HomeMy WebLinkAboutCLE200500060 Action Letter 2017-08-01Albemarle County Department of Community Development
Fee of $X File #: ' Lob
Application for Check# C Date: . o�
Zoning Clearance Recept# Staff: SI"1
Tax Map/Parcel: d- Bc -�5 V . -
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p� a Parcel Owner: V� Gtt � ��� �. L L vim., C
4 Address &�6210 Coo Gttf`PY\ City State Zin
(Include suite or floor) nn
Existing Zoning: I`A
......................................................................................................................................
Who should we call/write concerning this project? 450 ow-e drs ezr� �—
Address
City
State Zip
Office Phone: 4i3 t IZ3 _ -7F> Ob Cell: q3 c{ $ ?- ` 3Z,0(:�D
Fax: q3&f -q 2 j `7 '90
Business NamelType:
go
Previous Business on this site:
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AS Proposed use: E'hnipo i
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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 new Zoning
Clearance will be required.
I hereby certify that I own or have the owner's 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 read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed00t V tO
(��) Approved as proposed.............. r-- Approved with conditions .........................
Building Official
Zoning Official
Date
Date
Applicant to complete the following:
Y N Do you have one of the following:
Tax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate;
Y / 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; L , �z .3�a
The square footage of each room or area of use; s U� -------
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 is use in LI, HI or PDIP zoning? if so, give applicant a Certified Engineer's Report (CER) packet.
Y 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.
yt
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.
l /Y�/ N Is on public water and sewer?
Y 1 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 N Is this for sales of Fireworks? if so, obtain a copy of FIR permit.
Permit #
Zoning Tech to complete the following:
Violations:
Y
1 4
If so, List: _
Proffers:
Y 1
If so, List:
Variance:
Y
If so, List:
SP's
Y
If so, List:
Reviewer to complete the following: Square footage of Use:
�1 N Permitted as: S•��•_, -- Under Section: i
Supplementary regulations section:
Parking formula: gL,, cd.ct ry, m , -tL,.- Q6,�equlred spaces:
T
Y / N Items to be verified in the field: s -- .
Inspector Name & Date: