Loading...
HomeMy WebLinkAboutCLE200500290 Legacy Document 2015-01-21Application for Zoning Clearance �® '... - �'lRGIt41P OFFICE USE O1�LYn�5 ❑ Zoning Clearance = $35 CLE # L,, DD��(..[[// D PLEASE REVIEW ALL 3 SHEETS Check # Date: 1 59 — j / / Receipt # 5 (o q ClIq Staff: ffi ja l PARCEL INFORMATION Tax Mar and ?arcel: i n(o1r()_b6-bD'1236 Existing Zoning P09C Parcel Owner: apt -- Parcel- Address: -P (�- �o7k— q- -Q-��� ---- --�- ciity- � 5 - w.�nz. State- _TT-- - - - - -- —7-i � (include suite_or floor) - - - - -- ----------------------------------------------------------------------------------- APPLICANT INFORMATION A r � Who should we call/write concerning this project? NE i' I 1 f c1_auR l Li Address : 'Z30c( 'D&IVYl&_-, 1 Lgn city &aylo-rrasuVo State VA Zip 27- 9'01 Office Phone: (1:3e4)'Zq'G -(Iri SS Cell #4;34- c160- (1Z, -5 Fax # E -mail ------------------------------------------------------------------------------------------------------------------------------------------------ PRIMARY CONTACT _ Business Name /Type: 13o4 S P•0- &ox 's13, aynesboi-o, \(A Z.z98,0 Previous Business on this site: Proposed use: sae ©-I- & Y- ist m as 1 v'eGS Circle (if applicable): Fireworks / Christmas :Tre. 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. P ff Signature c Printed �j� r Ic(n I r VI - - - - - - - - - ------------------------------------------------------------------------------------------------------------------ APPROVAL INFORMATION [ ] Approved as proposed [ ] Approved with conditions ,tg'�Wo physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the existing site plan. [ ] This site complies with the site plan as of this date. Building Officio Zoning Official i� 4N*v Official ------------ ]_[___N Date (i I1�% -Date Date County of Albemarle- liepartment of Uoni'm city Development vCJ+�" `-� 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 Cs1 Applicant to complete the following: r ' N / o you have one of the following? Tax Map and Parcel Number and or; Address of use (include unit or floor if appropriate; C/ 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. honing Tech to complete the following: P v, r 9/28/05 Page 2 of 4 intaite to complete the following: Y/N Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y/N 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/N 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 Y/N Is on public water and sewer? Y/N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # Y/N Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # Y/N Is this for sales of Fireworks? If so, obtain a copy of F/R permit. Permit # — (' �/N so, List: 2J4 A — 1422--2-43 ariance: 's: /N /N f so, List: so, List: -5,0 .19y3 -0�6 I?ev"e`Y.er to,,complete the following: Square footage of Use: (N Permitted as: Under Section: Supplementary regulations section: Parking formula: Required spaces: �Skowti crti ipL, /N Items to be verified in the field: Inspector Name & Date: Notes 3 of 4 3/28/05 Page 4 of 4