HomeMy WebLinkAboutCLE200500033 Action Letter 2017-07-31Albemarle County Department of Community Development
Fee ofS35-W File e2oo5-033
Application for gol I ate:
Recept # if Staff: l
Zoning Clearance
Tax Map/Parcel: • 0 7?0o 0oo q 31 tr 6
Parcel Owner: t zj�r je--6'4�nl
Address
(Include suite or floor)
City State Zip
Existing Zoning: P/11 /DG
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Who should we call/write concerning this project? J �"� rr �`� •� 2 r1 e i f V
e .a Address P`14,- City G—v 1 State VA Zip
a Office Phone: �i A�• I Z01 Cegt3�) q % y - Lf 3 C
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Fax: E-mail:
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o Business Name/Type: It`
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Previous Business on this site: N e"J h �k „r•+
Proposed use: _ L A w o ra e'r
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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 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 owledge. I have read the conditions of approval, and I understand them. and that II will abide by them.
Signature A Printed ; n Lr
...... _(- Approved as proposed- ....................... ( •) Approved with conditions .................._............
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aBuilding Official Date 3 J
Q
Zoning Official Date 3121oS
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 1O Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineers Report (CER) packet.
Y ! V Will there be food preparation? if so, give applicant a Health Department form.
v Zonin review can not begin until we receive approval from Health Dept.
g
Y 16 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.
9 1 N Is on public water and sewer?
Y 1 6I W i11 you be putting up a new sign of any kind? If so, obtain proper Sign permit.
Permit #
Y 1 N Will there be any new construction or renovations? If so; obtain the proper Permit.
Permit # IM5- FV3off4C—
Y 1 0 Is this for sales of Fireworks? If so, obtain a copy of FIR permit.
Permit #
Zoning Tech to complete the following:
Violations: Y I N If so, List:
Proffers: Y 1 N if so, List:
Variance: Y I N If so, List:
SP's Y I N If so, List:
Reviewer to complete the following:
C>e/ N Permitted as: n�4
Square footage of Use:
:Aft- Under Section: 2t; A- , 2 , I Z 3 .2.1 E 23)
Supplementary regulations section:
Parking formula: 1 aasaj. Required spaces: 2 Z
—" W 3cr3.6 D -:- 2c%P
Y Items to be verified in the field: fa
Inspector Name & Date: