HomeMy WebLinkAboutCLE200500046 Action Letter 2017-07-31Albemarfe County Department of Community Development
Fee of $35, File #:
Application for Check # Date:
Zoning Clearance Rerpt# S
Tax Map/Parcel:
t:
%R Parcel Owner:
a 'Address City State�Zip
oncfukie suite or floor}
Existing Zoning: _ P 0,
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Who should we call/write concerning thls project? � i %� Lf ' � - & y� %
Addresses !'.r_:� City ,�.r�ria t �t State Zip -,�i7
u m _
Office Phone: d fig/ �{ Cell: 777-20
Fax: E-mail: Ac51/ C/44 17'!" fir
Business NamelType:
0
+a Previous Business on this site
Proposed use:
C
a
Circle (if applicable): Fireworks 1 Christmas Tree
'This Clearance will only be valid on the parcel far 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 knows . I have read the conditions of approval, and I understand them, and that t will abide by them.
Signature z Printed % j v+2
11
...........................................................................................................................
( )Approved as proposed (I Approved with conditions
RIV"'. WON.WeR 5 WA: Z '�4
Date s
Date O 7
Applicant to complete the following:
GI N Do you have one of the following:
Tax Map and Parcel Number and or;
.Address of use (include unit or floor if appropriate;
aY 1 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 N is use in Li, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet.
Y l 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 [ Nj 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.
0/ N Is on public water and sewer?
Y 4JN Will you be putting up a new sign of any kind? If so, obtain proper Sign permit.
Permit# yby D& Ai5 �1me,
N Will there be any new construction or renovations? If so; obtain the proper Permit.
Permit # = - 110 AC
Y Off
Is this for sales of Fireworks? If so, obtain a copy of FIR permit.
Permit #
Zoning Tech to complete the following:
Violations: Y 1 N If so, List:
Proffers: Y 1 If so, List:
Variance: Y I N If so, List:
SPls Y I N If so, List:
Reviewer to complete the following:
Y 1 N Permitted ai
1..- -P vVW r .' - --
Y IN Items to be verified in the field:
Inspector Name & Date:
�'� • S� I-�
Square footage of Use:
14! 3nder Section: Z5 2.'
Required spaces: $9
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