HomeMy WebLinkAboutCLE200500073 Action Letter 2017-08-01Albemarle County Department of Community Development
Fee of $35.00 File # C.32CO6 - o..)
Application for Date: 3 - l y -® 5
Zoning Clearance Recept# Staff:
Tax Map/Parcel: ` f' r
w° Parcel Owner: 1!} D VA VV C Lr- A uTD ►='A rr+S _
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a Address 1005 Pa rrto p5 D r R City 12 ht ti 10 State Va Zip 3 Jlt 1
(Include suite or floor)
Existing Zoning:
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Who should we call/write concerning this project? Mari4� h+kolzy J a m l !!S
Address j231 Co enro� to c� City (;r d(g, sU,lie State _ Zip aq(
Office Phone:
W3'1 - 90 -99a3 Cell: 421,4 - clGa-0-346
Fax: (13q - 9 6,3 -1-16 i-tG E-mail:
Business Name/Type: att;L yh [ l tS S-rey-crz: T LEGrdvo S ctl iz Club
Previous Business on this site:1pv g ry C e 14 r✓ To en y S PA ry 7o p 5
Proposed use: eel cv U,3 e 1i u
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Eros, 6;oo t'rh -F6
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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 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 read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed _L%1114yrt- �On y J , a21 11S
........................... f� .e ........................... ............................. ----�..................
( )Approved as proposed
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a
qBuilding Official
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Zoning Official
Date t j `t /IY5
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Applicant to complete the following:
0/ N Do you have one of the following:
Tax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate;
a/ 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 1 N is use in L1, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet.
le 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.
9004�-
Y I(k) is parcel on private well and septic? If so, give applicant a Health Department form.
`�J/ Zoning review can not begin until we receive approval from Health Dept.
(Y�I N Is on public water and sewer?
vY Q) Will you be putting up a new sign of any kind? If so, obtain proper Sign permit.
Permit #
Y /8 Will there be any new construction or renovations? renovations? If so; obtain the proper Permit.
Permit # T�
Y 16 Is this for sales of Fireworks? If so, obtain a copy of FIR permit.
�J Permit #
Zoning Tech to complete the following:
Violations: Y 1 N If so, List:
Proffers: Y I N If so, List:
Variance: Y /'„IV; If so, List:
SP's Y I N If so, List:
Reviewer to complete the following: Square footage of Use:
Y 1 N Permitted as: Under Section:
Supplementary regulations section:
Parking formula: Required spaces:
Y 1 N Items to be verified in the field:
Inspector Name & Date:
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