HomeMy WebLinkAboutCLE200600020 Legacy Document 2014-06-20Office Phone: I1 _"Ll- 4.76'0 Cell # ell`t -_ Fax # q/,1- 775 --5 -1456' E -mail �aoc - -/ �rl.' /.�����
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PRIMARY CONTACT
Business Name/Type: Va,.IGA9cU FX►G -SS SZn Ccvi.r�IE�IG� -c� ���LE�
Previous Business on this site: -17,4A �Cc�1�ttl��il�hirF S7Z�2r:
Proposed use: S/ Tv l S A gNe/�ht AEN� -r STi�1'�
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 d the conditions of approval, and I understand them, and that I will abide by them.
Signature f PrintedzTi�v�
----------- - - -- -- - -- - -- -- -- - -- - -- - -- -
APPROVAL INFORMATION.
[ ] Approved as proposed [ ] Approved with conditions
[ ] No physical site inspection has been done for this clearance. Therefore, it is not a determinatio nce with the existing
site plan.
[This site complies with the site plan as of this date.,
Building`Offi✓ri'al U
-PONS 1 D
Zoning Official
Other Official
CL_
BackElow Device
Date
Date .3 % 6(
Date
- - - - - ------------------------------------------------------------
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902pVoice: (434) 296 -5832 Fax: (434) 972 -4126
-1 pF n
pplication for Zoning
Clearance
X Zoning Clearance = $35
OFFICE USEMk(,—CC00_0
CLE #
PLEASE REVIEW ALL 3 SHEETS
Check # / 0 Date: /
Receipt It 161 Staff:
PARCEL INFORMATION
C,7--)
Tax Map and Parcel: 06,100 CX? oa /z/-70(p
Existing Zoning _ I
Parcel Owner: (Ayl oiZ t "Ar-lcy �6Lci�ClLT1ES�
�� ��
&e-,asgr> 1-`/
Parcel Address: 1099 lZi c> JZvab
City
State V
Zip LZ ` /C,
- - - - -- ________ (include suite_or floor)
APPLICANT INFORMATION
------------------------ - - - - -- -- -
- - ----------------------------
Who should we call/write concerning this project?
ALE
Tf �..SCr•I ]/L. %NE �i1 vTry w�
Address D&,e,6 Ay
City
State &jG
Zip 2-733_-_)
Office Phone: I1 _"Ll- 4.76'0 Cell # ell`t -_ Fax # q/,1- 775 --5 -1456' E -mail �aoc - -/ �rl.' /.�����
- ----------- - - - - -- - - ------------------------
---------------------------------------------------------------------------
PRIMARY CONTACT
Business Name/Type: Va,.IGA9cU FX►G -SS SZn Ccvi.r�IE�IG� -c� ���LE�
Previous Business on this site: -17,4A �Cc�1�ttl��il�hirF S7Z�2r:
Proposed use: S/ Tv l S A gNe/�ht AEN� -r STi�1'�
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 d the conditions of approval, and I understand them, and that I will abide by them.
Signature f PrintedzTi�v�
----------- - - -- -- - -- - -- -- -- - -- - -- - -- -
APPROVAL INFORMATION.
[ ] Approved as proposed [ ] Approved with conditions
[ ] No physical site inspection has been done for this clearance. Therefore, it is not a determinatio nce with the existing
site plan.
[This site complies with the site plan as of this date.,
Building`Offi✓ri'al U
-PONS 1 D
Zoning Official
Other Official
CL_
BackElow Device
Date
Date .3 % 6(
Date
- - - - - ------------------------------------------------------------
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902pVoice: (434) 296 -5832 Fax: (434) 972 -4126
h oplic.,ant to complete the following:
11N
0 you have one of the following?
Tax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate;
L'i' N </757
Do you have aJlwr 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, List:
6• i .
• S4 SL ■�
Vari e:
Y/
If s , st:
�icoiv� rage OI 4
Inta ,jig to complete the following:
r
Y/N
Is us m LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
T / N
ll there 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 2 A
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
� / N
�s on public water and sewer?
Y/N 7
Will you be putting up a new sign of any kind? If so, obtain
proper Sign permit.
Permit #
Y/N 2
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Y / "`f
this his
or sales of Fireworks?
If so, obtain a copy of F/R permit.
Permit #
J/N
If so List: 2Aa - ;>erni _64
'b 's:
Y/N
so, List: � - 6 3 2-
to
Reviewer to complete the following: yi/-aiuD rage :i of 4
$ civare footage of Use: 60 JK
Y/N
Permitted as:
Under Section:
Supplementary regulations section:
Parking formula:
Required spaces:
Y/N
Items to be verified in the field:
Inspector Name & Date:
Notes
3/28/05 Page 4 of 4