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HomeMy WebLinkAboutCLE200600175 Legacy Document 2014-08-20Jul 13 06 02:25p VIRGINIA TENT RENTAL Application for Zoning Clearance 434-296 -7911 p.2 ❑ Zoning Clearance = $35 PLEASE REVIEW ALL 3 SHEETS (W- E] ij-/ 'fax trap and parcel:.___. � "�.v�J� SL�..t/tf t_D� - - - - - -- --- Existinp z"Iting: - - Parcel Owner: arn cj...l.�._tu.G?7.!?u4j(f ParcetAddress: .1� iL..t.'►�1 -Lt s 7t7�tc . TA—p9- �... -._. -�z' (inciu a suite or flu r) U Contact Person (Who should we tall(vrite concerning this project!): � :address �, � �' =X 16 liJ 1-2V City" 6i % /IJT�� i%i ��QState,� —YjP ?L Daytime Phone y ci" Ji E -..a Business Natntglype: 23 fGLlJ1n SEE CONDITIONS OF APPROVAL IF THE CLEARANCE I5 FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet 1) Circle (if applicable): Fireworks / Christmas Tree *This Clearance will only be valid on the parcel for which it is approve& If you change, intensify or move the use to anew location, a new Zoning Clearance. will be required. I hereby certif-v that I ot,.n or have the owner's permission to use the space indicated on this application. I also certify that the information provided is Izuc and. accurate to the best of my knV oc. I have read the conditions of approval. and I understand theta, and that I will abide by theta- 2f 4 Sig a e of Business er or gelf Date Print Name WROVAL INFORMATION Approved as proposed [ ] Approved with conditions Backtlovv device and/or cttnvnt test data needed for this site. Contact ACSA 977 -4511, x 119. j l No physical site inspection has been done for this clmrenee. Therefore, it is not a determination of compliance with the eristing site plats. j J This site complies with the site plan as of this date. Building Official Date Zoning Official Other Official V Date FOR OFFICE U Y Jp /, C LE 2,.4 Fce Amount S, e ale paid / -1 J9' wlto? ���� — _ . —_ Rcccipt P _ 9's CW1 % Z!!- $y: County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5532 Fax: (434) 972 -4126 513/06Pagc 2of4 ? -'�4 --C(Q -, 41ua (21 '27- Jul 13 06 02:26p VIRGINIA TENT RENTAL Applicant to complete the following: Do you have one of the follow.ing'? rYES ❑ NO ux Map and Parcel Number and or, Address of use (include unit or floor if appropriate) YES ❑ NO you have a Floor Plan (sketch or an architectural &auing) that includes the following, and if so please provide ituith the application? The total scluare 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, rote the location within the structure, 1A411 0 _- �Vo , 6 -6f to cotnulete the Violations: ❑ YES NO If so, List: Variance: E] YES ❑ NO If so, list: 434-296 -7911 p.3 Intake to complete the following: ❑ YES 0 NO Is use in Ll, HI or PDIP zoning? If so, give applicant a Certified Engines Report (CER) packet. ❑ YES [6 NO Will there be food preparation? If so, give applicant a Health Department form. "Zoning review can not begin until we receive approval from Iiealth Dept FAX DATE ❑ YES 0 NO Is parcel 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 0 YES ❑ NO Is on public water and sewer? ❑ YES ❑ NO Will you be putting up a nea• sign of any kind? If so, obtain proper Sign permit. Permit # ❑ YES p] NO Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # ❑ YES © No Is this for sales of Fireworks?. If so, obtain a cop} of FIR permit. Permit # Proffers_ ❑ YES ❑ NO If so, List: SP's: ❑ YES ❑ NO If so, List: 5/V06 Page 3 of 4 Jul 13 06 02:25p VIRGINIA TENT RENTAL 434 -296 -7911 p.4 e Iteviewer to complete the following :: Square foolagc of Use_ ❑ YES ❑ NO Permitted as: G;D C-C j r I �e A/ \ ' Under Section: N s� ; N li`��k l I �� ,PrAC -h" Le-, Supplementsry regulations section: Parkins; formula: Required spaces: 14 b ❑ YES NO Items to betverified in the field Inspector Name & Date: Notes 5/1.06 Pago 4 of4