HomeMy WebLinkAboutCLE200500004 Action Letter 2017-07-31Albemarle County Department of Community Development
Fee of $35.00 File P �G�W
Application for Date:
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Zoning Clearance Recept # Stat
Tax Map/Parcel: TX Ma 61 LU t'a�c e.I 01-013- 0 0 6-01-OA6
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Parcel Owner: .ej---h tvog4meA LUooaa'd VC0,2Z{- *e S
4 p Address ,9L3(P3 CoMr►7o., Waa, )�h City Ckm,W4l ,Sw& State k/A Zip 410 ?o
(Include suite or floor)
Existing Zoning: La
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Who should we call/write concerning this project? Me I i s S o, r G m z f o
w Address �$ S, SeacL im 3 0, City pvo' State VA Zip
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Office Phone: CY39) D Y;) - 0 C' 0 S Cell: �-Y3YJ '9
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Fax: E-mail: o D .S�us�r'c 0 ad P41'A. f7-d
e Business Name/Type: 4s music- i. Jnce s-UI b
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Previous Business on this site: C�v'c �
Proposed use: MV51L 4 ' a r Ck Ct
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Circle (if applicable): Fireworks 1 Christmas Tree
-rhls 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 owners 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.
Signature Printed
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{ ) Approved as proposed Approved with conditions
Building Official � Date o S
Zoning Official Date 1 ? 6
Applicant to complete the following:
(Y)1 N Do you have one of the following:
Tax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate;
1( N Do you have a Floor Plan (sketch or an architectural drawing) that includes the following:
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.
Intake to complete the following:
Y 10 Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet.
Y 1O 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.
Y 1C9 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.
N Is on public water and sewer?
lY i N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. - ' I 14
Permit #d
Y 16�) Will there be any new construction or renovations? If so; obtain the proper Permit.
Permit #
Y 1 Is this for sales of Fireworks? If so, obtain a copy of F1R permit.
Permit #
Zoning Tech to complete the following:
Violations: (�Yi! N If so, List:
Proffers: YY // /0 If so, List:
Variance: Y 1 if so, List:
SP's Y If so, List:
Reviewer to complete -the following:
S14 46—e4Sr
N Permitted as: 5"1 of
Supplementary regulations section:
formula:
-11p
Square footage of Use:
,.. Under Section: 2 9.2 .
1"4* . for $'- 10 SPA-uw
k�k Items to be verified in the field: (--
Inspector Name & Date: