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HomeMy WebLinkAboutCLE200500040 Action Letter 2017-07-31Albemarle County Department of Community Development Fee of$3500 Fite4k:0a005 0Y6 Application for Check# CUe Data: as-, ZoningClearance �e�pt#g sty: r-(5, tj zz�—� Tax Map/Parcel: O �T6 L -Da "V - o© Parcel Owner: A /Y1 V/ 1 a Tin L L C Address I Q (include suite or floor) City CW61a 6 0 ktate ZLZip or a 9 4 Existing Zoning: HC_ Who should we call/wrlte concerning this project? ocgn ' - {a+/) V C o Address a� �a v �� V Jti+,.) n City � zVf f State / J Zip a � w a Office Phone: is j St(_ 3 - �' i 3 b Cell: 13y SI Q� 1 J. Fax: q l q- 9 7 3— t 5a g E-mail: g M K marl tln / —71 �d]�iIt., y, c� . Business Name/ 0 w. Previous Busine; Proposed use: Cm Cie. Circle (if applicable): Fireworks / 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 owner's permission to use the space indicated on this application. I also certify that the information provided is true and accurate Tf,now) . I ve ad th conditions of approval, and I understand them, and that 1will abide by them. Signature 4 Printed ......................... ...... .................................................................................................. ( ) Approve prop ed ( ) Approved with conditions Building Official Date Zoning Official w a z;—' Date G W 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 / 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 cimplete the following: 4' Y /0 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. Y 1 I) 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. 6 Y. N Is on public water and sewer? Af N Will you be putting up a new sign of any kind? If so, o in proper Sign permit. Permit � #,5' (- f�-n � �{.'�`'j� 41 t," /-PPL606 -IC-)Y 1 NO Will there be any new construction or renovations? If so; obtain the proper Permit. DNIs Permit # Y / this for sales of Fireworks? If so, obtain a copy of F/R permit. Permit # Zoning Tech to complete the following: Violations: Y / If so, List. Proffers: Y / If so, List: Variance: Y / N If so, List: SP's Y 1 If so, List: Reviewer to complete the following: Y/N Permitted as: Supplementary regulations section: Square footage of Use: Under Section: Parking formula: Required spaces: Y / N Items to be verified in the field: Inspector Name & Date: