HomeMy WebLinkAboutCLE200500028 Action Letter 2017-07-31Albemarle County Department of Community Development
Fee_ of $35.00 File #: G Oi Do r
Application for Check # ele r Date: 4
Zonin Clearance Recept# 7S8 sin:
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Tax Map/Parcel: 0 ! 0 Q0 — �Z -- L93/ G d
m a Parcel Owner: I��/Tr-i`f"�d' ILE L—c
0! ,e Address City State Zip
(Include suite or floor)
Existing Zoning: FD M C-
Who should we call/write concerning this project? �ph: "� I�p.h� C.,
Address 60o � �.. �-r`.oPScJ� ity State Zip
`aa Office Phone: Cell: 7 1` G 3 q-
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Fax: E-mail:
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Business Name/Type: M 0
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Previous Business on this site: t JO_ •1 Co r\5 4
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Proposed use. V t, • 4r.- C' 5f=
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Circle (if applicable): Fireworks / Christmas Tree
'This Clearance will only be valid on the panel 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 owner's permission to use the space indicated on this application. I also certify that the information provided
is true and accurate to the best of m knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed c� R r►tir
proposed- �.......................
.................. (�praved with conditions ...............................
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Building Official
Zoning Official
Date J
Date Z 2
Applicant 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 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 I Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet.
Y 1Will there be food preparation? If so, give applicant a Health Department form.
8 Zoning review can not begin until we receive approval from Health Dept.
Y 1 NQ 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.
6)/ N Is on public water and sewer?
Y 1 ® Will you be putting up a new sign of any kind? If so, obtain proper Sign permit.
Permit #
U1 N Will there be any new construction or renovations? If so; obtain the proper Permit.
Permit # dOO51- 89 V Ac
Y ! I� Is this for sales of Fireworks? If so, obtain a copy of F/R permit.
Permit #
Zoning Tech to complete the following:
Violations: Y / N If so, List:
Proffers: Y 1 N If so, List:
Variance: Y / N If so, List:
SP's Y 1 N If so, List:
Reviewer to complete the following: Square footage of Use:
Ci
N Permitted as: Under Section:25 19 `z Z3.IV
2. �
Supplementary regulations sedo" n:
.Parkindfwpula: Jsp rae,;►nA.-Oax$MO, Required spaces: l
Y 1 Items to be verified in the field: L . L
Inspector Name & Date: