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HomeMy WebLinkAboutCLE200500018 Action Letter 2017-07-31Albemarle County Department of Community Development Fee of $35.00 File t C 2W_-�_'Q1 u Application for c-.-k# S Data: 1 i Zoning Clearance Recept# stab: Tax Map/Parcel: 0`7t1 00 ' _W - ©a G:0 Parcel Owner: 4 Address �T x"ON City C. V • State Zip acl 40. (include suite or floor) U 1 Existing Zoning: - - ----- - ---- ------------ 40 ro� Q S Who should we call/write concerning this project? ��Ts fL. V P IfO8. Address (DL-)q U 9 1 G' 6c� 4- City CV\C✓,%�, �=testate Zip 3C�5f Office Phone: 4 3 4 o� & 3 ~ 4 \3 �t �f Cell: Fax: 4 3 bc C1 E-mail: rti � Gti 105 Business Name/7ype: � wo o & Previous Businei Proposed use: 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 1 own or have the owners permission to use the space indicated on this application. 1 also certify that fhe Information provided is true and accurate to the best of myl knowledge. I have read the conditions of approval, and I understand them. and that l w70 abide by them. Signature Q `-^� Print Y1,7�-,n- 6- U1;-DG� .. ..1il')'%Approved.as proposed----------------------------{ Approved with conditions ----.......................... Building Official Zoning Official Date Z 9S Date 2 ZSc JQg Applicant to complete the following: 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 1 N Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y 1 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 /e 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 1 N Is on public water and sewer? Y 1 [V% Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # ON Will there be any new construction or renovations? If so; obtain the proper Permit. Permit # 2-ooq— rp � Y 1 Is this for sales of Fireworks? If so, obtain a copy of FIR permit. Permit # Zoning Tech to complete the following: Violations: Y Proffers: Y 1 Variance: Y SP's Y 1 If so, List: If so, List: If so, List: If so, List: Reviewer to complete the following (91 N Y 1t,% Square footage of Use: Under Section: 25A,24C� 4 23' 2s 4 (.2 Supplementary regulations section: s.. Parking formula: )nn.i. W&Sp40 663 SF Required spaces: 3spvu Items to be verified in the field: I--. r-. Inspector Name & Date: