HomeMy WebLinkAboutCLE200600090 Legacy Document 2014-07-16COMMUNITY DEVELOPMENTI Fax 4349724126
Y.
Apr 17 2006 11:54am P002/004
U.�
OFFICE USE ONLY
Lqz-oning Clearance = $35 CLF # tfJ--WD
PLEASE REVIEW ALL 3 SHEEN'S Check Y
Recei t # Staff: --
PARCEL INFORMATION V61 � � ���Z�
Tax Map and Parcel: Existing Zoning
]Parcel Owner. 1 4es Aoau L
Parcel Address: wo �1 �? %�l^w � yV4 C � CA lV1 7/4�_1 State V14 Zip 2 -2-%/`
include suite or floolr
Pi 4kX i CONTACT
Who should we call/write concerning this project?
Address : /7s 8 L'->oq� r"rh �(r oa
. / City
Stated zip,
Office Phone: (N3y) ?/`)- %ioo Cell # ��• 3z _ kax # `% - ?39 ` E -mail Ctou�•.� e i^R,a�e,s7t.Oee ct. ��e
- - --- ----- - - - -- -- -- ------------- - - ^ - -- -- - -�.,. --------------------------
��a ®aECT I�vl� 0>r�.�,TAON /
Business Natne/Type: bull L lei 1 �ed l I)li-I 27
Previous Business on this site- y4<'4"1"
Proposed use: 'r-s6o ?11-I
Circle (if applicable): fireworks / Christmas Tree. l4410
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 o xi= the conditions of approval, and I understand them, and that I will abide by them.
�_
Signature _ Printed
---------------------------------------------------------
APJPROV �--RMATION
[✓j Approved as proposed [ J Approved with conditions
[ ] Backflow dcvice and /or current test data needed for this site.
[ ] No physical site inspection has been done for this clearance.
site plan.
( ) This site complies with the site plan as of this date,
Backilow Device and /or
Contact ACSA, 977-4511, x119. Current Test Data Needed
Therefore, it is not a determinate nLajt�lt�iltlt�a�iti� l9
Building Official bate
Zoning Official Date y'Z8 D 6
Other Official Date
-- -- - - -- - - - -- -- ----- - - -- - --^ V=-- - ------ - -9- -�-- - �------ ., - ---. ----------------------------------
of Albemarle Department of Community Development
AA9 TA'_7_ad. -.. 77.,..,I 0- 1......1„aa.,. .'11., 17 A oVIOA'1 BT..i..... /A'] AN IMC =021) V— /A2 A\ A'7'1 A4'IL IAN AMQ n—- ..11 ..Fe
COMMUNITY DEVELOPMENTI Fax 4349724126 Apr 17 2006 11 ;55am P003/004
Intake to complete the following:
A , licant t® co t tLl o 11
�p Ow,rr><g.
J9/ N
Do you have one of the following?
Tax Map and parcel Number and or;
Address of use (include unit or floor if appropriate;
/ N
7JD0 you have a):loor 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 as:
Y / IN
If so, t:
Vari ce:
x/
If so, t.
the
Y ION
Is use in LI, HI or PDIP zoning?
Engineers Deport (CJ✓R) packet.
If so, give applicant a Certified
L there be food preparation?
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval from
Healtb 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. FAY DATE
X/ / N
Is on public water and sewer?
.y N
"6V111 you be putting up a new sign of any kind? if so, obtain
proper Sign permit. t
I
Permit
;>/ N
Will there be any new construction or renovations?
Ifso, obtain. the proper Permit. ,
Permit # Gv¢� -k /6 �� tjl1
Is !his—tIo—rsales of Fireworks?
If so, obtain a copy of p/R permit.
Permit #
)Pro s:
x/
If so Ist:
If
COMMUNITY DEVELOPMENTI Fax 4349724126 Apr 17 2006 11:55am P004/004
R::viewer to complete the following: 2�6�
Square :Footage of Use: r
Y/N
Permitted as:
Under Section: a • :2, l ,
Supplementary regulations section:
Parking formula: 6 20'0
Required spaces: VN
Y/N a
Items to be verif ed in the field: - 0—
Inspector Name & Date:
Notes
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