HomeMy WebLinkAboutCLE200600130 Legacy Document 2014-07-24)2006 15:00 8044574886 DBURGESS PAGE 02/07
t
A'p
.P hea *on for Zoning Clearance
OFFICE UsF, ON)LY
Q�ns—�—cklmuce =$35 CLE # -Z 0(,, — / - 0
PLMSF, REVEEW ALL 3 SIMXTS Check 0 Date,
Receipt 0 1,o Staff:
PARCEL WORMATION
MASUng Zoniak
)arid owner- FU �eld - QPCJN& NSS06ahan
Parcel Address: AAizr)A city OAMJ=Q�V�iwc VA z1o. 22906
make or ffq�F)
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CONTACT ko,
Who sbou]dW*c*JVwrkoconcemingtkbprojed? VZVPJA WOW 1N)r
Ad4mg: .3241) aWald city zip 2-2 14()
-��MRYV I LLE State VA
r-oxail rkddaAJa6pe-V4- hlit*•.*
--------------
W INFORMATION -----------------------------------------------------------
Busiamll(axneq�pe-- (1 0 �Mmet, Ewe,
rM1603 Bliziness on this site: VWAMT
Proposed am.
Qr4o (if applicable)-- fireworks / Chrismas Tree
low
- 3•0m- 1-4, 2=('0
SEE CONDIrrioNs or APPROVAL IF THE cu~cz IS FOR FIREWORK OR CHRXSTMAS TRIM, SALES (Sheet 1)
`This Clcm=cr will only be velld ori.the parcel• fi)r vdiidx it is approvod. If you change, intensify or xnovr, the use to a new locnim a now Zoning
Clomvaoo will be required.
I hereby ctrdl� tbak I own or have the o%mWs perads4an to un 6 space in&cwtod on this application: X A100 =tify that the information provided is
true and accura(.c to the beet of m-* knowledge. I have read the ccadkioA3 ofoppmal, and I understand dzra, and that I wjll abide by lh=L
--------------------------------------- ------------------------------------ —,- -
------------------- --, ----------
APYROVALEVFORMATION
( ) Approved m proposed Approve 4 with condifionx
Baddlaw device and/or ourrent tryst Oaft nerdrud for this site. Contm ACSA 977-4511, x119,
No physics] site inspection has been done for jWs, clearance, Tbcreforc, it is not a 40tonnination of compUsAceWith the existing
site plan.
This site cothplies with the situ plane as of this date.
Building Official Date.
zoning,official
Date
Ckher Official Date
............ -- ------ ........... -- -------------------------------- -------------------- ---- -------------------
County of Albemarle Department Of Cdminunity Development
401 - McIntire Road Charlottesville, VA 22902 Voice- (434) 296-5932 IN= (434) 9724126 -10114/05 Pagc 2 of 4
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•/2006 15:00 8044574886 DBURGESS PAGE 03/07
Applicant to complete the folloWigg=
Z N
you have one of the following?
Tax Map add Parcel Number and or;
Address of use (incladc unit or floor if appropriatc;
�7
o yN ou have a Floor Plan (skcYch or an eschltoc(ural drawing) that
includes the following, and if so pleepe provide it with the
application?
The total square footage of the u3o and/or;
The square footage of cub room or ax of use;
Usc of cacti room or area
If using lcss•then the moire stractarc, norc the Ioeation within the
structtae.
W RXI'Y1G2.lIl2Y* 6'►'UCian4 Dr jnb em Wlll Yee..
tfWo l . 51MCW XQS. are, Dpn- 5104
kvtdX Qs 4cuirn m' siA. �Dl.A
Sa W4 t9 4,ti Mies arty bt ixlg .prevaW r
etNbj= ud 6ppdniom , bu-- ojtmnow I,u►1..1..
rtc+ prgam " pDaj . No sum tut u be„
ND -- l66 k Paurrks
�oaog Tech to com
Violations:
Y'/ N
If so, List
Viriance,
Y/N
If so, Dist:
the
Intake to complctc the following:
Y /®
Is use in LI, HI or PDIP zoning? If so, give applicant a CertLlied
En&etes Report (0sk) packet,
Y /.
W re be food prepaxation7
If so, give applicant a )meth lleparbnent form.
Zoning review can not begin until wa receive approval from
Healrb Dr pt, FAX DATE
Y�N
Is pexcel on private well and septic?
If so, give applicant a Health Depwunenr form.
Zoning review can not bcgitt fitful we receivc approval from
Health Dopt. FAX OATX —S — 2 fn ® 0 0
Y
Is abiic water and seweA ,7
Wi rou'6e putting up a new sign of any kind? If so, obtain
pipper Sign permit
Permit g
crc be any new'
construction or renovations?
If so, obtain tine proper Permit_
_
Y
Is r sales ofFircworks?
If so, obtain a copy of F/R pacmit
Permit #
Proffers:
Y/N
If'an, List
Y/N
If so, List:
10/14/05 Page 3 of 4
1~00 /E00d ed9Z =G0 90OZ 9Z RnW 9ZLPUMV xeJ UNIM013Ad0 WORM
V2006 15:00 8044574886
DBURGESS
PAGE 04/07
Xtsvkwcr to Complete the fouvwing:
e foal&ge of Use:
Y/N C ri�
�•
Under Section:
Supplementary reguladuns sca6on:
Parking fbrmula:
Required spaccs:
Y/N
1t o be vcated in the field:
Inspector•N'sm« Date;
Notes
10/14/05 PPeac 4 of 4
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12006 15:00 8044574886
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