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HomeMy WebLinkAboutCLE200600129 Legacy Document 2014-07-24OF AI Z� litat n for Zoning Clearance �� hp g '-S �IRGTNIP OFFICE USE ONLY„ D� j� Zoning Clearance = $35 CLE # Le- (W / q PLEASE REVIEW ALL 3 SHEETS Check# e7 -9—S -3-74 -4410Date: Receipt # Staff: !�i --Z LO PARCEL INFORMATION R Tax Map and Parcel: 19 Existing Zoning_ Parcel Owner:C e /QQ'.4,,,--1se -7" 16S Parcel Address: 16-1 0 0-1JkJd 26l/bl t;l/1/d rG City State (/,,Q Zip -=�9 / –;9054 (include suite_or floor) --------------------------------------------------------------------------------- APPLICANT INFORMATION Who should we call /write concerning this project? JUL /.4 17166ie6 Address: 23Y.9 1PL -6W000 V&f City G C f �>�> j E State Zipaa 441 Office Phone: (434) 9 >3- f c, �,2 Cell # Fax # 973 -74070 E -mail In 44 ------------------------------------------------------------------------------------------------------------------------------------------------ PRIMARY CONTACT Business Name /Type: Srf� 6,rnG' IAIC hipoy4 B41,r11V6 -r1 Previous Business on this site: )�."111CA11 i//X5 1- 64,x.49 <6 %11TV 21 Proposed use: %y/AI,Z 4e-Z-)6- .941. S. �, t 0 4,6;r4,11- I yr-z- oy>"G .ei nres?'>�r -A 0;C Circle (if applicable): Fireworks / Christmas Tree 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 ermission to use the space indicated on this application. I also certify that the information provided is true and accurate to Ihe best - Q f m 1 have read the conditions of approval, and I understand them, and that I will abide by them. J�� � A Signature Printed v ------------------------------------------------------------------------------------------------------------------------------------------------ APPROVAL INFORMATION [ \,1 Approved 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 site plan. [ This site complies with the site plan as of this date. Backflow Device and /or Current Test Data Needed Building Official �- Date. & Uk ( 0 Zoning Official S5 Date �o %- 7 /Oh Other Official I Date ------------------------------ - - - - -- X, - - ----- -- --------- am- -------------------------------- 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: / o N you have one of the following? Tax Map and Parcel Number and or; Address of use (include unit or floor if appropriate; g/ N o 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; 400 s, The square footage of each room or area of use; Use of each room or area 0.; �/C.F �'{JQ Sjl� If using less than the entire structure, note the location within the structure. , oning Tech to Viol ns: Y /<<NJ If so, List: Variance: Y /® If so, List: the 9/28/05 Page 2 of 4 Intake to complete the following: YIN Is use i , HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. WON, 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 YIN ? Is parcel on��, rivate well and septic? If so, give alp% icant a- ,ffealth Department form. Zoning review ca •'not begin until we receive approval from Health Dept; °'FAX ATE �iIN Is on public water and sewer? () / N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # YIN Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # Y/N) Is this for sales of Fireworks? If so, obtain a copy of FIR permit. Permit # Prof Q Y /N If so, List: SP's: Y)/ N f so, List, S,5-o 0ULct w 3 a iAe . c�`v� 9/28/05 Page 3 of 4 Reviewer to complete the following: Square footage of Use: q er/ N ' /� �, mitted as: �ite�S ©d Under Section: L 49.a. I 3 Supplementary regulations section: Parking formula: — .e Required spaces: Y/N Item'§ o be verified in the field: Inspector Name & Date: Notes 3/28/U5 Yage 4 of 4