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CLE200600018 Legacy Document 2014-06-20
Application f ®r Zoning Clearance ��RGINIP OFFICE USE ONLY �,/ ❑ Zoning Clearance = $35 CLE # . b PLEASE REVIEW ALL 3 SHEETS Check # t Date: ` Recei t # s��� t Staff: PARCEL INFORMATION 2--1(3 - o CP Tax Map and Parcel: t�r / t5 " �� ` �(��t� Existing Zoning_ Parcel Owner: `�'� 1-� 1 C� i (l n, _Thre -P Parcel Address: (FCICL72�2 1 kate VA zipcmall __________________ include suite or floor -- -- ---- -- ---------------------- APPLICANT INFORMATION �. ,,.� Who should we call /write concerning this pro'ect? _ `� �`� (�(� f\ �� ��, ��✓ Address �� Z,� 1�9►1% City C/ arlu& State '0` Zip -2—Z.z� `JGLd.ty �l Z Office Phone: %) Cell # Fax # C E -mail �i era�r,SG1l�iyi�'1 -A7+r ItAhc 5 - 4 II ezJ r�1i45 . �� ccill ------------------C --- ONTA--------------------------------------------------------------------------------------------------------------------------- PRIMARY CT �.. Business Name/Type: Al (,� Previous Business on this site: Proposed use: C a �s Y'll f�s2t i, 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 ;*iR � _ Printed ) �'.��_CCIr RUA �-- - A ROVAL ATION --- ----------------------------------------------------------- k pproved as proposed [ ] Approved with conditions [ o physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the existing site plan. f 1 This site cmmnliec with the cite nlan ac of this Anti- Building Official c Date �P i (, Zoning Official Date fJZ %1 y I ZWO ' T Other Official Date --------------------------------- - - - - -- - - - -- -- -- - County of Albemarle Department of Community Development S� 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 App'icant to complete the following: -Do you have one of the following? Tax Map and Parcel Number and or; Address of use (include unit or floor if appropriate; l ` // 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 fo Y If Varia ce: Y/ If s , Li . Intake to complete the following: Y /fNl Is use in LI, HI or PDIP zoning? Engineer's Report (CER) packet. Y /:: N If so, give applicant a Certified 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. FAX DATE 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 ,)D/ N Is on public water and sewer? Y /;;N 1 Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # YkN> Wifl there be any new construction or renovations? If so, obtain the proper Permit. Permit # Y /(N) Is this16r sales of Fireworks? If so, obtain a copy of F/R permit. Permit # Proff Y/ If so, ' . SP' Y/ If sc Reviewer to complete the following: i _Square footage of Use: 5�e- .c,{ -Amer' Y / N �1 55(,�L�X ( 1Z25 C 'l. Permitted as: A&%QA Under Section: • 2' �7' 2'2'2" Supplementary regulations section: Parking formula: Required spaces: Y/N Items to be verified in the field: Inspector Name & Date: Notes 'C-- — ZC7T) 5r 7z 9 yZ1 .ii/-uiuc rage 4 of 4 °N: \projects \0144 Peter Jefferson Place \Tenant Work \0144 -74 Trealmont \TLMT_A101 -rev 1 dwq, 01/14/2005 04:38:03 PM, Ptaylor, Ac v V` Q w o 10 L D a R g yps € 4'�$ 042g � �p� AB i¢ £ nA° �p� 1; 114 l � �pTp v H$ g _ ig ^ na�i4 R R i -mm gg �gg I S g- E ''0 x, FAF a F" a15 d a� a ' F1 «QOg 12 a 2 --ig- P £ Qa .2"0. a° -P � °�i � � �E �§as aR s Agsa� �� � OR; g `s c� ze�� €N g ° gg? `;^ fl R y 9 pRDlr�9 �€� o.� 3 ai; € °.q h�� a` 4 � a E6 sR 9�a;gE C° RyFRp �$ug3$ J`Ry gEFaa °G alb mg $�F N� g aFFgm91% 4�� m n $ K N gg5 g:$ng?P7 F fr �C � 5 c D R A 5 35'3 gR R �S^ I`4eH ye�gfi to- 9.1 A �a m ® ©� <8> 0 - F - . -- °R ❑ ® ®$ 8 e• ° Z 2 P 3 €g P 4 MAE 1414 le m Y 3O $ g r rJ °2p '5g f e 9w �A k a gig€ g > 'ggd �$ 4 €o Pl-i go p -z #^s 4 � �EaE a IM k $$ In y R- ® r <8> s aA~ m J$ ° �R a ❑ '" rte• mD '-,3 Ag �° GR Ro ° je;� m a z'-m in m r- $�� �9 a 6 8 g°g roSzCn'nri •Zrn" � O �? ASR � O� � §p, 7- g�g >"� cam g 4 a _ Eq On R 8� o £° aA r - s.••r�rruuu a ' � �� 3� a•3rasu +rz°su .••r..saw. g°tv��`•a �� r. � � iz Z;° OC �' ' RR aa R n' c ° ° ozm�aa P TREALMONT p � J ' -y�/�- �-'.' - p Fn °° =Q,'� Q •-4--.� r v °A'o C a a PETER JEFFERSON PLACE III • �p7tv1'►t,07s�.�1¢GL!//7t F—+ °° : m 7 a C- Sa g THIRD FLOOR Z a 0 ? PETER JEFFERSON PARKWAY CHARLOTTESVILLE. VA 22911 v V` Q w o 10 L D