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HomeMy WebLinkAboutCLE200500049 Action Letter 2017-07-31Albemarle County Department of Community Development Fee of L35.00 Filet `lX 5"" O I Application for Check# oats: Zoning Clearance Recept# 1 Fi Staff g Tax Map/Parcel: 077 ec� `t0 — 0 -06' m t~ m ro Parcel Owner: /4-6 �Jec_ f-A66f:!C&Q I~ `` 4 Jo Address ©� 0 y e 30 City r j State Zip 4 JS (Include suite or floor) [ Existing Zoning: Who should we call/write concerning this project? �2.54i�c Jdklt' Address T(If City G ✓ State Zip Q � Office Phone: Cell: 194 Fax: 7 fJ E-mail: Business Namerrype: Previous Business on this site: Proposed use: 4Dd IS 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 now Zoning Clearance will be required. I hereby certify that I own or ave the T nets permission to use the space indicated on this application. I also certify that the information provided is true and accurate to the t of my owledge. I have read the conditions of approval, and I understand them, and that V m. Signature Printed eiiS ...................�....._................._...--.............._..._._........ ............................... {* Approved as pro sea 7.ZZ8`� Approved with conditions Date os Building Official „, ,, Zoning Official, ,�` Date Applicant to complete the following: U/ N Do you have one of the following: ��� � Y 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: N Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. �1 N 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 19 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. / N Is on public water and sewer? / N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # Y / N 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 11 N If so, List: Proffers: Y / N If so, List: Variance: �Y / N If so, List: jq-S SP's / YJ/ N ifso,List: Reviewer to complete the following: Square footage of Use: Y 1 N Permitted as: F,.A ProrkILAX Under Section: 2? , Z , Supplementary regulations section: Parking formula: Z , ,L 7 „ J,�Required spaces: Y / N Items to be verified in the field: gD 4-170 Inspector Name & Date: