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HomeMy WebLinkAboutCLE200500042 Action Letter 2017-07-31Albemarle County Department of Community Development Fee of $35.00 File#: 4) Application for Check# 1 DI Dale: Zoning Clearance ReceAt# Staff: Tax Map/Parcel: - a 7 OD — oo-- o ^^- e �I «Parcel Owner: C�JnR,.. �,.. � ro a 0' Address City 1 Ck(Nha . State zip Z3 (Include suite or floor) kbo+ -&k_A-m f )L& ._ SIC 3W Existing Zoning: P DM C--J Who should we call/write concerning this X an project?ram � ZJ Address ,Cfin �` f �a State � Zip Z701 r Office Phone: �4-a4}_;�—ago O Cell: Business Namerrype: We&K -{-h Previous Business on this site: Proposed use: Circle (if applicable): Fireworks 1 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 : squired. 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 W of my knowledge. I have read the conditions of approval, and I understand them, and that I MU abide by them. Signature Printed cg, � c--- ]' XM-N _1/' .......... {................... .................................................................... } Approved as propos ( Approveq with conditions A0 qBuilding Official Date Q'Kif Zoning Official Date Applicant to complete the following: Y 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; Y, I 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 V) is use in LI, Hi or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. 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. 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. 9/ N Is on public water and sewer? Y 1 N9 Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # Y 1 CON Will there be any new construction or renovations? If so; obtain the proper Permit. J� Permit # Y 1(N } Is this for sales of Fireworks? If so, obtain a copy of F/R permit. v Permit # Zoning Tech to complete the following: Violations: Y 1 N If so, List: Proffers: Y 1 If so, List: Variance: Y 1 If so, List: SP's Y / N If so, List: 1eviewer to complete the following: Square footage of Use: 1 Y 1 N Permitted as: ,ru ; .d Under Section: 25 [4 2 • 22.z. rbi + 1 Supplementary regulations section: formula: � Sd i, Required spaces: 1513 K 361. = n,66 -izas Y 1' Items to be verified in the field: r�.., ►ice i%wGCG �.,, a Inspector Name & Date: