HomeMy WebLinkAboutCLE200500045 Action Letter 2017-07-31l\1 i=a
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Albemarle Count Department of Community Development
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Fee of $35 DO File #: ' q5
Application for t✓he # Date:
Zoning Clearance Recept# stam kA4
Tax Map/Parcel: I _ :z�Ac--) - nn - cn — ni :j O d
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Parcel Owner:LC'J-�(A 2�cdcr__"_
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4 Address 4$� V O- �` U 1 City I State Zip d�
(Include suft or floor)
Existing Zoning: J � t
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Who should we call/write concerning this project? A V 1 �j a U n d-e-n
Address b &0.`S Lin City j k3tate VA Zip a`4��C)
Office Phone:
Cell: *j91-139 1 - 0 f kD
Fax: E-mail: f rr�) LO i �birrd0. t , QP►m
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Business Namerrype: I _M(Xi i AdGA W dl AQ l ..
Previous Business on this site: err
Proposed use: L).)iC
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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 awn 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 best of my knowledge. I have read the conditions of approval, and I understand them, and trait I will abide by them.
Signatur - Printed ^ f� k i b Q Uh od-en
•.....................................................................................................................................
( ) Approved as proposed ( ) Approved with conditions
Building Official
Zoning Official
Date
Date
Applicant to complete the following:
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 / �l Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet.
Y CNN 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 1AO 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 N Is on public water and sewer?
Y 10 Will you be putting up anew sign of any kind? if so, obtain proper Sign permit.
ll// Permit #
Y Will there be any new construction or renovations? If so; obtain the proper Permit.
Permit #
Y /® 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 I N If so, List:
SP's Y / N If so, List:
Reviewer to complete the following: Square footage of Use:
Y 1 N Permitted as: Under Section:
Supplementary regulations section:
Parking formula: Required spaces:
Y 1 N Items to be verified in the field:
Inspector Name & Date: