HomeMy WebLinkAboutCLE200500037 Action Letter 2017-07-31Albemarle County Department of Community Development
Fee of $35.00 File #: C 0- 6 -37
Application for Check# Date: a
Zoning Clearance Recept# �7l°a staff:
Tax Map/Parcel: 06 6 4 -00 -00 —00 a ob
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RParcel Owner:
a Address w City % s. State v QZip
(Include suite or floor) n
�vk LA KA SttyP►N-wef
k- c Existing Zoning: U5C,
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Who should we call/write concerning this project? �O p„ 5�P - 3Y7- ac'&.2 J�Xf- ?q7ct
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Address �Q�O �j(,cJ��/ City 1w State Zip
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Q o Office Phone: g] - - 3.564P Cell:
Fax: E-mail:
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c Business Name/Type: _ �Y /�/Dyf��.vs iei4I L
Previous Business on this site: i!'U6
S Proposed use:
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to
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Circle (if applicable). Fireworks 1 Christmas Tree
- rhis Clearance will only be valid on the parcel for which it is approved. If you change, intensify or move the use to anew location, anew Zoning
Clearance will be required.
I hereby certify that I own or have the owners permission to a the space indicated on this application. I also certify that the information provided
is true and accura e b st of my knowledge. I have the conditions of approval, and I understand them, and that I will abide by them.
ignature Printed AjjOkA
------- (--) Approved as proposed...............
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ApproveL/A'`"
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Date k
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Date Z ho -a.'r-
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Applicant to complete the following:
Y�l ) N Do you have one of the following:
Tax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate;
{� 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:
{ 1 is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet.
{ 1 Will there be food preparation? If so, give applicant a Health Department form.
V Zoning review can not begin until we receive approval from Health Dept.
P/O 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.
{ 1 ON Is on public water and sewer?
{ 1 N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit.
Permit #
{ 16) Will there be any new construction or renovations? If so; obtain the proper Permit.
Permit #
{ CN Is this for sales of Fireworks? 1f so, obtain a copy of F1R permit.
Permit #s�ac�S
Zoning Tech to complete the following: 7�.S��it(i
Violations: Y 1 N If so, List: � q of
Proffers: Y 1 If so, List: 5%
4,4o
Variance: Y If so, List:
SP's 1 N If so, List: `
2eviewer to complete the following:
V1 N Permitted as:
Square footage of Use:
Under Section: <- 2.• 1--
Supplementary regulations section: -��, I
Parkin formula. [ iGIY 1� lA'+Re uired spaces: 306 - us: �CUc
5• �s�a� ! opa r b7�
(IS Items to be Verified in the field:
Inspector Name & Date: