HomeMy WebLinkAboutCLE200500047 Action Letter 2017-07-31ti * -`/. t 4
Application for Zoning Clearance
P-�►�; . �n OFFICE USE ONLAO0 O�
CLE #
Zoning Clearance = $35 Check # i Date:
PLEASE REVIEW ,ALL 4 SHEETS Receipt # 29 e)cs - Staff -
PARCEL INFORMATION D L
Tag Map and Parcel: 8 oomola ? 6� Existing Zonin �j
Parcel Owner: L -8
Parcel Address: 3Z 0 PANTO p 5 CT A. City C44AA o rresyruf state VA Zip gag I
- include suite or hoar
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APPLICANT INFORMATION
Who should we caWwrite concerning this project? R P,4 TA ' GO 5TN EA
Address : ;. D PAJ,3TOPS CTfk City COAKLOTT FSVzLLt State VA Zip 2.q l!
Office Phone: (-3 J 97 9- S511 Cell # S*0 903- 6$8b Fax # E-mail "43LVA CO e
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PROJECT INFORMATION
Business NamaType: Z-C LA Av"OVX-L AN i-a R.iN L - SAl-15
Previous Business on this site: Vl:lto C 1. Li
Proposed use: 1AE0 QfLL AT-1 Lf S y41.
Circle (if applicable): Fireworks / Christmas Tree
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet 1)
*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 own or have the owner's pennission 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 I will abide by them.
Signature Ajl��Printed AKHARATA CPSINER
APPROVAL INFORMATION
( ) Approved as proposed A Approved with conditions
Building Official Date z.y o
Zoning OfHdal Date
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County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
CC 1/26105 Page 2 of 4
Applicant to complete the following:
0Y/N
Do you have one of the following?
Tax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate;
QIYONU have a Floor Plan (sketch or an architectural drawing) that
includes the following, and if so please provide it with the
application?
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.
Y
If
Tech to comlete the
N
s --- $
so, List: 5
InIN'
complete the following:
YIs HI or PDTP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
YIN
Wil Wbe food preparation?
If so, give applicant a Health Department font.
Zoning review can not begin until we receive approval from
Health Dept.
Ya
Isprivate well and septic?
If so, give applicant a Health Department forth.
Zoning review can not begin until we receive approval from
Health Dept.
N
Is public water and sewer?
YIN
W' putting up a new sign of any kind? If so, obtain
proper Sign permit.
P
YIN
Wil e be any new construction or renovations?
If so, obtain the proper Permit.
P
Ysales of Z
If so, obtain a copy of F/R permit.
Permit ##
Proffers:
YIN
If so, List:
so, List: GtijO
r,.rsiL
1/26/05 Page 3 of
Revieyver to complete the following: g4
Square foofage of Use: `7
utted as: 960
Under Section: 2S Z' L
Supplementary regulations section:
Parking formula .�� a4S '� = 5�4 X 5'5s
Re 2G[WS SPUGcS jOOb
Required spaces: _ _ _
N
s to be verified in the field:
Inspector Name & Date:
Notes
25.21 z.
1/26/05 Page 4 of