HomeMy WebLinkAboutCLE200500063 Action Letter 2017-08-01Albemarle County Department of Community Development
Fee of $35.00 File #:
Application for one.# + 5o7 date: C�1 07f a�
Zoning Clearance Reoept# I96V Staff:
Tax Map/Parcel: 6 qY6 C) 00 OD a 73 1
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ro Parcel Owner:
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4 € Address ;?050 Upt -;,-r1r • 1 City C(Ac'OdmyjyN-P
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Su; (include suit or floor) Existing ZoninC�
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Who should we call/write concerning this project? � TA%We C S k
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aOffice Phone:
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Fax:
City State Zip
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Business Name/Type:
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Previous Business on this site:
Proposed use: in
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Circle (if applica@le):
"a Clearance will only be Xvaon
Clearance will be required.
I hereby certify that I own or have the
is true and accurate to t qh est of"
SS C us �p k o mlpI, WAQ yle+
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Fireworks 1 CI
the parcel for which it is
i to use the
read the cc
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( ) Approved as proposed
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aBuilding Official
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If you change, intensity or move the use to a new loco t , a new Zoning
Indicated on this application. I also certify that the information provided
of approval, and I understand them, and that !will abide by them.
Prin d L�Qnrt u Q,
-•..............................................................
�) Appr ed with conditions
Date
Zoning Official Date
Applicant to complete the following:
01 N Do you have one of the following:
Tax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate;
C kgetziWjvzlI-e
YOI N Do you have a Floor Plan (sketch or an architectural drawing) that includes the following:
e 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:
. V A
Y 1(N) Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet.
Y 16) 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 1� 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?
0/ N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit.
Permit # .��L,,}2 . A eL41n v e it h to
(/ N Will there be any new construction or renovations? if so; obtain the proper Permit.
(Y �
Permit # 0 q _ `fib,jA prc_
Y 19 Is this for sales of Fireworks? If so, obtain a copy of FIR permit.
Permit #
Zoning Tech to complete the following:
Violations: Y 1 N
Proffers: Y 1 N
If so, List:
If so, List:
Variance: Y / N If so, List:
SP's Y / N If so, List:
Reviewer to complete the following: Square footage of Use:
(OY N Permitted as:
rr.0 D� Under Section:
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Supplementary regulations section:
formula:
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Y & Items to be verified in the field:
Inspector Name & Date: