HomeMy WebLinkAboutCLE200600027 Legacy Document 2014-06-16Albemarle County Department of Community Development
Fee of $35.00 File #:
Application for Check# �?'Otoo I Date:
Recept # , Gi' Staff:
Zoning Clearance
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Business Name/Type: t`j jam ITO Yvt�S
Previous Business on this site: la�r./'�'
Proposed use:
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Circle (if applicable): Fireworks / Christmas Tree
'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.
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Signatur 1�., Printed D 1�trl
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�proved as proposed Approved with conditions
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Building Official Date 41"-tlo
Zoning Official ' Date S �sP
Tax Map /Parcel:
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032 ~ Oo—oo - 045co
Owner:
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Parcel
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State Zip % 2% D 30
(Include suite or floor)
Zoning:
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Existing
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Who should we call /write concerning this project?
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Address 13'Z'Z
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State Q• Zip Z 70
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Office Phone:
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Cell:
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Fax:
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E -mail:
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Business Name/Type: t`j jam ITO Yvt�S
Previous Business on this site: la�r./'�'
Proposed use:
D
Circle (if applicable): Fireworks / Christmas Tree
'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.
Z-7KAJ\1
Signatur 1�., Printed D 1�trl
------ - - - - -- ---------------------------------- •----------- ...... - - � -.
- - - ---....------•-----...-----------------•---------------
�proved as proposed Approved with conditions
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Building Official Date 41"-tlo
Zoning Official ' Date S �sP
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Applicant to complete the following:
/ N Do you have one of the following:
Tax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate;
/ N Do you have a Floor Plan (sketch or an architectural drawing) that includes the following:
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.
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 / l� Will there be food preparation? If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval from Health Dept.
Y /� 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.
0/ N Is on public water and sewer?
& N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit.
Permit #
O/ N Will there be any new construction or renovations? If so; obtain the proper Permit.
Permit # 9-cl(co " L
Y /.,,.... Is this for sales of Fireworks? If so, obtain a copy of F/R permit.
Permit #
Zoning Tech to complete the following:
Violations: Y /( N) If so, List:
Proffers: Y / N If so, List:
Variance: Y / N If so, List:
SP's Y N If so, List:
Reviewer to complete the following:
Square footage of Use:
Y- / N Permitted as: Slbtei'la� a-Q if .5 Under Section:
°,-- "'Supplementary regulations section: —w�-
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Parking formula: • e uired spaces: ?a
Y / N Items to lie verified in the field:
Inspector Name & Date:
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