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HomeMy WebLinkAboutCLE200700256 Legacy Document 2014-04-28Zoning Clearance �oning Clearance = $35 PLEASE REVIEW ALL 3 SHEETS Tax utap tutcl P111-cel: 63A 00- 0) -0) " 0 0 Existing Zoning: 14 Parcel Owner: 5-yvh s F-r L L C- Parcel Address: _ ggqo $rt�1/� jYlfl Lf— . 1 City State Zip (include suite m floor) ,,,, l j Contact [ ersou .(Who should we call /write concerning this project ?): K'(i S )� t 6,6L t aO V61 Address NqQ Sminclg '116L C I lUS City zip azq /i Daythne.Phone u3 987-6046t - ,Fax #.(q ft 3 —&11 30 E -mail Business Name /Type: 's c k ; (c! /Oh" Previous Business oil this site: i -b'4 -k�, k s k_- SZ Proposed use: WA 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 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 provide1.4s true � d accu to to the�st of my knowledge, I have read the conditions of approval, and I understand them, and that I will Signature of Business Owner oNAgent n s Print Name APPROVAL INFORMATION [ �] "Approved as proposed [4acktlow device and /or current test data needed for this site. [y] No physical site inspection has been done for this clearance. [ ] This site complies with the site plan as of this date. Building Official Zoning Official Other Official l0/ g1J 7 Date ] Approved with conditions Contact ACSA 977 -4511, x 119. Therefore, it is not a determination of compliance with the existing site plan. Date Date Z�j7- 011 Date I FOR OFFICE USE ONLY ,,^^�� (�"� CLG # (� � ���p�j� Fee Amount $ Date Paid V 1 7 �ylwho? Receipt i1 �Ck# By: County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA,2290Z Voice: (434) 296 -5832 Fax: (434) 972 -4126 5/1/06 Page 2 of Applicant to complete the following: Do you have one of the following? T/YES ❑ NO Tax Map and Parcel Number and or; Address 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 the ❑V YES ❑ NO If so,./Llst ® Ho `/' 0 . Variance: j ❑ YES © NO If so, List: 1nlalCe LU cull! 1CLe LIM 1U11uVY111g; ❑ YES NO Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. ' ❑ YES �O 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 ZIN0 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 Health Dept, FAX DATE [;3 /YES ❑ NO Is on public water and sewer? [/YES ❑ NO Will you be putting up a new sign of any kind? If so, obtain proper Sign pe; ; `T Permit # V7- ?2�/ ❑ YES 9-NO Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # ❑ YES Ef NO Is this for sales of Fireworks? If so, obtain a copy of F/R permit. Permit # © YES ❑ NO If o List: I, % 7 -' ! 3 - Qir l�1'�l -►fie Q� .f-i.� SPIs: ❑ YES ne, NO If so, List; Ylp d► � CR.. � itic. �0 �.� (,w�— Square footage of Use: ' F] g/ S ❑ N Per tted as: I1 Under Section: Supplementary regulations section: Parking formula: ` Required spaces:"`C� ❑ YES ❑ NO Inspector Name & Notes j 511106 Page 4 or4