HomeMy WebLinkAboutCLE200700217 Legacy Document 2014-04-256 - v Y'"
Application for Zoning Clearance
OFFICE USEPNLY
-S�,'onjnz Clearance -S35 C-Li 0 7 —d,1'7 WP 90
PLEASE REVIEW ALL 3 SHEETS Check# /ten Date: Y-gg -07
Receipt# staw. 4,�
PARCEL INFORMATION
Tax Map and Parcok (Aroo 10/f 00 so 0 Existing
Parcel Owner: C--(e--ev\ 6 f -'r P- F- 0 rivp�,
Zip
ftree[Address: �Po Lrzaq ki-er of-, City oka-do VA-
.......... finclude suite or floor) -11-1-1 -----------------------------------
c6WZa a-F491\ -e
Wbo should we call concerning this project? 11-K ----------------- - - - - -r -L�
Address 6 6-cf Me,,",\ iq C, LdLrk state zip EC) M2,
Office Pholke-cq ccafa-A /' V k'
-01V con # Ll Vie/Fax 4 4? 0�4-maii V_ e,,, fe, �Z' ;-A q,
---------- ------------------------------------ ------------------------------- ---------
INFOXM
Business N sme/Ty...: _X1j'P-'eJ< Py Pe�-f,-8� C, leo & G,,m &,vt C
'Previous Business on this site: 1,.i
Pr pJi>st d -ra -4 qq-!
Circle (if applicable): fireworks / Christmas Tree
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (840 1)
xThii Clearance will only be valid on the parcel for which it is approved. If you change, intensify or move, the use to a now 10cmdon, a new Zoning
Clearance will be required,
I hereby certify tha I own or have ft o et 's p tission to use the space indicated on this application. I also certify that the information provided is
true and ace ftbostofrnyknp edge have read the conditions of approval. and ,II understand them, and that I will abide by them
signatare ff. � 5 Printed Cau Aer
------------ - - - - -- ------------------- --- --------------------------------------
AY. Ti'riFOR14IATION
Approved s proposed ved with condiltioms
Approved a.
Bic ow--device and/or current test data needed for this site. Contact ACSA 977-4511, x] 19,
POC physical site inspection has been clone for this clearance, Il-erefore, 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 <zzz�" ->AJkiDa� Date
Zoning Of Date
Other Official Date
.......................... --- --- -- ------------------------------ — ------------------------- — ....... — -- --------- ------
-
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County of Albemarle Department of Community Development
401 McIntire Road *Ch2riottesvil le.VA22()02Vnice!14-341296-SR37'FA)r.-(4-341()77-All6 1A/1Affi4Pqa,&)nF4
r
Applicant to complete the following:
Q y / N
you have one of the followaig?
Tax Map and parcel Number and or;
Address of use (include unit or floor if appropriate;
N
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
structiffe
(ee� A4Fa-C'(
..Zoning Tech to complete the following:
Viola
Y/
Y
If
Intake to complete the following:
YAP
Is ust in LI, Hl or ?DIP zoning?
?engineer's Report (wER) packet.
If so, give applicant a Certified
Y /
Will ere be food preparation?
If so, give applicant a Health Department farm.
Zoning review can not begin until we receive approval from
Health Dept, FAX DATE
Y / L
Is paron private well and septic?
If so, give applicant a Health Department form.
Zoning review can riot begin until we receive approval from
Health Dept. FAX DATE
!N
on public water and sewer?
Y/N
ill you be putting up a new sign of any kind? If so, obtain
proper Sign permit;
Permit #
Y l
Wile be any new construction or renovations'?
If so, obtain the proper Permit_
Permit #
Is ! �i
Is thr+�for sales of Fireworks?
If so, obtain a copy of F/k permit.
Permit #
so,
10,14105 Page 3 of
Reviewer to complete the follows �j b
z footage of Use; � l�v ed as: ��� _
Under Section: '
Supplementary regulations ction:
Parking formula: _
Required spaces:
T/N
Items to be 'verified in the field:
Inspector Name & Date:
N6tes
Page 4 of4
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GREENBRIER DRIVE
PARCEL B-I SECTION ONE
WESTFMD
B.AUBREYHEUFFA M ASSOCrA LLC