HomeMy WebLinkAboutCLE200500056 Action Letter 2017-08-01Albemarle County Department of Community Development
Fee of $35.00 File #i
Application for �hec�# ��:-
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Zoning Clearance Recept# 79 sm:
Tax Map/Parcel: geeooml qk —do '"o&Q '
RParcel Owner: jGI rb - �, n �: / _,
4 € Address L71 JL SrbAj a 1 i City
(Include suite or floor)
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Existing Zoning:
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ZWho should we call/write concerning this project? &AWEt
.o Address ! 1 e "EL NZt City 13!� L, - Stateya Zip 0 g19
o Office Phone:161D� Cell: 4/3c/- ZOO T
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Fax: E-mail: J01-&eLj1'1fgCVil71-e—
Business Namel
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Previous Susine
Proposed use:
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Circle (if applicable): Fireworks / Christmas Tree
*This Clearance will only be valid on the parcel forwhich It is approved. if you change, Intensify or move the use to a new location, a new Zonlhg
Clearance will be required.
I hereby certify that 1 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 knowledge. I have re 7,,�r
itions of approval, and I understand them, and tth-at,I will abide by them.
signature ad Q Printed / y�Wfas - / C= V f tie
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�Approved as proposed { ) Approved with conditions --- -
Date
Date 4r
Applicant to complete the following:
1 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 drowing).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 1 6l Is use in LI, HI or PDIP zoning? if so, give applicant a Certified Engineer's Report (CER) packet.
01 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/ N 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.
Y /(N) is on public water and sewer?
OYN Will you be putting up a new sign of any kind? if so, obtain proper Sign permit.
Permit #
Y /0 Will there be any new construc�enovations? If so; obtain the proper Permit.
Permit #
Y /') Is this for sales of Fireworks? If so, obtain a copy of F/R permit.
Permit #
Zoning Tech to complete the following:
Violations: Y /
If so, List:
Proffers: Y /
If so, List:
Variance: Y /
If so, List:
SP's N
�}
If so, List:
Reviewer to complete the following: Square footage of Use:
YJ N Permitted as: nor., e- �,►,; Under Section: .2
Supplementary regulations section:
Parking formula: ,(L,., reRequired spaces: c-+ a..�
ey I N Items to be verified in the field: +f.L• 3 QY
Inspector Name & Date: