HomeMy WebLinkAboutCLE200500011 Action Letter 2017-07-31011071200,5 16:43 5619BB91382 WCTC PAGE 14115
IF./2003 12:30 CITIZENS STATE BANK 4 9061.99139992 'rbr�i2{Y1�111iC r�r t Q0
r416 D0e1
Albemarle County Dep rtment of G m uM oe+relopment � 7
,Fee of File 9- oU. vS
Application for ctmc#
Zonis Clearance Re�s�� � ��
Tat MelPM13=11; iDA
-,°2 Paruel Owner. Y `�J l /kr L_�`t►�-�/5
Act- City OJA7 & tsr� [ State ip 0 7 --
�, ,� Address
� (lndude suite ar floarj ��
Exis#ing Zoning:
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Who should we call Its conceming this project? 1 WL I T�i�Ef l Torn!;
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Address rj1��I,U�ISYt l6 City i tote AZIP — .-0=.z
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q. o Oiiice Fhane: w� co Cell: 4�� SI :"I `t"q(
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Fox, �✓ �.���Ca E-rnail: S �.�-►�T�ltc��� a nd—
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Business Narre/TYPe:
Frevbus Bushn04
Proposed use;
Circle ("# applicable): Fireworks ! Christmas Tr"
,TM awmj pa wM only be Vgrld on m pane fdr whteh It is pppmwd. if you ahmva, intefnsl"fy or mgws on uae to anew lacelion, a row Zoning
Cleamnw�nll tw req-64
I hareny cardh+ihal I axn ur bevA ins owners Dermtssion W Usa dM � Indleaied on uas apPi;catlorL i el90 cer>rfy�l tl19 Ir?fbrrnst�on prn+�iQdQ
true a g}e tT+l� bastof my kw"Mob. I how mid @ts condimm of Eppm a6 aad I uaderstdfld ban. smd that I WO eblds by them.
8ignatufe_ '•,� a� _ Printed 0 • M L O +`I'd S
.aa ro. reed "------�................
Approved with odridjEions ..ww------------------•.
Building Officlal Dt"
Zoning Official
oats.
01/07/2005 16:43 5619889882
WGTC
0if??r�605 12:30 CITIZENS STATE BANK 3 91561961391382
PAGE 15/15
NO,G16 1;902
Applicant to complete the follovrring'
N E)o yoU have one of the following:
TaX Map and Parcel Dumber Wd or;
Address of use (include unft or floor If appropriate;
! N Do you have a Morn Plan (sketch or an architectural drawing) that includes the fallowing:
The total square footage of the use and/or,
The square footage Of each roam or Brea of Use;
tlsa of each room or area
If using less then the entire stilictura, note the location within the structure.
intake to completo tns following;
0 N is use in LI, HI or PDiP xoning? if ea, give appiicant a Certified Engineees {deport (CER) psCket.
Y I i% WIII there be food preparation? If sti, glue applicant a Haallh DeWtment form.
Zoning review can not begin until we receive approve) from Health Dept.
Y 1 N Is parcel on private waif and septic? ff so, give applicant a Health Department form -
Zoning review can not begin until we rawNe approval' from Health Dept. •�`" U
v I N Is on public water and sewer?
Y 1 N Will you be putting up 8 new sign of any kind? if so, obtain proper Sign permit.
Permit # (9! IV WIII there be any new oonstruobon_ _�_ or enovetlans? If sa, obtain the proper Permit.
Permit #
Y !� 1s this for sales of Firewor ? If so, obtain a copy of FIR permit.
Permit #
Zoning Tech to complete the following:
VidaklonB: Y I If so, List
Proffem: Y 1 if so, List:
Varlance: Y I If so, list:
SP's Y I N if so, List:
Reviewer to Comiplete the followring:
Square footage of Use:
lJ' N Permitted as: }��S m 6 i under section. 7�� i3 �� 2 712.1-1
Supplementaryfegulations section;
Perking formula:
Required9 a g= ..
�N Iterns to be verified in the field: --
Inspector Name & Dante: