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HomeMy WebLinkAboutCLE200600172 Legacy Document 2014-08-20Application for Zoning Clearance = OFFICE USE ONLY oning Clearance = $35 CLE # 00 � I PLEASE REVIEW ALL 3 SHEETS Check # o Date: 7-Zn -C�Co Receip Staff: PARCEL INFORMATIONy5 — ( ND Tax Map and Parcel: Q % D © P "� 0 ® � � ' C/ oning Parcel Owner: 0, V it ' e Parcel Address: �,� I t✓lr('`� r(\/�97Cl ai�ty �'J/ Y1/ l� I I e State ���-� Zip (include suite flo or or) ---------------------------------•---------•------------------- PRIMARY CONTACT , ` �w _ Who should we call/write concerning this project? Dc of [ 65 n\ f- -pya P r!Q► /anmCyi-a... bari.- Address: AUOUfAa 5A- City State V4 Zip CWIJ� � ©© 41io ���) Office Phone: �"1 V 885 -5161 Cell # Fax # 885-5171 E -mail h amoAnn P n- -1 bS - n e X�1 PROJECT INFORMATION 4 jj �� ` i Business Name/ Type: 1:Y1�x_�- tb PS i ��� �C Ot F�� {'��l ZYl C . /A 144 1 on 6r rApn Sail Previous Business on this site: Proposed use: Circle (if applicable): Fireworks / Christmas SEE CONDITIONS OF APPROVAL IF THE CI *,Jr his Clearance will only be valid on the parcel for which Clearance will be required. I hereby certify that I own or have the owner's permission true and accurate to the best of my knowledge. I have read i i CHRISTMAS TREE SALES (Sheet 1) move the use to a new location, a new Zoning .. I also certify that the information provided is id them, and that I will abide by them. Signature Printed APPROVAL INFORMATION ackllbw evice end or [ 1 Approved as proposed ] Approved with conditions CUPC nt Test Data Needed Contact ACSA 977 -4511, x 119 [ ] Backflow device and/or current test data needed for this site. [ ] No physical site inspection has been done for this clearance. 't l Contact ACSA 977 -4511, x119. Therefore, it is not a determination of compliance with the existing step an. ''/ -mil [ ] This site complies with the site plan as of this date. l�v& 7✓ A, z ,s-A F-0 i3,V 0 o s —,3-�: 7zWe-,- Building Official Date /Viii/ T Zoning Official Date - p Other Official Date •---•--•-•-••--•----------------•-•--.......--------------...-.......---•--•---------------- ...------ ......------ • - - - -- ......................... County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 10/14/05 Page 2 of 4 Applicant to complete the following: Y/N Do you have one of the following? 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. ;ado +ate F ()o V hd �� N Zoning Tech to corn Vio ns: Y N If s, V r'ance: `fY / N so, List: the Intake to complete the following: Y Is use to LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. • N Will there be food preparation? (eS If so, give applicant a Health Department form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE Is /arIs parce on private well and septic? If so, give applicant a Health Department form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE )7N on public water and sewer? Y)/ N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. _ Permit # Y/N vyvd�T Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # f ��., Y0rPo bDai �er�a'� C 2� Is this for sales of Fireworks? If so, obtain a copy of F/R permit. PVOO,5-' 6 2 Permit # T0I/s/', fers: N List: CO - ��„ � ?itJ1M- GtM� -d "s: /N so, List: lK 10/14/05 Page 3 of 4 Reviewer to complete the following: �� ��® Square footage of Use:' ' +YIN P-efmitted as: 6=ftj F Under Section:�•� Supplementary regulations section: Parking formula: Required spaces: 5��o1a06r 3Q t�..W AP�G'`�'��'`�� N JUuN� 1 _ may, s to be verified in the field: "I ✓1/L�AQ - / /��,�' �'� Inspector Name & Date: Notes ivi 1'+/w rage ,+ of