Loading...
HomeMy WebLinkAboutCLE200600263 Legacy Document 2015-01-21Application for Zoning Clearance I /ltOIN�P Zoning Clearance = $35 PLEASE REVIEW ALL 3 SHEETS Tax map and parcel: 6W,' 1 COS ° if 3- 06 10 tr °60 -1230© Existing Zoning: PVC5 c— Parcel Owner: Rio Asso cat e5 � u 1'1'l biq Yrom Ropo?el e--!g T hc- Ya Ala t1`dvld ( 3,901< qup.a Parcel Address: P n, Rox q4 9 Z City (?"—A »o vl � State �%f� ZipZ3Z2 (include suite or floor) r Contact Person (Who should we call/write concerning this project ?): Na i f��L� q I•i �t ✓1 Address '2 3 0 7 p2 1 l M & a. La (I& City (!NdY I ®Y tFS V l State VA_ Zip 22 g'b I C y60 --1(7-5 Daytime Phone (43M) 2 cl � -` 1 I T?' Fax # L—) E -mail Business Name /Type: 13T IV II& � ��c oc ! tS o vYl ea^ I'C H r �r I H � c= kSe�t'► 1� p,0 13&4 13, Wcjyyl e.96o ro , \/ , 22_ q '0 Previous Business on this site: Proposed use: :!2a [p 0 7` n k V, f!5 fi- m a 9 TrP_e 5 / f 12-5 - I l 8 F $" 0 /Z /Z 4 /04 4 SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet 1) Circle (if applicable): Fireworks / Christmas Tree *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. zgL�9L Signature of Business Oviner or Agent Date \l r M cCa It Print Name APPROVAL INFORMATION [ ] Approved as proposed [ Vl Approved with conditions [ ] Backflow device and/or current test data needed for this site. Contact ACSA 977 -4511, xl 19. [ ] No physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the existing site plan. [ ] This siXomplies witlrth sitansis fate. Building Official Zoning Official Other Official Date it - Lp 4 Date Date 'I I-1 - FOR OFFICE USE 6NLY CLE # J,06 s Fee Amount $ ,1 Date Paid >By who? _P , t Receipt # +�! 0 Ck #� By: County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 5/l/06 Page 2 of ` Applicant to complete the following: Do you have one of the following? ❑ YES ❑ NO Tax Map and Parcel Number and or; Address of use (include unit or floor if appropriate) ❑ YES ❑ NO 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 c Violations: ❑ YES ❑ NO If so, List: Variance: ❑ YES ❑ NO If so, List: the Intake to complete the following: ❑ YES ❑ NO Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. ❑ YES ❑ NO 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 ❑ YES ❑ NO 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 ❑ YES ❑ NO Is on public water and sewer? ❑ YES ❑ NO Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # ❑ YES ❑ NO Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # ❑ YES ❑ NO Is this for sales of Fireworks? If so, obtain a copy of F/R permit. Permit # Proffers: ❑ YES ❑ NO If so, List: SP's: ❑ YES ❑ NO If so, List: I I I 5 /I /06 Page 3 of -Reviewer to complete the following: Square footage of Use: ❑ /�/ES ❑ NO Permitted as: A Under Section: �ky' c rz Supplementary regulations section: Vl/I Parking formula: Required spaces: Uw "�PVI1 -� Q d ❑ YES ❑ NO Items to be verified in the field: Inspector Name & Date: Notes 5/1/06 Page 4 of