HomeMy WebLinkAboutCLE200600243 Legacy Document 2014-12-020
AwDlication for Zoniniz Clearance
OFFICE USE ONLY
CLE iY - 006 -0? q 3 V
Check # 51ja - Date- A9 _S 06—
Receipt 0 (a � j staff, _X&__-__
'[6 Zom*g Clearance = $35
-PLEASE RENIJFW ALL 3 SHEETS
PA,RCEL INFORMATION
-1
1ax Mzpmnd Pareol: Existing Zonlair
Vbur-4 40 0
uvs LA-C',
C. ha Y to lk�v i 14to 0 A Zi 2-'2-'?
V
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CONTACT
Wbo should we call/write concerEing this projWT _-KcUir) 3C'Lraardl'
Address -, 156 Ca,,�,, I 4v,,, ew Cly.viuikw;Kk sto teVA- Zi ' p 2_7 q 0
--
Office Po
rucw- 6 q 5 6) C e VC- , Oet
hne, E-mail
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INFO
eo-.n 't
T;
Busiaegs Namefrype. 2 Y, ,
Prffvloas Busimess an this site: em Lo
Proposed. asg:: BuzA- Cleas);V^_91
.j _j
Cirole (if applicable): Fimworks ( Chrisums Tree
SEB CONDITIONS OF APPROVAL IF THE CLEARANCE IS)FOR FIREWORK OR CHRISM4,S TRtE SALES (Sheet 1)
*This apomo will only tx, valle, on the 1wrel &-rWhich it h apx,-,vrd. If you change. ln=ify or movc the use to n new lovifidn, a newZotlingg
CjC1'q1MCC Will b6 NqUired.
I hemby cortify thr4l owi orhave the owncr's p*TrtU,5zzi6U to me the space inkiic4tvd on flig ftppfi(;,Ai0A. I also oettify that the infonnation provided ig
txu 'C ID th t ofmy kno�
of'oppmv0. ard I unders-tand thorn, and that I will abide by tliem.
• ------------- .............. I ......... ---------------------------------------------------- -------------------- ...........
APPROVAL INFORMATION
[fj 'A'Ppr'oved as proposod Approved with condiflong
i
dB kflow dovice a2id/br currmt test Oata needed for this site, Conimt ACSA 977-451 1,xT 19.
)No pbysiral site ins-pection has beer, dont for this Ocarance.
Ife P�an.
P;fhis -34!135 complics with tho site plan as of this daw,
Buflaing
Zoning OffMal
Other Official
Date
................. ........ --------------------- ----------- ............. I I.. i. I ..........................................
Conatv, of Albemarle Department of C(Mmunity Development
401 McIntire Road Charlotte-mville,VA22901 Voice: (434)296-583ZY;;&x: (434) 972-4126 W34405Page2of4
POORGOd 0289!U90OZE 100 9ZML6VV HJ U OWOIDA]a UINAWN00
Applicant to Complete the following:
0Y N
—Do/you have one of the fryllowing?
Tax Map and Parcel N',Lmb*r and or;
Address Oftise (include unit or floor if appropriate;
()Y l N
Do you have a Floor Plan (sketch or an arcltitectu.rttl drawing) t}lai
includes the following, and if so please provide it 'with the
application'?
2 �{�
The total square footage: o ;the use and /or; I
The square ft,ntigo of tech room or area of use;
Use of each raohl or area
IT using less than tlte entite structure, note the lurad !n within. the
structure..
. Gam-
I�Sc� 04 (2o 'c -�t
PDA �J
C'�)—Yl V—e/L0 (, -tx-!'7't
Teeb to
r 111
0�� r
4• ,
M
Y
if
Intake to complete the following.,
use in .LI, M or PUxP zoning? If scs, give applicant a certified
Englneer's Report (CER) packet. '
WilhIll5re be food prcparation? P.M
If so, give applicant a Health DoparMont fbnn.
Zoning review ran not begin until we. receive approval from
Health Dept. FAX DATE
��
Is parcel sin private well and septic?
If so, give applicant a Health Department fonn.
Zoning review can not begin until we receive_ approval from
Health Dept. )FAX l A'I';E
N
-Is on public water and sawyer? V
�r N
Will you be putting up a tleu,• sign ofau,y [rind:' If gr5, obtain
proper Sign permit, "'%
rermitiq 0&'— Wt arC be any nP.Vy' a,4nstrt:ctiop or ren6vat]t?n57
If so, obtain the proper Permit.
Permit * ,_� �'
'4 ITsS '/ 0~ V✓
Is Kh r sales of Pircw•orkg?
If so, obtain a. copy of F,'R permit.
Perruft 9
P'ro
IN
In sQ, •ist;
3P's-
Jf f P'n't.
Jf sa
I Of 14105 Page 3 of 4
V0011 00d wn$9:4 9002 $ 190 961VUGM HJ 11N3Wd013A30 Al I Ni1WW00
Reviewer to complete the following-
Square hofage of U e: 614-0
INT I
WM-
A
Under Scction; 101 6L
Supplementuy rep, f I t
farting formula:
1 Required spares: Do I -IgI
y I N
Items to be verified in the field:
I Inspecter Name & Date:
1 Notes
5d, �a/u 6P .2001 '44- C�rffiq-A-dw-)
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