HomeMy WebLinkAboutCLE200600121 Legacy Document 2014-07-24L
Appli cat on for Zoning Clearance � W
OFFICE UU ONLY
[� Zoning Clearance s S35 CLE #
PLEASE REVIEW ALL 3 SHEETS Check # - Date:
Receipt # 62 Staff: M(
PARCEL INFORMATION
Tag Map and Parcel; zy r_ L%14 Fxisting
Parcel Owner: [�/%/ - �7 I - -D.0 . J ADa aLtff`1eG
Parcel Address: Wbb uvv --_ nve-, CitYC6aeio ki'SU (' !/c- State VA Zip
include suite or floor - )-
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APPLICANT INFORMATION � - -- -- - -- - - - -
Who should we call/write concerning this project? — ) n e- ����t� le J h7K =G�GC)�6Gc S yL %7y 1LG�i�%ss
Address.. c� 19 _ t _
, 2,7
city �e State
Office Phone: cell # Fai #Gb "��2,07YE -nail daoe-ti e6d1n
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PRIMARY COl�iTACT.� " - - -_
'Business Name/Type;
Previous Business on this site:
Proposed use:
Circle , (if applicable): Fireworks / Christmas Tree
SEI CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FMEWORK OP. CHRISTMAS TREE SA'r 2S
'This Clearance will only be valid on the pFxoel for which it is approved. Ifyoa change, intensify or move the use to anew location, a new :- •ac:_cg
Clearance will be. required.
I hereby certify that I own or have the ovwmer's permission to use the space indicated on this application. I also certify that the inf6imadon provided is
true and accur=fothe st of my owledge j have read the conditions of approval, and I understand them, and that I will abide by them.
Si Azure `
A77� Prhittd /' y b I e- i ��
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"PROVAL INFORMATION
I Approved as proposed - [ j Approved with conditions
j No physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance w' fth n
site ,.
[ �jT site complies with the site plan,as of this date.
WConta5ctAU es
Building Official
bate
Zoning Official Date
Other Official ( -L -1ccGl Date
---------------------------------------------
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fag: (434) 9'72-1`:-) ;w
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Applicant'to complete the following:
Y / N
Do you have one of the followhie,
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 the entire structure, note the location within the
structure.
Zoning Tech to complete the following:
olations:
/ N
so, List;
1rl (.2) � r► � .--�j
Variance,
Y/N
If so, List-
1a�4 - Cv
�J
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Intake to complete the following:
Y/
Is us ' I, III or PDIP zoning? If so, give
engineer's Report (CER) packet.
N
ill 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 DA'L'E
Y/{O
is parcel on private well and septic?
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval Ilona
Health Dept. FAX DATE
N
public water and sewer?
VN
illyou be putting up a new sign of any kind? If so, obis
proper Sign permit.
Permit f/
X11 there be any new construction or renovations?
If so, obtain the proper Pe it.
Permit # 120M --1211
Y
Ts or sales of Fireworks?
If so, obtain a copy of F/R permit.
Permit #
Proffers:
Y/N
If so, List:
ij
A\
SP's:
Y/N
If so,
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Reviewelf to complete the follorvrn`g!
Square footage of Use: i ���
Y/N
rmitted as:
Under Section: o y PL
Supplementary regulations section: I D�
Parlcingformula: i3 OdQ '(p, -f-
Required spaces; PUr y
Y/N
Items to be verified in the field:
inspector Name & Date:
f Notes
i
3/28/05 Pagc.4 o'f 4
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