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HomeMy WebLinkAboutCLE200500072 Action Letter 2017-08-01Albemarle County Department of Community Development Application for Zoning Clearance Tax Map/Parcel: CJ` "©' -- Z9 Fee of L35.00 Check # cf, g,j Recept # Do2Da Filet Date: o Staff: _ S/ f�/S �D ID �`W %11 � S Parcel Owner: , t�a!/� ��1u�ie-- � �� a Address cz�i//(��L /_Ifj'G City tate Zip (Include suite or floor) Existing Zoning: •----------------------------••----------------------------------------.......-----...------•-----------------...--------------------- Who should we calllwrits concerning this project? Address /9,� r:S' �',0446 7_8XI6 City &#4ZWVM State Zip 2 �fOl Office Phone: 2yi s 7 Cell: z/V 1791 10K Fax: 7U7 �l �IZ E-mail: L&A r . co .-------------------•----------------------------------------•------------------,-,-r-------............--------------------------------- c Business NamelType: Previous Business on this site: Proposed use: M��Vqef/ TT l/kei�E T_ a Circle (if applicable): Fireworks / 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 am, and that twill abide by them. i Signature r Printedr'ti ..........................................................................•------•-----------•--------------.........-•-------------- ( ) Approved as proposed ( ) Approved with conditions a Q a Building Official Zoning Official Date Date 3164 boy Applicant to complete the following: D 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 drawing) 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 �' iIs use in LI, Hl or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y Y'N'D 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. Y I N Is on public water and sewer? %1�)1 N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # Y 1 Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # Y 16) 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 / N If so, List: Variance: Y / If so, List: SP's Y 1 if so, List: Reviewer to complete the following: Square footage of Use: 1 N Permitted as: Under Section: Supplementary regulations section: Parking formula: Required spaces: Y 6 Items to be verified in the field: inspector Name & Date: