HomeMy WebLinkAboutCLE200600304 Legacy Document 2015-02-10Tax map and parcel:
Parcel Owner:
Parcel
eeh
Application for
Zon!ng C16rance
('Zoning Clearance = $35
PLEASE REVIEW ALL 3 SHEETS
City
Existing Zoning:
LI
I %RCIN��
State C, y / Zip
(include suite or odor) / /
Contact Person (Who should we call /write concerning this project ?): re/ V
Address /330 &7nt( S 4e S-61-'` ! City(2A C /04C 01 / /`Q State 1* Zip / dG
Daytime Phone i )' s -70 � Fax # r� 3 6 8 E -mail 'a e�6rll xle "tl ILIL+ IV4-
Business Name /Type:
Previous Business on this
d , k Proposed use: (a � 7-,100 %l�2 � �C/
ante , :2541 j' bJPrw -s -4x
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 theibest f my knowledge. I have read the conditions of approval, and I understand them, and that I will
abide,by thew", ew %
I / IA—
ian e of Busings's Q nor or A Gent Date
Name
APPROVAL INFORMATION
[t,• Approved as proposed
[V] Backflow device and/or current test data needed for this site.
[ ] No physical site inspection has been done for this clearance.
[his site complies with the site plan as of this date.
] Approved with conditions
Contact ACSA 977 -4511, x119.
Therefore, it is not a determination of compliance with the existing site plan.
Building Official ` Date -a-k o
ng .Official Date
h 0
O r Official Date
FOR OFFIC S LY CL # • ZUO(o ~ -
Fee Amount $ rI Date Paid" who? eceipt # �� Ck# By
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 5/1/06 Page 2 of 4
Applicant to complete the following:
Do you have one of the following?
YES ❑ NO
ax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate)
[YES ❑ NO
Dbb 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; 313 OD ,6b
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.
cb,k4
Tech to complete the
Vio tions:
MYES ❑ NO
If sorl,,,ib lQ
/ l�l
VV 66 �� z
Variance:
❑ YES �2 NO
If so, List:
IHLHKC w CUIIIJ)Ie�Prue iuiiuwuig;
❑ YES [ENO
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 At
Zoning review can not begin until we receive a o ro
Health Dept;�NO
X D TE 12-20-0(0
❑ YES
Is parcel on p,.r�� a P �xialI and ca p iii? ,
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval from
Health Dept. FAX DATE
eES❑ 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 E� NO
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
❑ YES [1NO
Is this for sales of Fireworks?
If so, obtain a copy of F/R permit.
Permit #
Pr fers:
YES ❑ NO
If so, List:
-V leg -1 - QJ
ajy - -
UYES ❑ NO
If so, List:
6-
SP Lj 7- q3
`, D� ���Pr' f /') 5/1/06 Page 3 of 4
Reviewer to complete the following:
Square footage of Use:
�'ES ❑ NO
Permitted as: 0A v
Under Section:
560
Supplementary regulations section: V
Parking formula: �y6pp !?q C� ? I) 44 d 0 k .
Required spaces: i�JV fiY i��f/►� k �5 �''� �al/"
❑ YES ❑ NO
Items to be verified in the field:
Inspector Name & Date:
Notes
511106 Page 4 of