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HomeMy WebLinkAboutCLE200700204 Legacy Document 2014-04-25ti Application for Zoning Clearance c Tax mi Parcel Parcel ❑ Zoning Clearance = $35 PLEASE REVIEW ALL 3 SHEETS 2J r�4 � 9 19HnIN�I' Contact Person (Who should we call /write concerning this project ?): _C C3 i ckr^ Address CICo �r'� City 1��e��I �- d �( State Zip E -mail C©iy ,nnI GtJ e_cr fhLX A. Aa Business Name /Type: e 5r oc, 1V � NJ i .S P Previous Business on this site: AC' >.., Proposed use: 9) 5�0F -cx o, -el �rr��hSZ���C� Nci`tmAl�ghrn ei� SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet 1) Circle (if applicable): Fireworks / Christmas Tree *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 Zoninil arance will be required. I hereby ceth I �vn or have the owner's permission to use the space indicated on this application. I also certify that the information provided is ai cu�i'te to the best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by th . , ; p &,zI \. { Bus nes Owner or Agent Date' ' Print Name APPROVAL INFORMATION [ ] Approved as proposed [ ] Approved with conditions ] Backilow device and /or current test data needed for this site. Contact ACSA 977 -4511, x 119. 3 ] 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 Q 4 Date Zoning Official Date /O 11S Ue.1 Other Official Date FOR OFF1 SE NLY CM, Rece Fee Aniount R Date Paidj4p By wh ipt I/ Ck# By: County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 5/1/06 Page 2 of4 cant to complete the following: Do you have one of the following? 12/yES ❑ NO Tax Map and Parcel Number and or; Ad ress of use (include unit or floor if appropriate) YES ❑ NO 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 c Violations: ❑ YES ❑ NO If so, List: Variance: ❑ YES ❑ NO If so, List: lete the Intake to complete the following: ❑ YES 4 NO Is use in LI, HI or PDIP zoning? If so, give applicant a Ce Engineer's Report (CER) packet. [/YES ❑ NO 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 ❑ YES [/NO 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 7th Dept. FAX DATE YES ❑ NO Is on public water and sewer? YES ❑ NO Will you be putting up anew sign of any kind? If so, obtain proper Sign permit. Permit # [f YES ❑ NO Will there be any new construction or renovations? If so, obt U't o r rinit. �n Permit # 1, ❑ YES NO Is this for sales of Fireworks? If so, obtain a copy of F/R permit. Permit # Proffers: ❑ YES ❑ NO If so, List: SP's: ❑ YES ❑ NO If so, List: rtified