HomeMy WebLinkAboutCLE201600014 Approval - County Zoning Clearance 2016-12-20Zoning Clearance for
Outdoor Amplified Music
AZoning Clearance Fee = $54
❑ Certification that notice of this application has been provided to
the property owner of the business address, if owner is different
from applicant
Business Name: 0
Business Address: Parcel ID number:
App11 nt (who should we contact about this prod ct):
Street Addre
City Stat Zip Code _
Phone Number
Email
Owner of Recor
Street Address
City State ip Code
Phone N ber
Email
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usiness/owner has purchased a Sound Level Meter as defined in Section 4.18.02 of the Zoning Ordinance.
The :enerated. siness/owner commits to establish a plan for measuring sound levels when outdoor amplified music will
b
Thesiness/owner commits to periodically measure sound levels using the above mentioned Sound Level
IV 'cier when outdoor amplified music will be generated at the business/operation.
The business/owner will provided any or all Sound Level Meter measurements to a Zoning Official upon
request by said official.
Owner/Applicant Must Read and Sign
I hereby certify that the information provided on this application and any accompanying information is accurate, true
and correct to the best of my knowledge and belief.
S�ignatur in ss O ner or Date
000
00
r' t Nam Daytime phone number of Signatory
County of Albemarle
Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
Application for Zoning Clearance
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CLE #�l�ii)
OFFICE US , ONLY
PLEASE REVIEW ALL 3 SHEETS Check # Date:
Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel: IS- 1 Qq % Existing Zoning P,
Parcel Owner:
Parcel Address: �� (',3 IS�n -,�n TDki . City State �A Zip w3A
(include suite or floor)
PRIMARY CONTACT
W15o �De bore, Goc�clho.r`
should we call/write concerning this project? h
Address: (b A�xMis6&co TDk2, City L rOZAA State VA ZipQ U '
Office Phone: CqW UR jKlY Cell #"' Y'5bG-Yldl Fax # '"' E-mail [1ehb4zicod&_d_ " �, ton%
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APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New busines
Business ir1 0-4v—ponyL. o�Q��r AMlOv I
Name/Type:
Previous Business on this site moos I
ZY
Describe the proposed business including use, number of employees, number of shifts, available parking spaces, number of
vehicles, and any additional information that you can provide: _ ID
v -
*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 e b of my knowle . I have ead the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed
APPROVAL INFORMATION
[ ] Approved as proposed [ ] Approved with conditions [ ] Denied
[ ] Backflow prevention device and/or current test data needed for this site. Contact ACSA, 977-4511, xI 17.
[ ] No 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.
Notes:
Building Official Date t
Zoning Official Date �p
Other Official Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
Revised 11/02/2015 Page 2 of 3
C,.:
EXTECNH
Digital Sound Level Meter
Model 407732
USER GUIDE
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USER GUIDE
EXTECH'N
Digital Sound Level Meter
Model 407732