HomeMy WebLinkAboutCLE200700229 Legacy Document 2014-04-28COMMUNITY OEVELOPMENTI Fax 4349724/26 Aug 1 2007 04;55pm P002 004
Zoning Cl.ea.rance
Zoning Clearane' $35
PLEASE RE' IEW ALL SREETS
Tax tnap mud jmmei;/Y 3 — E'x4ting Zoning.,
ka;reel Oivnex, 0771) U\-1Lt!4A_— F l(JCN LUIS !J v iv T 1 ��i. r I Lx-1 i x> > 4
_le
Parcel Address. City S 3 e Zip
(inelaidUum or r)
Contact PerSOZ? .(Wlt should we c;.�Ii�rvrit.e e�)s?ceraiug this prbjeet2): f; 1.1.
Address Cty Zip
Dnytinzc
Business Naine!'I'ype;
Previous Dusiness on this s E',
Proposed use: 0,L0
ST( E CONPI 'IONS OF APPROVAL IF THI CILEARANCE IS FOR FMWOFJC OR CHRL TIC AS MEE SALES (Sheet 1)
Circle (if. applicable):' Firewar;"s / Christ.:,as Tree
This Clearance will only be valid an the parcel for wbicli It is approved. If YO: u change, intensify or move the use to a new Icc4on, a
new Zoning Clearance will be requirad.
I hereby certify that I awn or have 6e ow.ntes perwission to use the spica indicated vn this application, I also certify that the Wormation
provided js •rue and accurate to the best Of MY knowWge. I have read the cohaitxous of approval, and I understand tbem, and that I mill
sbidiy by them.
AAA A
(A
jgttaYtrt�f �3\tsi ss O z,c3,r A,&,ery� ' Date
Print Rime
APPROVAL INFORAIA ioN
I l Approved as proposed proved wifb:cpndffions
f ] Back low denjice andlor etrrreot test data needed for this site. ContB&t A.C, 977761.'511, x 119.
( J
No physicsl site Inspection Isar been dame for this t, tearance. Thereforc, It is mt a• detormination of compiiurncc with the existing site plan.
r I This site eft01 55 Wilk tilt siie elan as Of xhis d-W,
BuIldiug Official Date l
Zoning official I Date X' —I a,
Other official Date
FOR 0 ` ICE 175E ONLY CLE 9
Fee Amount S 35 e '' Dstz. Paid V -Z3 � % Py 4vho? Receige fl (o %del Ck n 0 >3Y
County of Albemarle Department. of C'6rnm nl y Developrittent
4111 'Mehitire Rond Charlottesville, V.A. 22902 Voice: (4�4) 296 -5832 Fax: (434) 972 -4126 511106 Ngt z of4
COMMUNITY
Applicant Ito complete the following:
lao you have ane of the following?
❑ YES ❑ NO
Tax T Iap and Pamet Number and or;
Address &use (include unit or floor if appropriate)
YES 'klk
i)o 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;
TJsu of each room or area
If using less than the entire. structure, Mote the locatian within the
Structure.
soniug, Tech to complete the
Violations-,
F] YES
S �
If so, List:
Variance;
❑ YEs Na
U so, List:
OPMENT1 Fax 434972x44126, pus 1 2007 04:50pm P003
r
❑ YU ❑ NU
Is use in LI, Al or PD+TP zonialg? if so, give applicant s Ce
Enginrz?,S Report (CER) packet.
❑ YES e1N0
Will th6ile be, food preparation?
If so, giva. applicant a Health Department form.
Zoning:ztview can not begin until we receive approval from
Roalth Dept. FAX DATE
❑ YEs NO
Is parcel !on private well and septic?
if so, givi applicant a Health DcpartnZent form.
Zoning orP view can not begin until we receive approval from
Health E(ept, FAX DATE
1004
tified
YE ❑ NO
Is on ppblic water and sewer?
❑ YES RNC) h
Will y6u•.rbe putting up a new sign of any kind? I`,sa, obtain
proper Sign. permit.
Permit'# _
❑ YES NO
Will thine be any new cotysrrtaction or renavaeions?
ff so, oljin the proper Perinit
❑ YE YNO
Is this fai'sales of Fireworks?
If so, obtain a copy of FIR permit.
Pexxnit;#
Proffers.
❑ YES
If so, List:'
SP's:
❑ -yES No
If so, i✓ist:
squam f0cta-gr of
Under Sciotjoi
Supplemenfai
Parking f6rmi
COMMUNITY DEVELOPMENTI Fax 434972412E
Required sliam—s:
YE"s
It5m,; to be Kerifted in the field;
hispecior Name & DAte.
Notes
Aug 1 2031 04;56pm PO04 /004
5/1/06 Page 4 or 4