HomeMy WebLinkAboutCLE200600202 Legacy Document 2014-10-03Application for Zoning Clearance t®
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X:W 30 OFFICE USE ONLY
lo, [Zoning Clearance = $35 CHEC 101 A+7TACHEM CLE # + '2,�
PLEASE REVIEW ALL 3 SHEETS Check# 1D��0 .Date: -1 O
Receipt # &J. x(001 VStaff: 1/ t S
PARCEL INFORMATION
PD -MC: PLANKITACk D157RICT-
Tax Map and Parcel: TM 78 PARCEk- 73AZ Existing Zoning M1xEp Com MUM ne
z . (.004 ACRES EC IS1 91P b xCE C0tz91% 00t-
Parcel Owner: 24NTOP5 GIANT LL.0 6. 5. ict5,7' IZS OyEg-L-oNx nmTC2.\Cr
Parcel Address: ARSE\( 9-0AQ City ALI- 5't�t a State V I9XaiIV Ili► Zip j
(include suite or floor)_______ _____________ __ ____ _____ ______
- - - - - ------------------------------
APPLICANT INFORMATION
Who should we call /write concerning this project? 7"S GOPaLP1%VA J OFF IC—C— 1w
Address: 120 a9,'EVA4� WU2T CityCVV61.'2LOTCT� State I C� ptAi%AP% Zip 21�!)ZG2
(S��ts41 X111 970�►��33 -41q�j
Office Phone: 7 333r-a11 S�1 Cell Fax E -mail �'CO'V F►Ce.e �Ou3h .I1
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PRIMARY CONTACT
Business Name /Type: FlIZST CITIZ.E3AS 5PA1RK — 3AM155 3QUAIN4
Previous Business on this site: UKKAOWN
Proposed use: 1 0q -4CA ?L- y<
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 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
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APOVAL INFORMATION
V Approved as proposed
[ ] No physical site inspection has been done for this clearance.
site plan.
[ ] This site complies with the site plan as of this date.
P &�-u-
C%W(PAZ,�
Ora A -114iS 40r• i
of compliance with the existing
Building Official — Date_i
Zoning Official Date
Other Official
Date
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County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
Applicant to complete the following:
'C"
air
/N
o you have one of the following?
Tax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate;
N
o you have a Floor Plan (sketch or an architectural drawing) that
includes the following, and if so please provide it with the
application?
5EF—A117sCJ-tE'sJ
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.
, oning Tech to
Violations:
Y/N
If so, List:
the following:
wgwn7• rY�CSI�'t .
Intake to complete the following:
Y/0
Is use in LI, HI or PDIP zoning?
Engineer's Report (CER) packet.
Y /O
9/28/05 Page 2 of 4
If so, give applicant a Certified
Will 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 DATE
Y /O
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? EN\S"NGc f5s -R�/ 1 C.r--
V� Y }' N
you be putting up a new sign of any kind? If so, obtain
proper Sign permit.
Permit # 2CO(a --2-0 r5 15\CzN Ve-9—MIT
i''�PpL \C1�T10r1 (3E1NCs
N pfLl�pP�L'�7
ill there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #ZP2(l - «1 Q%fjLa)1t_OV kC-T Pe "M\T
�+PPL \CJ�'IZON 1� M/�E
Y/ O
Is this for sales of Fireworks? GOMt�N1�
If so, obtain a copy of F/R permit.
Permit #
J/ N
`
MODa-
Varia ce: ':
Y/ If o, ist: �lsN
o, List: �G 4 �/ u��
s� aova - -�o �: �vt. �
�1
Re "viewer to complete the following:
Square footage of Use:
'A
X N
.Permitted as: � . �l/� I Cd
Under Section: 95A a .10) - Q,3
Supplementary regulations section:
Parking formula: JC
Required spaces:
Y/N
Items to be verified in the field:
SD Pao 0 4- -& (" V S s r Lq,, /ti O(D4 V'`-r-Q-'
Y12 5/U-') Page 3 Ot 4
3/28/05 Page 4 of 4
Inspector Name & Date:
Notes
SD Pao 0 4- -& (" V S s r Lq,, /ti O(D4 V'`-r-Q-'
Y12 5/U-') Page 3 Ot 4
3/28/05 Page 4 of 4