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HomeMy WebLinkAboutCLE200500074 Action Letter 2017-08-01Albemarle County Department of Community Development Fee of L35.00 Fite M Application for Check # o Date: Zoning Clearance Recept# Staff: Tax Map/Parcel: 0-76H-00--010- 044,F0 Isoo OLD LINCf L[li i 0 601TE 3 c Parcel Owner:'PIEDMONT " S 6Tp L L L G J 4 0 Address P O B �X 33 4 City CKIti2C MAL6CState uR Zip ZZq 0 3 (Include suite or floor) Existing Zoning: GO 0 'ft- •------------------------------------------------------------------------------- -,- .....------------------------......-------------- Who should we call/write concerning this project? C95 kestit-&t S LL(_ / / as 5W e. c c Address PO g � A, 33 4 Y City C'm { I e — State VA Zip 2- _a ra *• ro 4 Office Phone: q 1 I— q Z 2- Cell: Q � Fax: E-mail: Pais( � i�SY�o'1�5. Ca iM .------------------------------------------------------------------------•--•---------------------•------------...--------...--------- Business Namerrype: _ SCH WAN'S AIRE St—kVJCE0_1N(_. 0 r0 Previous Business on this site: UVE4ANI SCE L- Proposed use: CO K ML k I AL t FFI C( u *n 4 Circle (if applicable): Fireworks / Christmas Tree 'This Clearance will only be valid on the parcel for which it is approved. It you change, intensity or move the use to a new locallon, a new Zoning Clearance will be required. i hereby certify t I own or have the ownees permission to use the space Indicated on this application. I also certify that the information provided is true and a ra to the best of my knowledge. I havered the conditio of approval, and I understand them, and that I will abide by them. Signature Printed 'J'* '1 9 S' ........� -- App o d-as proposect - •--•------------{ �j ipro�ed with conditions -----.......�....-----... L _ �- Date `l Date 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; 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© Is use in Ll, HI or PDIP zoning? if so, give applicant a Certified Engineer's Report (CER) packet. Y V 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 Is parcel on private well and septic? If so, give applicant a Health Department form. v Zoning review can not begin until we receive approval from Health Dept. OyI 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 ON Will there be any new construction or renovations? If so; obtain the proper Permit. Permit # Y 1 Is this for sales of Fireworks? If so, obtain a copy of FIR permit. v Permit # Zoning Tech to complete the following: Violations: Y 1 N if so, List: Proffers: Y I N If so, List: Variance: Y I N If so, List: SP's Y / N If so, List: Reviewer to complete the following: Square footage of Use: N Permitted as: Yk1jjg! i1Lj b4kIS6 M S Under Section: .3'2., 1} _ Supplements re - �► Parkino formul � lA � Required spaces: -4D CPOL S Y 1 N terms to b .01 verified in the field: Inspector Name & Date: ���[�