HomeMy WebLinkAboutCLE200600004 Legacy Document 2014-05-16/►OF AI,p�
Application for Zoning Clear: 'ace
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OFFICE USE ONLY
Zoning Clearance = $35 CLE # "Z (o c) f0 o apo g
PLEAS REVIEW ALL 3 SHEETS Check # Z 1(o (P Date:
Receipt # .577C Staff:
PARCEL INFORMATION .- ry TO h /V 6 ra 1-Y;11-6-y-)
Tax Map and Parcel: 070
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Existing Zoning
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Parcel Owner: Cr`OLM
0 70,0 �G ✓n;
LLC- 2720
J, U¢. r- 1Koad, S,, 4e. 59'
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Parcel Address: boo �e�er� e��oN Pk;, SJf- ) /OCity Char State PA Zip 2z !�
(include suite or floor)
/APPLICANT INFORMATION
/ 1
Who should we c9 /write concerning this project? 6na 77O
N
Address : 313 El Roe-` City i N M 00A40 S
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Office Phone: � 0- 11 VP Cell # sa ►tee Fax # W-1 31- %l39 E -mail 1 &o N Q Q )" eo p . Copt
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PRIMARY CONTACT Abtpanc& Business Name/Type: L c o or" r. C• clog raf> J VP C L i � Core)
Z I�C; n�en� C o %4oN /� i <n�o;►1
Previous Business on this site:
Circle (if applicable): Fireworks / Christmas Tree WlI
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet 1)
*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 o er'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 ow dge. I have read the conditions of approval, anddII understand them, and that I will abide by them.
Signature Printed (O/lq,, Zy f741/
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A,PROVAL INFO TION
[� Approved as proposed [ ] Approved with conditions
[ ] No physical site inspection has been done for this clearance.
Therefore, it is not a determination of compliance with the existing
Building Official Date -J
Zoning Official Date TDZ
Other Official Date
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N mold I -- -- - -- - - -- - -- -- - - - - -- -- - - --
4 -� County of Albemarle Department of Community Development
l�e/d 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
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Applicant to complete the following:
To / N
you have one of the following?
Tax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate;
�
N
/ --
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;
Use of each room or area
If using less than the entire structure, note the location within the
structure. o
OP
�-
-Flog
, oning Tech to complete the following:
Viol 'ons:
Y/N
If s ist:
Vari ce:
Y/N
If st:
Intake to complete the following:
Is/
Is use LI, HI or PDIP zoning?
Engineer's Report (CER) packet.
Y /0N
9/28/05 Page 2 of 4
If so, give applicant a Certified
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
Y /�
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
N
or. public water and sewer?
Y /DN
Will you be putting up a new sign of any kind? If so, obtain
proper Sign permit.
Permit #
Y/N
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit# 7005 55''83
Is this for sales of Fireworks?
If so, obtain a copy of F/R permit.
Permit #
/ N
s2List :rA-- 1112-
SP' .
Y I N
Ifs , Li t:
Reviewef to complete the followin � g.
Square footage of Use:
Y / N ss�,Q
Permitted as:
&�
Under Section:
Supplementary regulations section:
Parking formula: l �G(,�i' 1wVr7� N �� �� ' /�O -7.
Required spaces:
Y 1� N /
Items o be verified in the field:
Inspector Name & Date:
Notes
y /zzs /VJ Yaae 3 of 4
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