HomeMy WebLinkAboutCLE200500075 Action Letter 2017-08-01Application for ZoningClearance
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OFFICE UI#t
ONLY
❑ Zoning Clearance - $35 CLE # -- (j ��C'
PLEASE REVIEW ALI, 3 SHEETS Check # Date:
Receipt Staff: b
PARCEL INFORMATION a�OO Q
Tax Map and Parcel: � _(� SOS
I� jExisting Zonfn
Parcel Droner: -i E' T- -a key �
Address. ?�6111104k,
i Y CityJ_include suite or floor � t' State
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APPLICANT INFORMATION
should we call/write concerning this project?K7/''")�
Address` oQ YL. city
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Office Phone: C�rNState
Zip 2L22D.::
Celli/ Fax #
E-mail r i'1Gr r S ------------ �:� c I -t i [,VJcphT c, ri
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PROJECT INF ---- --"
ORMATION --------------------------
BuWness Name/Type. -
Parcel
Previous Business on this site:
Proposed use:
J1
Circle (if applicable): Fireworks / Christmas Tree 1�
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE *This Clearance will only be valid on the parcel for which it is a SALES (Sheet3)
Clearance will be requited. approved
. If you change, intensify or move the use to a new location, a new Zoning
1 hereby certify that I own or have the owners permission to use the space indicated on this application. I also certi
true and accurate to the best of my knowled . I have read the conditions of approval, and I understand them, and that I Will abide b them.
fy that the information provided is
Signature C Y em
Printedl'?liGf
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-----------------------------------------------------------•------------- .. �� r
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APPROVAL IN ----`--- -----------
FORMATION ------------
) Approved as proposed
Building Official 's
( kAPProved with conditionjZj-4
Date
Zoning Official
--,Date
Other Official
Date
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County of Albemarle De -
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partment of Community Development ------------- '------ -
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-�&j!? F--.'-
2of3
.�. t number or floor if appropriate.
applicant lVI[iST HAVE the following information to app Y:
1) Tax Map and Parcel of Addiess wit. unit the structure;
2) Floor Plan - either a sketch entire structure, archthe itectural location within a) If using less than .
Ov b) Note the total square footage of the use;
c) Note the square footage of each room or area of use;
d) Note the use of each room or area of use.
ntake to complete the following=
10 Is the use in a LI, HI or PDIP zoning?eer's Report ��R) packet.
If so, give applicant a Certified Engin County Engineer.
Can not issue until CER is approved by
the
y / Will there be food preparation?
If soan n, fax application to Health Deparment. FAX DATE
Cot issue until we receive approval, from Health Dept.
Y 1 Is the parcel on private well and septic? FAX DATE
If so, fax application to Health Department-
so, -
not issue until we receive approval from Health llept.
rl 1 N Is the parcel on public water and sewer?
V(y�1 N Will you be putting up a new sign of any kind?
�� t Permit #
If so, obtain proper Sign pern-A
N Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
y 1 Is this for sales of Fireworks?
rmit.
If so, obtain a copy Of
Zoning Tech to complete the following:
Violations:
y 1 N If so, List:
y If so, List
Permit #
Reviewer to complete the following:
I J.DOSF
Square footage of Use:
a •1• � -� a4 • a . �, as
Under Section: z
SF t�
l Parking formula:
y /1 Items to be verified in the freld:
�V
PrM:f
y so, List:
SP's• `
y 6 ' If so, List:
Permitted as' -
Supplementary regulations section:
1 .
Required spaces: �