HomeMy WebLinkAboutCLE200600116 Legacy Document 2014-07-22Application tour (
Zoning Clearance
[V zoning Clearance = $35
PLEASE REVIEW ALL 3 SM ETS
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Tax map and parcel: i � xistf ng Zoning; � —
Parml OVvUeY:
V aus�z
Parcel Address:��s 1� Ct11�19�7 i`�Ui1�(1 l� city �� f Q U�� t staff a 'Z'p
(include suite or floor) E (� ,,
Covotet Person (Who should vve call/write wacerniing this project ?): � 0_ -� �,.e= "+Z Du/'
Address ` l J ��'1.Q,n - i 1 ➢ i 1 _City (�I State �I I Z'
Daytitne'Phone
�� Fax # t �✓ if 2W �� -mail OV �1 n ��Iti c �l
Rosiness NawofType: k It U, I U
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Fa'evious Business on this site:
Proposed use: �'t $ (t i/
SEE CONDITIONS 'OF APPROVAL IF THE CLEARANCE IS FOR FIRMORK Olt. CMIISTMAS TREE SALES (Sheet 1)
Circle (if applicable); Fireworks I Christmas Tree
*This Clearance will only be valid on the parcel for which it is approved. If you change, intensify or move the use to a nerw location, a
new Zoning Clearance will be required.
I hereby certify that 'l own or have the owner's permission to use the space indicated on this application. I also certify that the information
vrovided is true and accurate toAbe best of my knowledge. I have read the conditions of approval, and I understand them, and that I will
abide by *=.
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Signs —of B si ss Ciw r r,A,gen Date
A
APPROVAL INFO ATION S - 0 3 `I
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Approvod as proposed L proved with conditions
nS�t rthC iothislearanw. Thereforc, h s riot a deteminat on aP ho h y s physical site iPe ction has been done f
C ]This site 'ttpli wi the site aA as o1 th* dam P1/)G, h13 / D (o
+- last' corryN Date � u$ackilow Device and/or
Building Official P _ ulrren eS a� eedV
Zoning Official Date vo
Other Official Date �w n act 977.4 ,1t 1
FOR OFFICE USE QNLY CLE # �
Fce AmonMt 5 ' ' D baw Paid .rr-I i- ICE C, I3y -ho? _ ' 6` i ' 2 tv Receipt # jr iq :'T Ck# . BY; /
County of Albemarle Department of Community Development
4f l Melmtire Road Charlottesvville, OVA 22902 Voice: (434) 296-5832 Fair: (434) 972 -4126 3/1106 Page 2 of4
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Applicant to complete the following;
Do you have one oftlle following?
YES ❑ NO
ax Map and Parcel Number and or,
Address of use (include unit or floor if apprc,priate)
YES ❑ NO
you have a floor Flan (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 roomy or area of uso;
Use of each room or area
If using less than the entire stnl"e, note the location within the
structure.
Tech to
r aueau+ ..
❑ YES NO
If so, List:
variance,
❑ YES NO
If so, List:
the
❑ YES NO
Is use in LI, or PDIP zoning? If so, give applicant a Certified
Engineer's.Report (CER) packet.
V ilDES El NO 4
there be food preparation? 1/
If so, give applicant a Health Department farm.
Zoning review can not begin until we receive approval from
Health Dept, FAX DATE � (o � - •Z T-
5YFS ❑ NO .
Is parcel on private well and septic?
if so, give applicant a Health Department form.
Zoning review can not begin until wc�r{v a p prov from
Health Dept. FAX DA'V'E s �J` b �
❑ YES NO
is orz public water and sewer?
❑ Y1JS , NO
Will you be putting up a new sign of any kind? If so, obtain
proper Sign permil-
1Permit #
[3 YES/] NO
Will there be any now construction or renovations?
If so, obtain the proper Pemait.
Permit #
❑ YES O
Is this for sa es zf fireworks?
If so, obtain a copy of 1;/R. pcntlit.
Permit # W __
Proffers:
❑ 'Y'ES NO
If so, List:
SP :
'Y'ES ❑ NO
If so, List:
is r
PEA
$11106 Pap 3 of 4
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Reviewer to complete the fbIlO ing.
Sg=e footage of Use:
❑
YES ❑ NO 11 �d {
Permitted M:
J
Under Section: f 0 L20Z2acQ-))-
Slupplementary regulations swtion: t
Parking formula: l lw � -
Required spaces:, —
❑ YES R No
Items to be verified to ft field:
Inspector Dame &Date;
Dotes
511!06 Page 4 of 4
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