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HomeMy WebLinkAboutCLE200500051 Action Letter 2017-07-31Albemarle County Department of Community Development aad tt Fee of $35 00 Filet ,s t�� / Application for Check# 0 Date: 0V- Zoning Clearance Recept# o �' staff: Tax Map/Parcel: 47 p p 49 p fi m Parcel Owner: C ,s 4 02 Address /4 �fsi �;, ��ir� City G AW, oa e*Vate Zip 09e> (Include suite or floor) Existing Zoning: •-------------------------------------------------------------------------------------------------------------------•----------------- Who should we call/write concerning this project? 0 ��!'S% �.Jv' y C_" l//L!�' State c o Address .� �' r�T city Zips 9� a ` Office Phone: ,� 9v Cell: Q2 S Fax: E-mail: /CL •.�iL`f�� c�%J�77� av"P" •-------------------•-•_......--------,..------------------•------------......G;'AIell- ...................................................... �Z 3T r. w �° 5 U as 4 Business NamefType: t�/O/4/�� �, _lye . Previous Business on this site: Proposed use: circle (it applicable): Fireworks / 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 no e. 1 hav a the conditions of approval, and I understand them, and that I will abide by them. Signature Print do_ �J ��/ ell, t� � ............. -- --.... .... Z ................. .�..... _. ....._....�-•---•---•------ ( or ved as proposed ( )Approved with conditions Building Official Date :1t '0 Zoning Official Date 2 S %pplicant to complete the following: P F J / Do you have one of the following: Tax Map and Parcel Number and or; Address of use (include unit or floor if appropriate; �1 N Do you have a Floor Plan (sketch or an architectural drawing) that includes the following: The total square footage of the use andlor; .. 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: f /t) Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. r leg. 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. t l6l 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? f 1/Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # Will there be any new construction or renovations? If so; obtain the proper Permit. Permit # r 1® Is this for sales of Fireworks? If so, obtain a copy of FIR permit. Permit # Zoning Tech to complete the following: Violations: Y I If so, List: Proffers: Y / If so, List: Variance: Y 1 If so, List: SP's Y N If so, List: Zeviewer to complete the following: Square footage of Use: fP/ N Permitted as: SSIOh F1 © fJe-S Under Section:ZA •2 a.,��. a3.2 �. ��- Supplementary regulations section: Parking formula: f DS Required spaces: G CMIX ' �Ao = I. XV Items to be verified in the field: Zvk-e— — Inspector Name & Date: