HomeMy WebLinkAboutCLE200600134 Legacy Document 2014-07-24m
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Application for Zoning Clearance _ �`�° � �JCM
"OFFICE USE LY
-aZoning Clearance = S35
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PLEASE REVIEW ALL 3 SHEETS Check 4 Date, -t2(
Receipt # 60&Y 5?, Staff, 194
PARCEL INFORMATION
Tax Map and Parcol. 06f-W-0 0/- OA(90�c 0 Existing Zoning I
arcel Owner: V
Pi reel Address-29 City &J-(c 4te zip
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V ho should we-cawwrite 'Foticerning this project?, d_ r-0 r—
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Zip
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PROJECT INFORM
fe, Ffto C eel ul--, c1d k),F�
Piveyfous. BusinV51,q DU this 6te-
pioposed use. C e--
gcrk '4 70 i K At 7 TF,-F— i 1 :7 'J Vt 44AV JJK97e'- FU -c9 A OfV
SEE CONDITIONS OF A P)
.1AIR Clearame will only bov3li,
Clearance will l o rgquir*d,.
I heraby certify that lio or v3
true and aco=w to ost of
S ipatare
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'VAL INFOR
]Approved mpr�oposed
11 Backflowv device. and/or
A* physical site inspect
sitelplan.
]!This site complies with
Building Official .
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Otl ker- Official
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works Christmas Tree
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'I, IF THE CLEARANCE IS FOR FIREWORK OR. CHRISTMAS TREE SA.Ll✓$ ($h"t 1.)
I on the parcel for which it io, aliproved, If you change; ange, irate. nsify or movo, the im to a now location, a now Za'ning
the owne, 9 P, 'ssi to use the space Jhdiwed On this a plioation. I also ceni4e that the infbrmatioh pr6vidcd is
knowicdge. mv ad the cI of appr6yal. and I understand them, and that I will abide b thcm'_
-
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UTION
Approved Vj conditions
I
,uxromt test data needed for this she. Conta(.,TACSA977-451I,xlJ9,
an has been done forthis clearance. Therefbre, it is notla determination r4am
aMaw DMce aftlVer
he site plan as of this date.
CarrM Test Dab NftdL4
. . . . . . . . . . . . . . . . . . . . . . . . . . .
County ofAlbemarl�.Pepartment of I
Ite
to
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Intake to cotmlilete the following:
Applicant to complete the following:
U Y/ N Is us M L1, ITT or PDIP zoning? If so, give applicant a Certified
you have one of the followaig? l 1~ngineer's Report (C. ER) packet.
Tax Map and Parcel Number and or; V ! `
Address of use (include unit or floor if appropriate; Wil ere be food preparation?
If so, ,give applicant a Health Department form.
V2you N Zoning review can not begin until we receive approval from
have a Floor plan, (sketch or an architectural drawing) that Health Dept, PAX DATE
includes the following, and if so piease.provide it with the
sppTication?
V1
Is p el on private well and septic?
T—! `e total square footage of �he use and/or; If so, give applicant c Health Department form.
e square footage of each room or area ofuse; zoning review can not begin until we receive approval from
(i a of each room or area Health Dept. tAX DATE
I `using less than the entire �nrcture, note the location within the �.
structure, 'Y` /. N.
s on public water and server?
Sew A,' Ic CG V /' N - �
ill you be pu m� up a new $i n of any kind'? If so, obtain
proper Sign permit,
1 }omit #
S.
`c;� to (,`% /�
ill there be y rie' v construction renavatior�s'.
If so, obtain the proper Permit.
Permit #
Y/ krz
Is this for sales CofFireworks? .
If so, obtain a cony. of F/!7 permit.
Permit # �.
. 1� b
i•-Za�ning Tech to compl to the follo'w'rn :
Violations: o#furs:
Y' /N Y!N I
ifCso; Last: f s List: ----
Vaijiance: S.
YI! N V N
If so, List: f so, List: �
�p a 3.3
7
1 At 1-A /nI '13-- z ,.fia
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Reviewer to ca'riPlete the Following:
Square footage of'Use:
�fitted o_
Under Section:
$upplementary regulars 5 section:
l 0 �a (�7 /� G �' ,ice ✓�
Parking formula:
Required spaces:
Ytetns to be rrarified in kheie]d;
Inspector Name & Datei
Notes
1
05 Page 4 o '4 .
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