HomeMy WebLinkAboutCLE200700135 Legacy Document 2013-12-13Application. far
Zoning 4�,leara.nce
# 2"Check
Clearaace - C)LE a Date:
Staff. PLEA$)E RE`MW ALL 3 SBEETS 1 Receipt #
i< A RCiEL INFORMATION
/"�
Tax A9xP and Parcel• / D `�-� ' E dIdUg Zo-n
112rcel Owner:
parcel A.ddrmw 19 B Sr�Qtnra QL- '_'Cis s�, state z�
onju& sulfa or floor)
pg'Y CONTACT
Who should we caphvrite comoe>r ddbg this prnJecC'
Addreaa -:— q 9 Q J � CL P City L' )'N• y t E t? state & . , Zip %1l
O(flcePhones C Fag# S (o. of �eSC• to•
AP'P')LICANT INFORMATION
Busimeti NAM4fJrype:
previous Bneiiaess on this site
Describe the proposed bUfiihosa, baclvdiug use, number of employers, number of s Oft, Yvailabin parldbg spaces and any
additional information that y,00. can Provide.- a (3fo K�f �✓ Q QrnQ � Y --r-<
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this (�ramnae will only be slid on the pazoel for which it is sgpzvv�•d. If yon OAr ge, intensify or move the Use w a new location, a new Zoning
Clearanc* will be mquaed.
1 hereby ocrLW 0i*i 1 own or have the oWUM's pst=i,RSion to,u9e time space Indic uad on this application. 19110 =tifS lttat the iufoa=A1ion P"V'ded
Ls� end aocurm to dw b-st of -y wledge. l have teed motions of appro�91, cad 1 undbetstand tbcAa. ➢wd that I will abide by them�
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APPJ OVAL XNJE'ORMATION
LVf �,�p�nvad as proposed [ J Approves with editions [ 7 Denied
[ L) N acleflow pmvention doviao =&cr ourreat Test data n'=d6d for this site. Contact A SAS
L ] No pbys cal site inapeotion has been done for this cic"cc_ Thrrefom, # is not a date 1 P�Y�� r
site piuu. CittTent Test Data Needed
[ ]
This g To complies with the site plan as of flit data Contad ACSA 977w4511, x 119
Notes:
Building Official
Zoning Off ew
Other Official
Date c!�I
Date 5L,z I D-�
Date
County of Albemark Deparbnent of ComlaWlity Deveiopmnent
401 McIntire iBcoad.Charlotterv'ilie, VA 22902 Voice: (434) 296 -5832 fix: (431) 97?r4126
5/1/06 Page 2 of 3
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Xntak,e to complete the following:
❑ 'Y-ES L•^ }'NO
Is use in LI, fib or PDIP zoning? if so, give applicant a. Ccrti.6od
Engineers Z�71 packet.
❑�
WHI there be food prcpwaiion? .
• . ,SQL give applicant a Health Departareat form- ..
Zoning roview can not begin until we* raoei'Ve approval from Health
Dept, FAX DATE
❑ YES ❑ No
Is parcel on prime woll public water? `
If privac wd 1, provide H 04T farm. '
Zoning Mew• can not bcgin until we receive approval fromf4aalth
Dept. FAX DATE
❑ YES [I NO
Is parcel on septic or public
❑. YES O
Will you be putting up a new sign of any land? If so, obtain. goper
Sim permit.
Permit #
❑ YES
Will there be+ any Acw omsonsctlon,or reawvadons?
If so, obtain the proper Permit
Permit #
:anin Tech to o
Ylolatfalas:
❑ YES im
If so, Lin,
Vermeer
❑ YES 1� NO
If s,o, List
the
P(OV. C
Reviewer to complete the following:
Square footage of Vie; 1
9/yE s ❑ NO
Parmittcd as: P (1%&56• CC
Under section: oa' 1 -
Supple'p=tary r ggu�ti ous section:
Parking f 1 4 60 q2o
&Nufi-ed. spaces: 2
YES ia
Ids to be verifx 6 d in the field:
lmpoctor
Norm:
Dste:
6 SfLM6 Page 3 of 3
Pirot'ibrs:
❑ YES
if so, List:
ONO
SP's:
❑ YES
If so, List
[pr'NO
6 SfLM6 Page 3 of 3
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