HomeMy WebLinkAboutCLE200600032 Legacy Document 2014-06-16,!'c fi0 for Zoning C Sara ce
OFFICE USE ONLY
Zoning CI e = S CLE # `200 to r13 2�
Check # I 1 R to _ Date: -7 - O p
PLEASE REVIEW ALL 3 SII TS Receipt # ,5'g q 31 Staff:
PARCEL INFORMATION /J f
Tax Map and Parcel: % /?7 5s /lee -r/ 4�7 C_ Existing Zoning
Parcel Owner: RbLG 7 / t J /Ie7 o e!:%
Parcel Address: 5 X74 Jliernarr C� City �d�- State
(include suite or flood
APPLICANT INFORMATION 1
Who should we call/write concerning this project ?F`n
Address :LI c`� �� ,�.,a City C�� zz.�- State V !� Zip
Office Phone: (L OD Z61, Cell 4vYO V'1,1- 07.37-Fax # OI ZE E -mail -f,-z 1, Z..Cl ao\ . c. r,
PROJECT INFORMATION
Business Name/Type:
Previous Business on this site: Adye✓,r n- r. ; y-r DI-sr ivn Dr. 0e a v
Proposed use: bend+ 1 olfpl-c C�
Circle (if applicable): Fireworks / Christmas Tree
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet3)
*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 certif hat own or gave the owner's fission to use the space indicated on this application. I also certify that the information provided is
true and accura�e tp he best � my Iaytowledge.pYiave read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed �- �" ��42Xe,vXn Wd.1
-------------------------------- - - - - -- - - - -
APPROVAL INFORMATION
( ) Approved as proposed (Approved with conditions
sm. ""
]Building Official
Other Official n �/ n / Daate
------------------ --------- ------------- -- - - �!� t� X- aGl:!- - - -� :. � . �1 lk- - - -------------------------------------------
County of Albemarle Department of Community evelopment
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
N '
Applicant MUST HAVE the following information to apply:
1) Tax Map and Parcel or Address with unit number or floor if appropriate.
2) A Floor Plan - either a sketch or an architectural drawing
a) If using less than the entire structure, note the location within the structure;
b) Note the total square footage of the use;
c) Note the square footage of each room or area of use;
d) Note the use of each room or area of use.
Intake to complete the following:
Y / 11 Is the use in a LI, HI or PDIP zoning?
If so, give applicant a Certified Engineer's Report (CER) packet.
Can not issue until CER is approved by the County Engineer.
Y /�Will there be food preparation?
If so, fax application to Health Department, FAX DATE
Can not issue until we receive approval from Health Dept.
Y Is the parcel on private well and septic?
If so, fax application to Health Department. FAX DATE
Can not issue until we receive approval from Health Dept.
N Is the parcel on public water and sewer?
Y / 6 Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
Y Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit #
3/3/2005 Page 2 of 3
Y // N 1 Is this for sales of Fireworks?
U If so, obtain a copy of F/R pen-nit. Permit #
Zoning Tech to complete the following:
Viola o s: Pro er
Y/ f so, List: Y N f so, List:
Vari e. SP'
Y / If so, List Y / N f so, List:
Reviewer to complete the fol/lo in,
try fi !� ` G�.rt" Ce j Pr�,i4J.
Squar /-footage ofes'd , �S�° I%'1 uS� ✓'��z r
Under Section: � 1&AW S 7 L
Park' g formula: '% 3
Y. / N Items to be verified in the field:
1 1990 NSF
Permitted as:'
Supplementary regulations section:
Required spaces:
c , z: Ns "
i " r
Reviewer to complete the following:
Square footage of Use:
Y/N
Permitted as:
Under Section:
Supplementary regulations section:
Parking formula:
Required spaces: n &I` 2 'YAW
Items to be verified in the field Y V U kloy
Inspector Name & Date:
Notes
7i[.oiw rage .3 or 4
3/28/05 Page 4 of 4