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HomeMy WebLinkAboutCLE200600009 Legacy Document 2014-06-20OF AI� 2 Application for Zoning Clearance t, �rRGINtP OFFICE USE ONLY Zoning Clearance = $35 CLE # PLEASE REVIEW ALL 3 SHEETS Check # Date: Receipt # Staff: PARCEL INFORMATION Tax Map and Parcel: (� - M. oO_-I-w Existing Zoning Vy15 G Parcel C [�_ Parcel Address:_ p� IDDk , IJ City V1 State. VA • Zip (include suite or floor) APP -------------------------------------------------------------------------------------- LI CANT IN N FORMATIO Who should we call /write concerning this project? 9)fioni �j � m l I Y Address: Cit Office Phone: Cell # SJ JNJQFax # E -mail Zip 0 ------------------------------------------------------------------------------------------------------------------------------------------------ PRIMARY CONTA T r Business Name /Type: ��O (' ) l l ( 0, `ice_( L r nQ —CAP Previous Business on this site: Proposed use: 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 ormove 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 Printed ----------- - - - - -- ------------------------------------------------------------------- - - - - -- -- ----------------------------------------------- APrPROVAL INFORMATION [X. Approved as proposed [ ] Approved with conditions [ ] 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. Baa;kfloyv Device an.d/or U.-rent Test Data cuded !..AtCSA 9774511, X Building Official Date 14- L Zoning Official Date d� Other Official Date - - -------------------------------------------------------------------------------------------------------------------------------------------- County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 Applicant to complete the following: Y 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. Tech to complete the following: iolations: U Y N so, List: V 9a- 2COS'6 -6 2-1 - -SCC -A Med ariance: Y/N so, List: �! -� % %(P'U6� %3 — V 6 ss�f Intake to complete the following: Y /S Is use in LI, HI or PDIP zoning? Engineer's Report (CER) packet. 9/28/05 Page 2 of 4 If so, give applicant a Certified Y/N ill there be food preparation? If so, give applicant a Health Department form. Zoning review can not begin untftve a eive approval from Health Dept. FAX DATE 11�� Y/ Is par el 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 on public water and sewer? V Y' / N ill you be putting up a new sign of any kind? If so, obtain proper Sign rmit. Permit # i15 �►iile, Y/N ill there be any new construction or renovations? If so, obt ' the roper Permit. n Permit # ©q K, . Is/ Is this or sales of Fireworks? If so, obtain a copy of F/R permit. Permit # Pro rs: Y/ If so, st: SP' . Y 4 N Ifs ist: Reviewer to complete the following: Square footage of Use: 1 � d) j d Y . � 11__ SIN` .}� Pe ed as:SVJ � M U% l� 16\14V Under Section: a 5' Z' �- ' 1 :L C3�� Supplementary regulations section: Parking formula: _ SRXirCe. IZP^( �Bp STit(Ip (/ ZQ(j Required spaces: 17 67 D 4 It (N/ ItehKto be verified in the Feld: Inspector Name & Date: Notes F Ae 5F/G23/U3 ra2e S or 4 2,b 3/28/05 Page 4 of 4