HomeMy WebLinkAboutCLE200600044 Legacy Document 2014-06-13�yOF A�
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Application for Zoning Clearance .
`IRG[NiP
OFFICE USE ONLY
Zoning Clearance = $35 CLE # _Z OO(,o 41-y
PLEASE SHEETS, Check # Cam'` Date: '-60-0&
Receipt # 5S�513 5 Staff: C
PARCEL INFORMATION ,,� nn
Tax Map and Parcel: _ 0 4 6&D 6,3 _ 0 4 — (Po000 Existing Zoning
Parcel Owner: �lu�C e VGA. & -e.. Cc's &,�_ /l.
Parcel Address: GtW&I -v�1 glyk — kbCity State
_ (include suite or floor)
Zip,_L'�
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APPLICANT INFORMATION
Who should we call /write concerning this project? V `� 4 �`� / \JC1'\t, `L CC,����
Address : City 0 '?_ v State Zip DIY r)a
Office Phone: (_� Cell # 2 0 ax # E -mail
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PRIMARY CONTACT
Business Name/Type: N aw &Q- ck.�-Nkc �S
Previous Business on this site: I-6V c'v'\m"
Proposed use: �C5��\
Circle (if applicable): Fireworks / Christmas Tree
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 owner's permission to use the space indicated on this application. I also certify that the information provided is
true and accurate etto�the best of my knowledge. I have read the conditions of approval, and I understand �them, and that I will abide by them.
Signature ,/2, �G+� NP-_ Printed) u\ e VcRV� e ,r,6'� -�e
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PPROVAL INFORMATION
[ 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
site plan.
[ ] This site complies with the site plan as of this date. r-
Building Official Date 3 J
Zoning Official Date
Other Official Date
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County of Albemarle Department o Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
Applicant to complete the following:
CJ / N
Do you have one of the following?
boo QViA
Tax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate;
Y/N
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.
OK
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ate` l�
Soning Tech to
Vio tions:
Y
Ifs Li .
the
Y
If
Var a ce: SP';
Y/N Y/
If so L' t: If sc
9/28/05 Page 2 of 4
Intake to complete the following:
Y '�
Is use in LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y /
Will Irere 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' N
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
on public water and sewer?
Y/N
Will you be putting up a new sign of any kind? If so, obtain
proper Sign permit.
Permit #
V Y/N
ill there be any new construction or renovations?
If so, obtain the proper Permit.
Permit# h 6 2 �Q
Y /CI A ? P
Is this or sales of Fireworks?
If so, obtain a copy of F/R permit.
Permit #
Reviewer to complete the following: 9/28/05 Page 3 of 4
S!�uare footage of Use: %Z.
Y / N pp o� ✓ �Ga 66G,c� �f✓C�s
Permitted as:
Under Section: • % ` :1. C6)..,
Supplementary regulations section: — _Q_
Parking formula: Zco &F —P S: ' g/ �
Required spaces: L+
Y/N
Items to be verified in the field:
Inspector Name & Date:
Notes
3/28/05 Page 4 of 4