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HomeMy WebLinkAboutCLE200600041 Legacy Document 2014-06-13OF A Application for Zoning Clearance �IRGINSP i- OFFICE USE ONLY Zoning Clearance = $35 CLE # _, 0 Q (n _ PLEASE REVIEW ALL 3 SHEETS Check# :3C,3fllT%to© Date: Receipt # _5 SIS 4 Co Staff: PARCEL INFORMATION Tax Map and Parcel: 0 --,/(p 13q- 00 "U-) — W l P a Existing Zoning i4 p ajn u j a�l eo � Parcel Owner:(,)(M}'h P��rk ((jjSSI��G� L.LC_ -- � a - Parcel Address:/ fte,: ty �fe V State Zip O D G (include suite_or floor) ............................ ------------------------------------------------------------------------------ APPLICANT INFORMATION Who should we call /write concerning this project? Lank I` t Ca laCorn.o - rm si/e mp- A,Adlress: /7.J Y -D CJwl Park- Office Phone: `l( 3y ) nl 73- a -7aa-- Cell # City CkdA- -m L_e State VA- Zip -PAQeI Fax# 134- 5'73 -3 E -mail ���191�� ------------------------------------------------------------------------------------------------------------------------------------------------ PRIMARY CONTACT I Business Name /Type: ` f)0b Z A1ke r-\ �nc_ SC r\) �Ll Previous Business on this site: Proposed use: I- 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 to the best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them. yY Printed a i 57n fAk 4 Signature Arm q APPROVAL 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. a [ ] This site complies with toe si �pCan -, ���ACTted/�r `� , CO s► , f�r��piC L i t�dci VA ,COO Official �- Date Zoning Official Date T Other Official Date ---------------------------- - - - - -- - - - - ------------ -------------------------------------------------------------- County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 (1kAr-le albemat/z- Cvur► " Applicant to complete the following: ^7—Y-/ N o you have one of the following? Tax Map and Parcel Number and or; Address of use (include unit or floor if appropriate; Y /6 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. Tech to complete the Y If Va ace: Y jst: If o, 9/28/05 Page 2 of 4 Intake to complete the following: Y (9 Is use in LI, HI or PDIP zoning? If so, give applicant w Certified Engineer's Report (CER) packet. Y W re 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 Is / Is p eon 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 public water and sewer? Y Wi ou be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # Y / nN Will t ere be any new construction or renovations? If so, obtain the proper Permit. Permit # Y/N Is hTisfor sales of Fireworks? If so, obtain a copy of F/R permit. Permit # Pro Y/ Ifs st: Y/ If sc Reviewer to complete thL1 following: Square footage of Use: Y / N Fr&—w�c Permitted as: G(,� Of ZeA Under Section: 2 ' z S 1 Supplementary regulations section: Parking formula: Required spaces: 0 S mOL, Y / Item be verified in the field: Inspector Name & Date: Notes 9/28 /0 Yape 3 of 4 j1zwuJ rage 4 of 4