HomeMy WebLinkAboutCLE200500041 Action Letter 2017-07-31Albemarle County Department of Community Development
Fee of $35.00 File #: v 4� 29(25'_ v Y/
Application for Check# O�23 Date: C;z 195f
Zoning Clearance Recept# a staff:
Tax Map/Parcel:
c
m ro Parcel Owner: AID r
a Address icgo 9wer J . ? k City ch j�wijotate l Zip ?�9 `1
JS (Include suite or floor) PDsc�
Existing Zoning:
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Who should we call/write concerning this project?
c Address - City g .g . State_ Zip /
9 OfficePhone: Cell:
3JE
Fax: E-mail:
Business Name/Type:
Previous Business on this site:
Proposed use: kq I �L BP- L` vrLk_
Circle (if applicable): Fireworks / Christmas Tree
'This Clearance will only be valid on the panel 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 my knowledge. I have read the conditions of approval, and I understand them, and that t will abide by them.
Signaturt Printed C� �j/lj�j . 2—#
......................................................................................................................................
( ) Approved as proposed ( ) Approved with conditions
VOIb-- �e
Zoning Official Date
Applicant to complete the following:
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;
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 1 6) is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet.
OY/ N Will there be food preparation? If so, give applicant a Health Department form. l
Zoning review can not begin until we receive approval from Health Dept.
Y 10 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.
01 N Is on public water and sewer?
Y 1 N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit.
Permit #FF
°� cSl Gorn
f N Will there be any new construction or renovations? If so; obtain the proper Permit.
Permit # P)An-s `h2 6.- Z"-M r
Y /(9 Is this for sales of Fireworks? If so, obtain a copy of FIR permit.
Permit #
Zoning Tech to complete the following:
Violations:
Y / N
If so, List:
Proffers:
Y / N
If so, List:
Variance:
Y 1 N
If so, List:
SP's
Y 1 N
If so, List:
Reviewer to complete the following:
YIN
Permitted as:
Supplementary regulations section:
Square footage of Use:
Under Section:
Parking formula: Required spaces:
Y 1 N Items to be verified in the field:
Inspector Name & Date: