HomeMy WebLinkAboutCLE201500039 Application Zoning Clearance 2015-03-16Tntalre to complete the following:
Reviewer to complete the following:
f
Y / N
Square footage of Use;
Is us m L), HI orPDlP.zoning? Ifso;give applicant a Certified
Engineer's Report (CER) packet,
/ N •
'
Permitted as:
N��.2
WIII there be food preparation?
Under Section; ' %
If so; give applicant a'Health Departnmentform.
Zoning review cannot buntil we receive approval from Health
Supplementary regulations Section:
;
Dept. PAX DAT;v.--�
Circle the one that applies
Parking formula;
Is parcel on private well o public water
t7
��pU
If private well, provide Heat epartment form.
Zoning review can not begin until we receive approve[ from Health
Required spaces. L ��
:Dept. FAX DATE,
E
Y/
Circle the one that appli
Items to bq verified in-the field:
i
Is parcel_ on septic or ublicsewer
VilN
l you be putting up a new sign of any kind? Ifso,. obtain, proper
'
Sign permit.. n
Inspector : Date:..
Permit
Notes":
Will re be any new:construetion or renovations?
If so,.obtain the proper;Pentiit.
Permit #.
3
3:
Zonin to corn hte the ftlIowirt
Violatt ns:
`Proffers:
Y.
`
Y/
If so, List:
If so,:T:ist
; a
SP's:
Variance:
Y /Cb1�
If so List:..
If so,:L'sst;
Clearnnces:
SDP's
Revised 7/1/201:7 Page 3 of3
,
1
I
�
n�
I
rn LL
co
.��
0 2
coy
n:
i
ti
LLAD 05
ov
w _
N
C
LL.
p
LL
C �
I I
I
0
M
CERTIFICATION THAT l OTICE OF TSE
APPLICATION HAS BEEN FRO ED TO THE LANDOWNER
Thisform must accompany zoning applications (Home occupation.) zoning Clearance, zoning 3
Administrator Determinations orAppeais, Sign Permits, Building Permits) if the application is rnot ll e
oivner.
I certify that notice of the application, „ jNpC.%t--
[County application name and number]
was provided to )�„ •ten tI 1 ? �� �"� l��' the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number gga by delivering a copy of the application in the
manner identified below:
r�__1 J_t.......:.,..... an..0 —Ffl— onnfln.nfsnn f'f1
recipient's _title .or.