HomeMy WebLinkAboutCLE200500036 Action Letter 2017-07-31Albemarle County Department of Community Development
Fee of $15 00 Fife #. — V •►�yo
Application for Check# Date: a
Zoning
onin Clearance 'ce" 3 staff,
Tax Map/Parcel: & i o p - O a a.3
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Parcel Owner: i i� SS 0 C s i1 '��.5 l..i h1 i T� �
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4 Jo Address
(include suite or floor) j� p
Existing Zoning: nsf_ r 4✓�
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Who should we call/write concerning this project? bpv'e. w G C_V v w I c
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Address q.2 3 �Al-Y J_"_5 je 1y J City �AYhv 444-rSvr 1Ltate ! 'Zip 034,
Office Phone: u 3yl - q'1 1 D Cell:
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Fax: Lj 3q r q -1%A — 61 91 <2 E-mail: Dpwe, ►'Yt 0_ n- e- d- , C''t�
e Business Name/Type: ! b&vl- A,,- LV_
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Previous Business on this site: —5 i C4q' PS—Y`G
Proposed use: 6-C, -kw S -Prl- C'
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Circle (if applicable): Fireworks / Christmas Tree
'This Clearance will only be valld on the parcel for which it Is approved. If you change. intensity or move the use to a new location, a new Zoning
Clearance Mil 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 my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
signature ? Printed D A -VI ep C m CC0 -e � Ty"
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----r--) i4ppltived as }proposed..... ------...........
( ) Approved with co itions .�..............
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aBuilding Official
Date aS
Zoning Official
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Applicant to complete the following:
t N Do you have one of the following:
Tax.Map and Parcel Number and or;
Address of use (include unit or floor if appropriate;
YZ' 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 roam 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 V Is use in LI, HI.or PDIP zoning? if so, give applicant a Certified Engineer's Report (CER) packet.
Y �5. 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& 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.
y N Is on public water and sewer?
D/ N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit.
Permit #
9/ N Will1here be any new construction or renovations? If so; obtain the proper Permit, oq- 919"
Permit #
f 1 d� Is this for sales of Fireworks? If so, obtain a copy of FIR permit.
Permit #
Zoning Tech to complete the following:
Violations: Y 1N If so, List:
Proffers Y I If so, List:
' ► Variance: (-Y,> N if so, List: 99 • q i �jCj •Z, � Q 4 •
SP's Y ( DN
If so, List:
.1eviewer to complete the following: Square footage of Use:
D/ N
Permitted as: iM�ar:
Supplementary regulations section:
formula:
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Y (Y Items to be verified in the field:
Inspector Name & Date:
Under Section:
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