HomeMy WebLinkAboutCLE200500005 Action Letter 2017-07-31Albemarle County IIepartmmeent of Community Development
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r Fee of $35, 00 File
Application for # Date: �7 o
Zoning Clearance Recapt# a staff..
Tax Map/Parcel: r,- � � = 0A - OIDA D
%R Parcel Owner: �is9.✓ ,Qe!%At,'gt
4 € Address..y ('Gi�r�a.✓lurr�.Cr,� �%�GL��E�-City !i/%% State Zip �� O
5 (Include suite or floor)
Existing Zoning:
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Who should we call/write concerning this project? Ale
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noc Address �,js`f� ��,�rGT..r�v.QL>"f� �� City State A� Zip O
ao Office Phone: Cell:
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Fax: 5� ✓ S�- q%J' ��6 E-mail: jOAleE 49?a9,49AP V-C O - L4®4y%
Business Name/Type: IC AWO US/0' �idG.
Previous Business on this site: 14/1044r,
Proposed use: �9D�ii✓i-�TTiv�
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Circle (if applicable): Fireworks 1 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 owneds 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 1pyfe-
( )Approved as proposed ( Approved with conditions
aBuilding Offi
a
Zoning Offic
Date
Date kl�
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Applicant to complete the following:
Y I Do you have one of the following:
v 1 Tax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate;
6), 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 roam 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 1 N Is use in Ll, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet.
Y 16 Will there be food preparation? If so, give applicant a Health Department form.
i/ Zoning review can not begin until we receive approval from Health Dept.
Y 18) Is parcel on private well and septic? If so, give applicant a Health Department form.
Zoning review car not begin until we receive approval from Health Dept.
O; N Is on public water and sewer?
Y 1(1 Will you be putting up a new sign of any kind? If so, obtain proper Sign permit.
Permit #
Y /l5 Will there be any new construction or renovations? If so-, obtain the proper Permit.
Permit #
Y 1e Is this for sales of Fireworks? if so, obtain a copy of F1R permit.
Permit #
Zoning Tech to complete the following:
Violations: Y 1
Proffers: Y 1
Variance: Y 1
SP's Y r
If so, List:
If so. List:
If so, List:
If so, List:
Reviewer to complete the following: Square footage of Use:
N Permitted as• ;b neLlof6aL Under Section: . •2.7.. `b
Supplementary regulations section:
Parking formula: -1 S
�J I N items to be verified in
Inspector Name & Date:
Sir *l Required spaces: 5 stas
field: 6)L4k 16 (n� aw* _ _