HomeMy WebLinkAboutCLE200500035 Action Letter 2017-07-31Albemarle County Department of Community Development
Fee of $35.00 File #: C Z 00 S- 0.3
Application for Check# ODate: /os—
Zoning Clearance Recept# 78op/ staff:
Tax Map/Parcel: - 0 7R)p
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Parcel Owner: _ pC
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Address
(include suite or floor)
City State Zip
Existing Zoning: FID + C_
Who should we call/write concerning this project? 1--ej e fit: tl C &Sr\ e (t
c c Address 600 Pedtf fd,Fm _ City C_-J%r t tLr_ State Zip Z2.51-0 _
4 Office Phone: D • Se�{e.���'l Cell: OY3 Y - 70.
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Fax: E-mail:
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c Business Namerrype: 7;:VK(:Cr_s 0 V 1 d 2" G� 0 (Ke?f ; 4
to Previous Business on this site: Ca rg-\r'J c1
Proposed use: O � Cr:Q 01CICLG
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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. It you change, intensify or move the use to a new location, a new Zoning
Clearance will be required.
I hereby certify that 1 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 my edge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Si Mature Printed+
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} Approved as proposed ( ) Approved with conditions
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aBuilding Official Date
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Zoning Official Date o
Applicant to complete the following:
Y / 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.
ntake to complete the following:
,(16 is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet.
16 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.
f 1 6 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 1 N Is on public water and sewer?
Y / Will you be putting up a new sign of any kind? If so, obtain proper Sign permit.
Permit #
N Will there be any new construction or renovations? If so; obtain the proper Permit.
Permit # O OS'A L-
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 1 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:
Y/N
e1N
Permitted .1 ` Under Section: ZSA _2,
Supplementary regulations section:
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Items to be verified in the field:
Inspector Name & Date: