HomeMy WebLinkAboutCLE200600019 Legacy Document 2014-06-20ti
Application for Zoning Clearance
OFFICE USE ONLY
CLE # C� -Y049-
❑ Zoning Clearance = $35 Check # 1-�571o7 Date:
PLEASE REVIEW ALL 4 SHEETS Receipt# %&e--) Staff:
2-
PARCEL INFORMATION r
Tax Map and Parcel: 04 (o ? �- 0 1 - D C7 — p0�`� O Existing Zoning ��� COAAA.&A
Parcel Owner: 1401 (Vm%. td D-2 iota( (- LC /
Parcel Address: Le_- City (2 �a,� to +—°sue � /lam State 1%1q Zip ;u
(include suite or floor) __________ __ _____ ___________
APPLICANT INFORMATION jj
Who should we call/write concerning this project? �� =Ae_V,_
Address: q� �i u �Y` i u City (fV 0.r f&sv (/� State V/� Zip 2,'2 9//'
Office Phone: (,93� 97g- ,?/V Cell #
Fax# a?�ra-�' ;_ E -mail UC,GS(VlL- "2.io/J0fioL . COAA
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PROJECT INFORMATION
Business Name/Type: CAC L % cc_ KO /n s i es ._ ;b
e
Previous Business on this site: [ ^dltaor�sl eb
Proposed use: ��SS e.0 o-4 ` 0� 1�i c
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 read the conditions of approval, and I understand them, and that I will abide by them.
Signature L Printed
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APPROVAL INFORMATION
(X) Approved as proposed ( ) Approved w h `99"W Device and/or
Building Official Date e.
Zoning Official Date
Other Official Date
-------------------------- - - - - -- �_ f D - ----------------------------------------------
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
3/28/05 Page 2 of 4
Applicant to complete the following:
OY /N
Do you have one of the following?
Tax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate;
(Y /N
Do 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.
, oning Tech to
Viol 'ons:
Y/
Ifs st:
V,
Y
If
the
Y
If
Intake to complete the following:
Is/
Is use LI, HI or PDIP zoning?
Engineer's Report (CER) packet.
If so, give applicant a Certified
Y /
Wil 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
Is/
Is 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
public water and sewer?
Y
W 1 u be putting up a new sign of any kind? If so, obtain
proper Sign permit.
Permit #
Y /
Wi e be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Y
Is Qsales of Fireworks?
If s, in a copy of F/R permit.
Permit #
SP'
Y N
If s t:
3/28/05 Page 3 of 4
Rev'iwer to complete the following: Zg , ,[
Square footage of Use:
Y N ��ssl�4 Of
S
Permitted as:
Under Section: oZfj ° �{' • 1 Z '-% °�-�� �' �-- ���
Supplementary regulations section:
Parking formula: - R �� S(✓ Ne ' g
'ZPS�
Required spaces: 7 s QCC
Y
Items o be verified in the field:
Inspector Name & Date:
Notes
3/28/05 Page 4 of 4