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HomeMy WebLinkAboutCLE200600182 Legacy Document 2014-08-20`JpFA A pplication for Zoning Clearance � f ✓ _ VIRGIN OFFICE USE ONLY Zoning Clearance = $35 CLE # z-DO (p PLEASE REVIEW ALL 3 SHEETS Check # _ ) 0 ? Q Date: -Z©- -d 60 Receipt # 6/// / Staff: bfQ PARCEL INFORMATION s 8 N �' / pj c� U�t ao yS'cou T ruin. l 0_?3 Tax Map and Parcel: d 14 5go - ,00 - 0 Lo !F ,D 4� Existing Zoning_ J� C'o ,-)7 ,)q Parcel Owner: Parcel Address: q,7. d I`�1 lTD�'I 1 f`f $ " 1C`City C/ I State Zip (include suite or floor)______________ ---------------------------------- - - - - -- ------------------------------------ APPLICANT INFORMATION Who should we call /write concerning this project? Dm Is, Du rr -c q b `— 10Y3 'Box a Address : Box •3 & i City R VI IG a State Office Phone: L—)q'-73- -7(033 Cell #q&6—JQq3 Fax # Zip Qo� E-mail _14iIO 6CP ftNt4SdG(w gdj.cok,-) ------------------------------------------------------------------------------------------------------------------------------------------------ PRIMARY CONTACT Business Name /Type: 1_,7C % S Previous Business on this site: 11 V (✓ Proposed use: " WaS h r7 DQ 1 f1 I„ , .. 420" A- m. n i_01--' , <,1- Circle (if applicable): Fireworks / Christmas Tree SEE CONDITIONS OF 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, intensify or move the use to a new location, a new Zoning Clearance will be required. I hereby certify that I own or have the owner's permission to use the space indicated on this application. I also certify that the information provided is true and accprge to the best of my kn wledge. I have read the conditions of approval, and I understand them, and that I will abide by them. g Si nature uaaD - Printed re 1 la ---- - - - - -- ------------------------------------------------------------------------------------------------------------------------------------ APP OVAL INFORMATION [ Approved as proposed [ ] Approved with conditions U e No physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the existing plan. [ ] This site complies with the site plan as of this date. Building Official Date `1 b� ( .L c Zoning Official Date 6" 6 Other Official Date --------------------------------- - - - -- - - -- -- --------------------------------------------- County of Albemarle D partment Community Development 401 McIntire Road Charlottesville, A 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 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. Zoning Tech to Viol s: Y / If , Lis the Y/ If sg Intake to complete the following: Y O Is use in LI, HI or PDIP zoning? E ' R '+ Or k t 9/28/05 Page 2 of 4 If so, give applicant a Certified ngmeer s epo ( ) pac e . �- �V Nere n be food preparatio If so, give applicant a Health Department form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE °7 -QQ ©(p Y / Is p 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 on public water and sewer? Y / Wil u be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # Y/ WillIffere be any new construction or renovations? If so, obtain the proper Permit. Permit # Y / Is thl or sales of Fireworks? If so, obtain a copy of F/R permit. Permit # Pro s. Y N I so, 1st: If Reviewer to complete the following: Square footage of Use: i� iv Oivy� , permitted as: N Under Section: Supplementary regulations section: _ 4Z� Parking formula: ISA Required spaces: �G�� (`� Y Ite hto a verified in the field: Inspector Name & Date: Notes Y /zzs /UJ rajze S OI 4 3/28/05 Page 4 of 4