HomeMy WebLinkAboutCLE200500032 Action Letter 2017-07-31Albemarle County Department of Community Development
Fee of $35, 00 File it C � a 0- -0 3 ,'2-
Appiication for check#90 Date: � y �s-
Zoning Clearance Receptstlilff: G✓
Tax Map/Parcel: Q /0 '00 tv 04901(Ta
Parcel Owner:
Address
(Include suite or floor)
City
State -ZIP
Existing Zoning: P{/1 1 C-
Who should we call/write concerning this project? To wN '% 0 CN W ti V1
Address _ib0 fktwly City '� 1 State U Zip
�Office Phone: VC
4 sv t�-G Le
Fax: E-mail:
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Business Name/Type: �c�-4 1 V''N'o V%
1° Previous Business on this site: RI trW CL-o- r0r.,&n
Proposed use:
1
a
Circle (if applicable): Fireworks / Christmas Tree
`This Clearance wN only be valid on the parcel for which it is approved. If you change, intensify or move the use to a new Ixation, a new Zoning
Clearance will be required.
I hereby certify that I own or have the owner's permission to use the space indicated an this application. I also certify that the information provided
is true and accurate to the best of owledge. I have read the conditions of approval, and I understand them• and that I will abide by them.
Signature Printed 2'�e_
h
.....................................
------ pproved-as proposeC�. . .......................( -) Approved with -conditions ---.._.....---------------...
Building Official
Zoning Official
Date a
Date -2l1 1 p
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 N Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet.
Y / 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 /(5 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.
O 1 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 #
1 N Will there be any new construction or renovations? if so; obtain the proper Permit.
Permit # 6&L
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 1 N If so, List:
Proffers: Y I N If so, List:
Variance: Y 1 N If so, List:
SP's Y 1 N If so, List:
Reviewer to complete the following: Square footage of Use:
/ Under Section: N Permitted as: .�.,� .2 , 1 23 -2 i L�
Supplementary regulations section:
Parking formula: (,ox,t,-
.p22� 2005Ve 5 70051�wW, Required s aces: 2 3 _
Y (19 Items to be verified in the field:
Inspector Name & Date: