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HomeMy WebLinkAboutCLE200500023 Action Letter 2017-07-31Albemarle County Department of Community Development Application for Zoning Clearance Tax Map/Parcel: Fee of $35.00 Check # 1 7 6 Recept # 7 D Loej- zo G I— v (— (DO C--) e -) R I e #: V r✓L'00 —Ina 3 Date: Staff: � � Parcel Owner: t- oa, aIt-T1 Address m,, N b+Ch� City C' State _Vk.zip _ r (Include suite or floor) W U , Existing Zoning: Cc N M:F_ la,4 -6" l .---------------------------------•--------------------------------.....-------------------------------------------------------------- Who should we call/write concerning this project? GO—e, y -�-U 2;--, c Address City (i,jel�;r_:CState Zip ;41 �k9 a 7 y .a a Office Phone: 4' �` a3-"�s��� Cell: 74) Q .. Pax: E-mail: -----------------------------------------------....----------......---------.........------------------------------------------------. c Business Name/Type: 1\A1 O'kk-r r Previous Business on this site: _ SCh O 1 Proposed use: U d to It 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. 1 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. Signatur Printed � } l [ kin - -----•............................... ..........................��d................................................... ( )Approved as proposed with conditions 1 LG t: 0 L 1 a Building Official Date ZJ Zoning Official Date 1 kpplicant to complete the following: ( 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; (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. ntake to complete the following: ►' 1 �I is use in.Li, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. ( 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. 1 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. 0/ N Is on public water and sewer? N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # j f 1 N Will there be any new construction or renovations? If so; obtain the proper Permit. Permit # (/0 Is this for sales of Fireworks? If so, obtain a copy of F/R permit. Permit # Zoning Tech to complete the following: Violations: Y 1 N If so, List: Proffers: Y ! If so, list: Variance: If so, List: SP's Y N If so, List: 2eviewer to complete the following: Square footage of Use: DN Permitted as: Qn ,� Under Section: 5V zoo,4 Supplementary regulations section: .Parkingfarking formula: Required spaces: N Items to be verified in the field: EZ r <ci J Inspector Name & Date: