HomeMy WebLinkAboutCLE200600087 Legacy Document 2014-07-16Application for Zoning Clearance
�IRGINZP
OFFICE USE ONLY
❑ Zoning Clearance = $35 CLE # -Z o D — 9 %
PLEASE REVIEW ALL 3 SHEETS Check # *134S 10 Date:
Receipt # — q '� (') Staff:
PARCEL INFORMAN�T //ION
Tax Map and Parcel: D`L;� —(� / , (.L/ �� ��J� Existing Zoning
Parcel Owner: ��l!✓Yl (_ f! (�
Parcel Address: W1GT0A[ 41e� => YZ6 City U- State V(( Zip
(include suite or floor)
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APPLICANT INFORMATION
Who should we call /write concerning this project? b"l6 -A WLI A 1� 4�1 �i C),lakcI'l
Address: 2 (5 'b CJl C,/L 'D City �r �,� � C ,�_ State of A- Zip �Z 9'cly
Office Phone: `gip -2 66 3 Cell # q6g 2 9/7.3 Fax # E -mail
_ _ _ _ _ _ _ _ _ _ :RYfC e Q _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
PRIMONTACT !!�� / / �` _
Business Name /Type: f I 1 D f,t lJ «l C ,(,&& , �� � A q� s
Previous Business on this site: j S ie-1 A401
Proposed use:
ou T* C/a-2 �
Circle (if applicable): Fireworks / Christmas Tree
Z Buz y .2 (X (
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 n or have the owner's ermission to use the space indicated on this application. I also certify that the information provided is
true and accurate t of myjk�nowl ge have read the conditions of approval, and I understand them, and that I will abide by them.
Signature (, < Printed 20'8gz
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APPROVAL INFORMATION
PApproved 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
tte plan.
[ ] This site complies with the site plan as of this date.
Building Officials �/�•- -�-� -� Date �' a-� 0 6
Zoning Official ��2� Date h 6
Other Official Date
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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:
N
o you have one of the following?
Tax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate;
Yj 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
Y /I
If so,
Intake to complete the following:
Y /el
Is use in LI, HI or PDIP zoning?
Engineer's Report (CER) packet.
Y /O
9/28/05 Page 2 of 4
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 /(
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
P on N
public water and sewer?
Y /6N
Will you be putting up a new sign of any kind? If so, obtain
proper Sign permit.
Permit #
Y /@N
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Y /(5N
Is this for sales of Fireworks?
If so, obtain a copy of FIR permit.
Permit #
Pro
If o, Li t:
Var' ce: SP's•
Y/ Y/ IN
If so, t: If so, Lis :
Y /2t5 /U5 Page 3 of 4
Reviewer to complete the following:
Square footage of Use:
Y/N
Permitted as:
Under Section: „�,� f �r U >7 0 raV I
Supplementary regulations section:
Parkingformula:
Required spaces:
Y /0N
Items to be verified in the field:
Inspector Name & Date:
Notes