HomeMy WebLinkAboutCLE200500068 Action Letter 2017-08-01Albemarle County Department of Community Development
Fee_ of $35 00 Fie #. eA OpQ5-- D& k
Application for Check # 73 ?? Date: 3 d T
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Zoning Clearance 'co" V740 Stagy:
Tax Map/Parcel:,i• • ..• • a•n•
;9 Parcel Owner:
(IncludeJr
or floor)
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Who should we call/Write conceming this project?
w Address 7eI 1 VN ti City 110ate Zip e2,2A �
a Office Phone: �%� �� Cell: J �- &®a 6U01
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Fax:
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41
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Business Name/Type:
Previous Business on this site:
Proposed use:
E-mail:_n P
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 to I own or have the owpees 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 k go. I h read the conditions of approval, and I understand them, and
that I will abide by them.
Signature Printed
......................................................
.---- -(-- } Approved as proposed ...............
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Buildinj
Zoning
Date �1-k I %Q,
Date 3' 6 -L73-
Applicant to complete the following:
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 1 Do you have a Floor Plan (sketch or an architectural drawing) that includes, the following:
The total square footage of the use and/or;j
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 f is use in LI, Hi or PDIP zoning? if so, give applicant a Certified Engineer's Report (CER) packet.
AY NN 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%�I Is parcel on private well and septic? If so, give applicant a Health Department form.
VV Zoning review can not begin until we receive approval from Health Dept.
0 IN Is on public water and sewer?
Y I N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit.
Permit #
Y /® 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: JJ
Violations: Y I N If so, List: 06- 5-5 L" Y
Proffers: Y if so, List:
Variance: IQ If so, List: 87-
SP's Y N If so, List: Sri 'q4
Reviewer to complete the following: Square footage of Use:
YV1 N Permitted as:
10 N Items to be verified in the field:
Inspector Name & Date: t
Under Section: 2L(,Z- P
ired spaces: 19 ( s