HomeMy WebLinkAboutCLE200600036 Legacy Document 2014-06-13A P ' P Ification for Zoning Clearance
OFFICE USE ONLY
O/Zooing Clearance = $35 CLIE .4 7ZOO& 0003(e
:PLEASE REVIEW ALL 3 SHEETS Check# /42,5,-3 - Date: Q-J3-040
Reeeiptft .594q/6 -
.PARCEL MORMATION be CY) 0--L-U S'f(,1-70 ga LC_
Tai Map and Parcel- 056A3-00 -00 Existing Zoning Ll - Light`-Industrial
-Parcel C*Um -AlbPmar1A_2-nraeP_. LL,
Parcel Address: 5390 Three Notch l.d�Rcad _^ City' VA Zi Crozet State p 22932
imlude suite o floor ----
------------ C-- - - - - -- ------- _-------------------- --------------------------------------------------
APPLICANT INFORMT10N
iv%o shojild'we callUwrlta concerning this project? H-M. Walker, Jr-
,A,doress'6 P.O. Box 3911 CRVChartottesville State
,Wfke Phone;. (.432? 977-27,05, - rhll#
VA
Zip 22903
--------------------- I -------------------- ----------------------------------------------------
Bi'$iness Name)Type, Charlottesville Self Storage at Crozet
Previous Busine$a 04 this site: parking for ConAgra, residential (house.).
Proposeduse: Qfflce fQr -mini varel-lous ing activity'
__
Circle (if applicable): Fireworks / Christmas Tree
SE . E CONDITIONS O'F APPROVAL IF T11E CLEA•ANCIE IS FOR FMAWORK OR Cl-MSTMAS TREE SALES (Sheet 1)
*-This Cleamce will only be valid on the parcel for which it is approved, If you change, intensify ormove the use to a new location, a new Zoning
Clb=cc will be required.
J.hercrby 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
truc and amurate to the best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by thmi,
A.rp?
sigawe, Printed ir
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-------------- - .... -- ------°---_. .-- «.,-- ..--------------- - - - - -- ----------------
49PR -WORD
I OVAL
Approved as proposed Approved with canditioris
No physical site inspection has been done for this clearance. I'herefore, it is not a determination of compliance with the existing
site olan.
This site complies with the site plan as of this date. Backflow Device and/or
Date
Date_
Zoning official
ot-ker Official Date
------------ ! -------- ----- - ------------------------------------
of Albemarle Department of Commuoity Development
401 McIntire Road Charlottesvillet VA 22902 Voice- (434) 296-5832 Pax-, (434) 972-4126
M/800d Wdqt_!SG 9002 �S UPr 9WUMP R_� 1-MM011A10 Allaco
'•'Applilea nt to complete the following:
lyI?�
Do. you have one of the following?
..Tax Map and Parcel plumber and or; 'YES
Address of use (include unit or floor if appropriate;
Do you have a Floor Plan (sketch or an architectaral drawing) that
includes the following, and if so please provide it with the
application? XES
T7iototal 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 lees than the entire structure, note the location within the
struct=.
2 stor-y structure
l.st floor - pffice
._ . _ ._.. �-td f�;e:o�• •� re,s�.,d�t�� °'�e:l ?'•��?��;ax .. .
of self storage
Y
`f
Tech to complete the
1uta1%C iU UULUFACIC UIV 1U11VWAJUg;
C '? P eta
VSeir(LIj4IorPDIPzoain,g7 If so, give applicant a Certified
Engineer port (CER) packet.
Y / 1f
'ST�JiI 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
X
Is parce on private well and septic?
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval €rom
Health Dept. PAX (DATE
) N 1.
on public water and sewer.?
N
xil• yotr be pcittiftg up aiaetiv' sign of any kind? if so, abtair� "
proper Sign permit.
Permit #
FI N
ill there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #1 1) &419)
Y/N
Is this for sales of Fireworks?
If so, obtain a copy ofI~/R permit.
Permit #
Pro
Y• /N
Ifs M,
; I Y N,
Iso, List:
110/600d WdgG:60 9002 lE caf 9ZOUREV XPA 11.N3MMIA3Q WNWOO
.Keviewe• to compictu Lur wilumog;
fbotagp of use:
.-Y
Permitted as: V��dJXIA& kly
tnderSecdon: -R7
1
Supplementary regulations section:
•.Parking form-ula: aa S +
Requimd-spaces:
y I
.1takbeverified in the field:
Inspector Name & Date-,
I Notes
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