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HomeMy WebLinkAboutCLE200700220 Legacy Document 2014-04-25,:t M RF, A ` l-ication for Zoning Clearance pP OFFICE USE ONLY Pi `Q�O� Zoning Clearance = $35 CLE �o((ooCCIIJJ PLEASE REVIEW ALL 3 SHEETS Check # DReceipt # Staf PARCEL INFORMATION Tax Map and Parcel: 6 Existing Zoning _ e2 -:S C Parcel Owner: S /�oPPTiy C ENY6 (�Ssy C CIO ��y o1y11 �� �o �lfl Parcel Address: %voce E. 6: 0 Iptiotlp City r A�(�ft✓50)ApState V Zip (include suite or floor)------ •--- - - - - -- •----------------•-------------------------- •------------- •---------- - - - - -- PRIMARY CONTACT Who should we call/write concerning this project? YO S �/�/,� 1� 5/''1 �L L ifs-fi Address : 6,11L Cob eo COLIR -t :*j /o/ City Hf¢li/Ag G,4S State I/ C( r Zip afl 1 C1q Office Phone: (2Lq) 399 — 402 6 Cell # --J�z3-4ZS— SoIIFax # 2d2- 399-40 ?_(-mail YOS CpM PROJECT INFORMATION Business Name/Type: 54 RT- S ��✓/L! P K-r /V 019 7, C- Previous Business on this site: EAS )4 To M L L— — Proposed use: Circle (if applicable): Fireworks I 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 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 Printed YES &P 14 ' L S M u L. i4S Yl .......... .. .. - -- ------------- - - - - -- AP ROVA N RMATION , ' Approved as proposed [ ] Approved with conditions [ ] Backflow device and/or current test data needed for this site. Contact ACSA 977 -4511, x119. [ ] 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 `l Zoning Official Date y/) Other Official Date ......................... --•---••--•---••---••--•---•-----------------•---•---•--...--••---•---•---- •-- •.__...-- •-- ...--- •- -_ -__. County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 10/14/05 Page 2 of 4 Applicant to complete the following: 01y o o you have one of the following? Tax Map and Parcel Number and or; Address of use (include unit or floor if appropriate; (_:// 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. Zoning Tech to com Viols: Y If ' t: ZI�� Varia ce: Y If s t: the Intake to complete the following: Y /a Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y /(� 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 Y Is p rcel 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 /N on public water and sewer? /N ill you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # T C j L�p� °7 7 Y /J Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # Y /(� Is this for sales of Fireworks? If so, obtain a copy of F/R permit. Permit # Proffers: Y / If so, Est: SP's: 6,) -;N If so, List: 10/14/05 Page 3 of 4 Reviewer to complete the following: Square footage of Use: Y/N Permitted as: _ 7��}} -D O 1 Under Section: Supplementary regulations section: Parking formula: 6gL� :,)rj 7Q , Required spaces: Y /Ol Items to be verified in the field: Inspector Name & Date: Notes 10/14/05 Page 4 of 4 W ............... o ............ r-10;I- T ....... sum V—A ©. 'J_._.____-- - ---ice -, � _ l� - - --=� � AOUUador