 Voi� (434) 29n6 -583/2 Fax: (434) 972 -4126
14% '1 r,/.. �, _-a , linom/ A < A 110 i L-. nn-
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Applicant to complete the following:
Y/N
Do you have one of the following?
Tax Map and Parcel Number and or;
A ress of use (include unit or floor if appropriate;
IN
O 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.
Tech to complete the
(Violations:
`if / so, List:
/N
f so, i t:
Intake to complete the following:
Y /
Is us m LI, HI or PDIP zoning?
Engineer's Report (CER) packet.
l /LV /V✓ 1 [A�l. L Vl Y
If so, give applicant a Certified
Y
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/N
Is parcel on privatJHZathsDoepartment ll d ptic?
If so, give a 1'l form.
Zoning reviarp begin until we receive approval from
Health Dept. FAX DATE
Y/N
Is on public w r4 sewer?
Y /N
Wil ou be putting up a new sign of any kind? If so, obtain
proper Sign permit.
Permit #
Y
Wit ere be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Y} N
this for sales of Fireworks?
If so, obtain a copy of F/R permit.
Permit #
Proff
Y /
If so, st:
P's:
/N
so, List:
v
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.-
N
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