HomeMy WebLinkAboutCLE200600093 Legacy Document 2014-07-16COMMUNITY DEVELOPMENTI Fax 4349724126 Apr 18 2006 01:36pm P003/005
- � .' � ' Clearance
.Application. for Zoning'
IlSE ONLY CIO
Zoning Clearance ;= W CLE # 2 00 (o
PLEASE REVIEW ALL 3 SHEETS Cbeclt# S-703 Date: -I 9- O
Receipt #
-PARCEL INFORMATION /'
Tax Map and Parcel: � 520 '"00 -46 ~ 0 O 0 • Existing Zoning Cl y _
Parcel Ovmeee I 1 C` � L4'
Parcel Address: t City vl� `s'Eate• Zipyl4 0 ' '
include suite oar floor - - - - -•-
, '
Wi: CANT INFORMATION
Who should we call/write concerning this project? �
Address:, 2t3�, cz-) n e r cr A -c- Rr� City _. �ok�5 c� State ' �'� _,Zip lq
Office Phone: % JAI- Io5911 Cell # W5 ASS -151_ Fax # c ►0 , aA1 ll as . E -mail � r
--- -------- - - - - -- -....-------------------- ..-- ,--------- - - -.._ ---------- - - - -.. 1. PR�Af2i' CON�'ACT • . . • • . •
Business NamelType: G'IA 0 ,r e k-6
Previous'Busluess on this site:
Proposed use: ,- f�eic��\ �a\e o� e \� a�►o A,) &e41 c.e'
Circle (if applicable): Fireworks / Christmas Free
SEE CONDITIONS OF APPROVAL JF THE CLEARANCE IS FOR FIREWORK OR CBRISTMAS 'TREE SALES•(Sheet 1)• ; v
4Thls 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 requiired_
I hereby certify that I oikm 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 theca.
Si�gUa P&ted t1 re rnv Shn )Q hne�V '
-- - - - - -- - - - - - - -- - -- --- - - - - -- - ----------------------- - - - --- --- - - - - -- -
AP VAL O TIO�T - ^-
• [ roved as proposed L ] Approved with co�aditions
No physical site inspection has been. done fox this clearance- Therefore, it is not a detcrmiriation of compliance with the c)dsftg '
S1 B.U.,
..
is site co plies with the site plan as of This date.
ackflow
evice
nt Test a
---- ' Cont ct ACSA 977 + x
Building Official Date
Zouing Official bate
Other Official )Elate
' - --- --------- ^---- - - - - -- - - - - -- County of Albemarle Aepartuaent of Community pevelop>aatent-_.._____ -• - -- - - -; - -••-
401 McIntire Road Charlottesville, VA, 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
COMMUNITY DEVEL(
.Applicant to complete the following:
X N '
O 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 rile entire structure, note the location within the
structure.
Tech to complete the
Y1 / N
�{ so, List:
a /lo e 7 0D,0-7(9
In b
-2 T
/ N
If so, L' t:
26®14 -06
PMENTI Fax 4349724126 Apr 18 2006 01:37pm P004/005
Intake to complete the following:
Y !N
Is u, sWLI, HI or PDIP zonirtO If so, give applicant a Certified • ' . '
Engineer's Deport (CF•�L) packet.
Y
be food aration?
l�l?
If so, give applicant• a Health Department forts.
Zoning review cannot begin until we receive approval from
Health Dept. FAUX DATE
Y/N
Is parcel on private well and septic?
If so, give applicant a Health Departrnent form.
Zoning review can not begin, until-we receive approval, from
Nealth Dept. FAX DATE
.� N
Is on public water and sewer?
Y
Wi� be putting up a new sign of auy kind? if so,-obtain
proper Siga permit.
Permit N
N
ill there be any new consh•uction or renovations? .
If so, obtain the proper P it
Permit #
is
Is ��or sales of Fireworks? '
if so, obtain a copy of F/R permit
Permit #-
7 soPiers:
N
, List;
V
SP's:
D�
/
;Tj N. .
COMMUNITY DEVELOPMENT1 Fax 4349724126 Apr 18 2006 01:37pm /`005/005
Reviewer, to complete the following:
Square footage of Use: TCiP�l
Peaaitted as:
Under Section: o16A a-- 1 as ,
Supplementary regulations section:
Panting formula:
Required spaces: �/l�ei►� �h�t �� p l :. '
Y /
item to be verified in the field:
Inspector Nance & Date:
Notes'
• , ,ti
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