HomeMy WebLinkAboutCLE200500027 Action Letter 2017-07-31Albemarle County Department of Community Development
Fee of $35 00 File #:
Application for Date: �s-
Zoning Clearance Recept# 0 Staff:
Tax Map/Parcel: 0/ 1
Parcel Owner:
Address
- in - oo o1,5C
(Include suite or floor)
Who should we call/write concerning this project?
City State Zip
Existing Zoning:
Z.0 Address / 7 (- L�F� &d64& �J�4, City tjjee�y,�tate //_ Zip
` m
Office Phone: ����-��j X Sp Cell: 9
Fax: ��} ��� r[,�A,S E-mail: 9iq
c Business Name/Type � / ,J� ��✓'I l�U I,.- 4Z ;611%f
Previous Business on this site: "���,,� /�Sc.� fl i�rZ rG zzaa Z'rf5-c
Proposed use:
ra
a:
o
a
Circle (if applicable): Fireworks ! 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 owners permission to use the space indicated on this application. I also certify that the information provided
is true and accurate ;thebest of my knowled e. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed
........ .......................••----------..... :......... •-----•---•---:----........-----•--.......------------•----•-
{ }Approved as proposed {j Approved with conditions
Building • ZZIIA� Date
Zoning Official IQ Date r
4pplicant to complete the following:
Y 1 N Do you have one of the following:
Tax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate;
Y / 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.
'make to complete the following:
Y /V Is use in LI, HI or PDIP zoning? if so, give applicant a Certified Engineer's Report (CER) packet.
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.
(0 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.
1 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 #
{ 1N Will there be any new construction or renovations? If so; obtain the proper Permit.
Permit #
( 1( Is this for sales of Fireworks? If so, obtain a copy of F/R permit.
Permit #
Zoning Tech to complete the following:
Violations:
Y
If so, List:
Proffers:
Y 1
If so, List:
Variance:
Y 1
If so, List:
SP's
Y N
If so, List:
2eviewer to complete the following:
3/ N
Permitted as:
Square footage of Use:
1oYlat �-atw22� Under Section: 24•2-11(z9
Supplementary regulations section:
Parking formula: 4 Spade, w2_00
Dj"l i olq 4thee `0%:)(15'
{ / N ltem be ve e � i the fieid:
Inspector Name & Date:
S Required spaces: 112 S&aCL.