HomeMy WebLinkAboutCLE200600035 Legacy Document 2014-06-13Application for Zoning
21Zoning Clearance = $35
PLEASE REVIEW ALL 3 SHEETS
PARCEL INFORMATION
Tax Map and Parcel: () 5 91DJ - 00 — 61 TO Q Existing Zoning J4QLAj,j Ce) m vY)
Parcel Owner:
Parcel Address: 1 130 C-15 A0 Q d- P'0 L,;Lt city G K\il ))e- State N/0— -zip ZZ90 6
(include suite or floor)
___ 6 - --------------------------------------------
PRIMARY-----------------------------------------------
Who should we call/write concerning this project? ra 0 /V
Address: 00 6>(1 14 Lo (4 —city O'KV 1, / ) YO State
Of !� a 9 ago
Office Phone: ei'33 —Cell# ' clsq-.5800 Fax# E-mail
Zip k_/'zC/_0 z
_k _ ---- ---------------------------------------- -----------------
�6jbY&FW fiO N
i
Business Name/Type: '(V JL h 0 /\J ��'j Ot V Lza4'2.
Previous Business on this site:
Proposed use: t"_'n /V U I L/ e r v b-c! �
Circle (if applicable): Fireworks / Christmas Tree
SEE CONDMONS 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 ypb 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 bes of my owl read the conditions of approval, and I understand them, and that I will abide by them.
C72
f.-
Si tune Printed ri V
--------------------------------------------- - - - - -- ---- ----------------- ----------------------------------------------------------------------
APPROVAL INFORMATION
NApproved as proposed
[, ] Approved with conditions
[ ] Backflow device and/or current test data needed for this site. Contact ACSA 977-4511, x119.
r 1 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.
Building Official
Zoning Official
Other Official
Backflow Device and/or
Date ")4'�_%( 0 (. I
Date /60r,::,
Date
X 119
-------------------------------------------------------------------------------------------------------------------------------------------------
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 10/14/05 Page 2 of 4
Clearance
to
GWCF_ USE ONLY
CLE# --2_QQ(P-__LG
Check# i n a 1 Date: -Oto
Receipt# F)-914_36 , Staff:
"q "-- a(I V, i s a WS
tA��
Tax Map and Parcel: () 5 91DJ - 00 — 61 TO Q Existing Zoning J4QLAj,j Ce) m vY)
Parcel Owner:
Parcel Address: 1 130 C-15 A0 Q d- P'0 L,;Lt city G K\il ))e- State N/0— -zip ZZ90 6
(include suite or floor)
___ 6 - --------------------------------------------
PRIMARY-----------------------------------------------
Who should we call/write concerning this project? ra 0 /V
Address: 00 6>(1 14 Lo (4 —city O'KV 1, / ) YO State
Of !� a 9 ago
Office Phone: ei'33 —Cell# ' clsq-.5800 Fax# E-mail
Zip k_/'zC/_0 z
_k _ ---- ---------------------------------------- -----------------
�6jbY&FW fiO N
i
Business Name/Type: '(V JL h 0 /\J ��'j Ot V Lza4'2.
Previous Business on this site:
Proposed use: t"_'n /V U I L/ e r v b-c! �
Circle (if applicable): Fireworks / Christmas Tree
SEE CONDMONS 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 ypb 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 bes of my owl read the conditions of approval, and I understand them, and that I will abide by them.
C72
f.-
Si tune Printed ri V
--------------------------------------------- - - - - -- ---- ----------------- ----------------------------------------------------------------------
APPROVAL INFORMATION
NApproved as proposed
[, ] Approved with conditions
[ ] Backflow device and/or current test data needed for this site. Contact ACSA 977-4511, x119.
r 1 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.
Building Official
Zoning Official
Other Official
Backflow Device and/or
Date ")4'�_%( 0 (. I
Date /60r,::,
Date
X 119
-------------------------------------------------------------------------------------------------------------------------------------------------
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 10/14/05 Page 2 of 4
pp'"nt to complete the following:
Y N
o you have one of the following?
Tax Map and Parcel Number and or;
dress of use (include unit or floor if appropriate;
Y/N
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 j
If so,
Y
If
Intake to complete the following:
Y /
Is u LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y / /N/
Wil ere 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
J/ N
on public water and sewer?
Y/®
Will you be putting up a new sign of any kind? If so, obtain
proper Sign permit.
Permit #
y /
Will ere be any new construction or renovations?
If so, obtain the proper Permit.
Permit#
y
Is this for sales of Fireworks?
If so, obtain a copy of OR permit.
Permit #
Y/
If sc
Y /I N
If sck, L
10/14/05 Page 3 of 4
a
Reviewer to complete the following:
Square footage of Use:
Y/N V1!�li"niVe ctV�� �rO SS(Cm
Permitted as: 7 �
Under Section: Aq " Z • �L 2S .�
Supplementary regulations section:
Parking formula: 7 �L�i°T S� �jt 4'3'7 -Tv,
Required spaces:
2 S�GtiGe� za v
YIN
Items to be verified in the field:
Inspector Name & Date:
Notes
,,'co &A = 22) J�
'oo t-4, = z21�
10/14/05 Yage 4 of 4