HomeMy WebLinkAboutCLE200600180 Legacy Document 2014-08-20A
A�U'nlication for Zoning Clearance; "
1 1 an
OFFICE USE O LY //
❑ Zoning Clearance = $36 CLE 0 t (p
PLEASE .REVIEW ALL 3 SHEETS Check # ]Date: �
Reeeipt 4
PARCEL INFORMATION ����►►
0 3 IC„ t�. acv Co.
Tax Map and Parcel: a ?X0 00 .- 00 t7 " ' 3 Ii misting Zoning a� �� �u ' `^ }
Parcel Owner:-
ParcelAd.d Ord � �4 State UA Zlp d- )
Il s
(include suite or floor)
pRYMARV CONTACT
Who should we call/write concerning this project? �--� �' �� S ' (`1 a ✓ -�
Address: tr (t • w ["li r, 0,14 City Gl� fl t} ',l(�. State ill Zip `l d
OfPce Phone: �l� �I `% °l�j Cell is 3y �%G �a j Fax q3�/" -7 3° �('7b'E�E -mail L �uGk� OL��>
PROJECT INFO -pN . . ..................... -- .._.... An ... ..n ..n ..... -
Business NameflI rpe:
eju
Previous Business on this site: nn IF1
Proposed use: 1 I-X � W. L Of h QQ d
Circle (if applicable): Fireworks / Christmas Tree
SEE CONDITIONS OIL 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, intensity or move the use to a new location, a new Zoning
Clearance will be requirtd.
I hereby certify th r have the awn is perm ion to use the space indicated on this application. I also.certify that the information provided is
true and accttr� c b St ofmy lot 1 [ h c read tlme conditions of approval, and I Iundcrstand them, nAthat I will �abide by them.
Signature, printed Q-A-
............................ —.1 ........................................................
;A p OVAL ORMATI N
[ pr 4 0d as proposed [ j Approved with conditions
[ B ow device and/or current test data needed for this site. Contact ACSA 977 -4511, x119.
[ o physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the existing
s to plan.
[ ] This site complies with the site plan as of this date.
Building Official Date
Zoning Official Date
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 of4
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.:'•App)ica'nt to complete the following:
.. @/ N
Do you have one of the following?
'..Tax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate;
/N
Yo 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;
LJse -of each room or area
If using less than the entire structure, note the location within the
structure.
Intake to complete the following:
Y /'N)
Is usrn tA, Hl or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CE R) packet.
Y / I�
wit 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 PATE _
/
is
15 p eel 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
V N
on public water and sewer?
Y)/ N
ST FAY = 11400 ' ill you be putting up a new sign of any kind? If so, obtain
proper Sign permit.
Permit #
to complete the following:
Yio s:
if i
rN
Val
• if sc
Y.,, /' N
`NVill there be any new construction or
If so, obtain the proper permit. /
Permit#
Y /(N�
Is ttior sales of Fireworks?
If so, obtain a copy of FIR permit.
Permit #
/N
—'t 3� 6
rs:
Y /TT
so, List,
.�
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10/14/05 Page 3 of 4
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