HomeMy WebLinkAboutCLE200500044 Action Letter 2017-07-3101/18/2005 17:16 FAX 434 972 4126 BID CODE & ZONING
IM002
Albemarle Counfy Depart 0rrt Of Community Development
FRO&M fe A
44
Application for # Haig: -
Zoning Clearance .A
Tax Mawareei:
Parcel Owner: I � {� r �y A .Dj,,�,— � J l'" � � -
a Address 00 rz �SaN P,A+el[u M City an( �� ` V state V� Zip
,6 & * ZZo (Include. suite or floor) g 1�� ' '
(!(ww}}jJJ1'�� jot
Existing Zoning
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.w.................••....`............. ..*. ............... rrr......... ........................................................ ..------
Who should we calmite concerning this project? AN a, ee u1 m U Ce. -Pi- - p m - tD.
Address _336 q Ckmu,"t, city si Mate VA zip ZZq q -7
a
once Phone: �1. R — l i � 5 G-� csu:
100
Fax: E-mail: ._
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Business Narn&Type:
Previous Business on this site:
tj u-3 R+L) cell Qh o7 010.
No 0-0,
Proposed use: a as cook c���`� s
Cards (If applicable): Fireworks 1 Christmas Tree
-Thee c warenae w m Doty be vem on fha p@raet for mft a In oppwed M you . hdenS�y ar nee ftle uaa in g re�w tncelion, a new Zoning
Ctoarence wM 4e 1 AM*Md.
1 h&m*s: dfythat 1 awn or have ffo owners parmis" to use the ire CMd 4n thfseP*ffdti 1 allo that the k ...12 d
is flue and 6carets 1d the be+d of my kironAedge. I t�eue �e�ed U1B mnd'tlor�s of epp�wal. ��fd 1 �eidarst�d them, enA tort 1 wal aetde tiY nfem.
S1gnt;tture / .®� IV, //''
.....'....P. ........... ...............................
........ ppraved sus proposed ......................... J U Appmved with conf�itions
Building Official Hate 3 o S
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01/18/2005 17:17 FAX 494 972 4126 BLD CODE & ZONING
IM 009
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 N Do you have a Floor Plan (sketch or an architectural drawing) -that includes the following:
The tatal square footage of the use and/or:
The square footmW of each room or area of use;
Use of each room or'area
j If using less than the entire structure, nose the location within the structure.
`Into to complete the following:
Y N Isf use In LI, HI or PDIP zoning? if so, give applicant a Certifdd Engineer's Report (DER) pocket.
i
Y 1 Will there be food preparation? if so, give applicant a Health Department form.
�\ Zoning review can not begin until we receive mNcprovel from Health Dept.
Y I Is parcel on private well and septic? If so, give applicant a Health Department farm.
1J Zoning -review can not begin until we receive aVroval from Wealth Dept.
NI N Is an public wafer and sewer?
Y I(9 Will you be putting up a newr sign of any kind? 9 so, obtain proper Sign permit.
Permit #
Y /N Win there be any new construction or renovations? If so, obtain the proper Permii.
Permit #
Y is this for sales of Firewoiks? if so, obtain a copy of FIR permit.
Permit #
Zoning Tech to complete the following:
Violations: Y If so, List
Proffers: Y 1 If so, List
Variance: Y N so, List:
SPis Y N If so, List:
Reviewer to compilete the following: Square footage of Use►:
FYJ I N ,Permitted as: mmla-- _ Under Section: Z A: Z. J7 `-'r ? 3.2. ) C2
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Supplementary regulations septic► .,
►-a,*--P�-2-gm
Pwkho formula: 225 sf a )W4 ^L200 ff 2ggired s aces:
V39 urne to be verified In the field: L
inspector Name & Date: