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HomeMy WebLinkAboutCLE200700234 Legacy Document 2014-04-28Zoning Clearance Zoning Clearance = $35 PLEASE REVIEW ALL 3 SHEETS Tax map and parcel: 0(0/140 00— �� '� �� � Existing Zoning: / Parcel Owner: O v 'rP'A's ✓/ Ile !�,Adl c 5GA.6,11 Parcel Address: 020 9- Gen Dark' � ( � City 11416l'i V C State zip 2-21- 0 (include suite at, floor) k Contact Person .(Who should we call /write concerning this project ?): :j:ZnA j3cf4 F,-tA1 Z_ Address -P,, pd-fk LAA-s City e�GlcdL��� Ei�fl �� State 1/p Zip 2-2-101 .Daytime Phone (�3 °I �" 41 Fax # 3e J-13- 6; 89 2 E -mail f Business Name /Type: 8r kss t Previous Business on this site: -s c-, N-64 Proposed use: "6 mc- ci d� i GL,u n t`Es V­ `°G4— G 2-6Z7 _- 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 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. i9la /0­2 Sign�Bus' wner or A gent Date Print Name APPROVAL INFORMATION [ ] Approved as proposed [V]/Approved with conditions [ ] Backflow device and /or current test data needed for this site. [ ] No physical site inspection has been clone for this clearance. („] This site complies�wlth tlnepi�e plan as of JlZ�sdatee.. a n Building Official Zoning Official Other Official Contact ACSA 977 -4511, x 119. Tlierefore, it is not a determi nation or compliance with the existing site plan, f PJ v� a Date Date o/07 Date FOR e A cnt OFFICE us ONLY C fvk?y cz.>�� p % 7/ �Fee Amount R Dalc Paid Who? �• Receipt it l 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 or4 Applicant to complete the following: Do you have one of the following? ❑ 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? Tile 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 Violations: ❑ YES ©N If so, List: the lnialce 6U cutnplMe Liie lutiuv 1111- ❑ YES D/N0 Is use in LI, Hl or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. ❑ YES Ej'-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 [3/'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 Health Dept, FAX DATE ZYES ❑ NO i Is.on public water and sewer? ❑ YES u NO Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # ❑ YES 2<0 Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # ❑ YES NO Is this for sales of Fireworks? If so, obtain a copy of F/R permit.. Permit # Proffers: ❑ YES 1❑i NO If so, List: Variance: SP's: ❑ YES ]�NO ❑ YES If so, List: If so, List: Square footage of Use: ❑ No Permitted as: Under Section: Supplementary regulations/ section: -771/a Parking formula: Si ~7� 1AM Required spaces: a/I/A ❑ YES ❑. items to be verified in the field: Inspector Name & Date: Notes 511/06 Page of4