HomeMy WebLinkAboutCLE200600197 Legacy Document 2014-10-03-fa . l*' I ,ZIA.
r Zoning Clearance V 1
�pplicatlon fo
OFFICE USE ONLY
❑ Zoning Clearance = $35 CLE # 00
Check # -2,5(00 Date: 9'—1 / ° 00 PLEASE REVIEW ALL 3 SHEETS Receipt # O 1 LI -7 % Staff: W Q.
PARCEL INFORMATION /�
Tax Map and Parcel: - 06 — 00 Va g �� Existing Zoning i�
'c /ei:
Parcel Owner: C�-' �4 a C_ ; r -le S
1VJ, sue: Fe, 1� ,
city (+ h u l es� S v State
Parcel Address: � -% �7 h � ] �' '`� �"� ty r % z _ _ _ _
include suite or floor) - -• -- - --- - - - - ---
PRIMARY CONTACT (=-
Who should we call/write concerning this project? (fi�t+
Address
d9 p X �� 1r City ►"a I ,- 1L It'r� State Zip _4 ;�2 I�
X134`
Office Phone: ( R`�° Cell #_ �1 � - r) �'1.-..� Fax # r1 Cn E E -mail r� o r� �-
-------•--------
PROJECT INFORMATION
Business Name/Type: J. C% Is a a �� n
Previous Business on this site: r) C
Proposed use: 6t 1- laf 4-i
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 anew location, anew 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 accurate to the best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature Y
Printed e�', Alf A , rm
APPROVAL INFORMATION [ ]Approved with conditions W�A r oved as proposed
flow device and/or current test data needed for this site. Contact ACSA 977 -4511, x119.
[ ] No physical site inspection has been done for this clearance. Therefore, it is not a BackilOW an��
site plan.
[ ] This site complies with the site plan as of this date. Cp�BIIt'�,'e5t Data Needed
9
nn
Building Official
e Date I'0C.
Date
Zoning Official
Date
Other Official
-
-• - -- •• -- -- - •-- ••-- ••-- -• - - -• -- ••-- -•• - -• -- • - - -• -- - •- - - - - -- --- •---- •- - - - - --
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County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 976 10/14/05 Page 2 of 4
Cc
Applicant to complete the following:
0/ N
Do you have one of the following?
Tax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate;
0Y /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.
Intake to complete the following:
Y /lam
Is use in LI, HI or PDIP zoning?
Engineer's Report (CER) packet.
If so, give applicant a Certified
Y f ,�
Wilh ere be food preparation?
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval from
Health Dept. FAX DATE
Y /
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
)) N
on public water and sewer? Dom/
YYill N
W you be putting up a new sign of any kind ?. If so, obtain
pro
A/k�LIDS �� 6 �� Perpmit #g'tdLJ��(y
Tech to com
Viol ,ns:
Y /Q ls
If so, ist:
Varese
:
Y � N
If o, ist:
the
Y; N
Will there be any new construction or renovations?
If so, obtain h/re�/,p��rPPp�er ermi
Pe t.
rmit # - E( � da�0 0
Y N. l �����c/Yt LG
Is this for sales of Fireworks?
If so, obtain a copy of F/R permit.
Permit #
Proffers:
If so, ist:
SP's:
Y /�
If so, ist:
10/14/05 Page 3 of 4
Reviewer to complete the following: f VLC
Square footage of lase:
72etmitted as:
Under Section:
Supplementary regulations section:
Parking formula:
d spaces:
2.0�
Require lfiF t v
p
Y/N
Items to be verified in the field:
Inspector Name & Date:
Notes
10/I4/05 Page 4 of 4