HomeMy WebLinkAboutCLE200500015 Action Letter 2017-07-31Albemarle County Department of Community Development
Application for
Zoning Clearance
Tax Map/Parcel:
t:
I Parcel Owner:
4 Address
.20
Fee of $35.00 File # t
Check # Date:
Recept # Staff:
Sb? 2 DZ0 13
a it� atmv vn �t-c s�sr� uAzur
CityC `O.s L+J� SN fl(btate U A— Zip
or floor)
Existing Zoning: _PD M G
Who should we call/write concerning this project?
Address Vo . 1J C�X '10 l q 1 City y�'-Zip
Office Phone: _� Q — �_�_� Cell:
Fax: �C( I? 3 r E-mail:
Business Name/Type:
} 113 -C rn0-r-1 e- �_h 0-Cf D I Le
Previous Business on this site: Lrl C r,
Proposed use:
Circle (if applicable): Fireworks / Christmas Tree
"This Clearance will only be valid on ifs 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 uz. Printed nir)1 st' i A kOUS
......................... .........U .............................. .........-------.........----. ........._......----------..
( ) Approved as proposed ( Approved with conditions
Building Offii
Zoning Offici
Date
Date
Applicant to complete the following:
oY I N Do you have one of the following:
Tax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate;
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.
jntake to complete the following:
Y / N Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet.
Y 1 N, 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 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.
Y { N Is on public water and sewer?
Y C-N'�, Will you be putting up a new sign of any kind? If so, obtain proper Sign permit.
Permit #
Y J N Will there be any new construction or'renovations? If so; obtain the proper Permit.
Permit # U�- 94W�G
Y G Is this for sales of Fireworks? If so, obtain a copy of FIR permit.
Permit #
Zoning Tech to complete the following:
Violations:
Y / N
Proffers:
Y Ir
Variance:
Y /
SP`s
Y 1
If so, List:
If so, List:
If so, List:
If so, List:
Reviewer to complete the following:
►1
Su
Square footage of Use:
Under Section: .2.g 4 23.2 -'i 2
Required spaces:
-306q x•8/2oD=12.27b
Y / N Items to be v nfied in the field'':
Inspector Name & Date: