HomeMy WebLinkAboutCLE200600086 Legacy Document 2014-07-16Appllcati ®n for Zoning Clearance
OFFICIE USE OI M
Zoning C- 'Iearance = $35 CD'�iE # (�t/6
PLEASE REVIEW ALL 3 SHEETS Che(!k# Z Bate: (o
Receipt # q LTyj StaPi:
PARCEL INFORMATION -
Tnx Map and Parcel: 0614) 0 -03 +0 0 — 0,2 b k-) � Existing Zoning
Parcel Owner: �•e.o�°�
Parcel Address: 1831 (oMVVtaAtyery 1J,vbr. City ('IwW-�)L fie _.-State. LIA Zip aaloJ
----------- Onclude snatC or Door .... - - --------- ... - - --
APPLICANT MORMATION- - - -) -.. - -- - - - -- - -- - - - -- - -
Who should we cailhvrite concerning this project? �i rA ' nV'I M 'So) j S
Address: JS.3.1 CQmmc)rN.,)r°&ah Dr, city _Cha,,lta iije state yA Zio Jag01
Office Pl#one: (q' ) 2 216 c�1 v Cell #� SAID Fax # E ameii
. o�l•hea� t�n-�c. -f--r� �� = S� � "71 7-7 Cp3T
»t111 A-tY �4?i�ITA - --- --------- - - - - -- -------- - - ---- -- - - - - -- - ,---------.-------------1---------------------------•--------
Business NamePrype: ir Q ' l i
Previous Business on this site: �� -1157
Proposed use:
Circle (if applicable): Fir--wealcs- -Jx,�e
SEE CONDITIONS OF APPROVAL lF THE CLEARANCE IS FOR FIREWORK OR CHIZIS'l MAS TREE SALES (Sheet 1)
is Clearance will only be valid on the parcel for which it is approved, 1f you change, intensify or move the use to anew location, a new Zoning
Clearance will he rcquircd.
I hereby certify that .1 own or have the owner's pmnission to iisc the space indicated an this application, I also certify that The information providtd is
ttua and ar=t0 to the best of my knowledge- I have read the conditions of approval, and I understand them, and that I will abide by them.
Sigti®ritre sl �/,/ ]?ringed -_-f) 1 CO Styli S
- - - -- - ---- -- -�- ----- •..... -------- - - - - -- --------------.... ----------------------------------- - ----------- ----------•-------
APPROVAL, II�IFORMATION
(, Approved as proposed [ ] Approved with conditions
VNo physical silo-, inspection has been done for this clearance, Therefore, it is not a determination of
V plan.
[ ] Th4 situ compiles with the site plan as of this date,
Backtiow Device And/or
Current Test Data Needed
"nntnct ACSA 977 - 4:5)11, x 119
Bu ding Official Date _ � (o �.
'Zoning official i. r Date 6
Other Official _ Date
C unty of A eb m rrXe Department of e4 mit i Developmalent
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 --5532 Fax! (434) 972 -4126
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Applicant to complete the following:
VN
Vou have one o£ the following?
Tax Map and parcel Number and or;
Address of use (include unit or floor if appropriate;
N
yoet have n 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; v)(VO
'?'he square footage of each room or area of use;
Use of each room or area
Ifusing less than the entire structure, note the location within the
.strula tre_
Tech to
Y�
riance:
Y/N
f so, List;
coinpiete the xoaowing;
Y 7`7
Is u in , HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet,
Y
"Wi ere ba 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 / (9
Is par 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?
Will you b p iF g p a new sign of any kind? If so, obtain
proper Sign permit.
Permit N-
Y l
Wit ere be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Is th for sales of Fireworks?
If so, obtain a copy ofF/R permit.
(Perm it #
rrogeks..
Y/
If so, st,
SP15
Y 111,4
if t;
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I
go
footage of Use: B�
!1N L¢�
'Permitted as: _-
'.Under Section:
Supplementary regulations section:
16 DO KAto -
Parking armu l Z6 2 ,s!jz�= CJ'
Required spies: f�
Y%N
.Items to be verified in the field:
lG pector Name.& Dstle:
.Notes
3/28/05 Page 4 of 4
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