HomeMy WebLinkAboutCLE200500076 Action Letter 2017-08-01Albemarle County Department of Community Development
Fee of $35.00 Fie #: � (j-7
Application for ch..# 6gif Date: 9-,21-05
ZoninClearance Recept#-I �� Statf:
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Tax Map/Parcel: L9 ` 1 GL-
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Parcel owner: 1�; 0 Asscc%a ms
a p Address '1113 S Ies_M►�1 I�a.?a14$a" City 'KiGhm0' ha _ State `%a zip 23a'a%
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(Include suite or floor)
��' ---------------- Existing Zoning--------------------------
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Who should we call/write concerning this project? CQ 6i m Uyp� GR 3a5hn VO-A dt Uride,
a Address i ' d+ T 'C i,CEO& City CMrlo CNIIle. StateyL& Zip _
a R office Phone: Cell: 4S4'c%'Bi -$-430 0r- 43y - g81-1_72'}
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Fax: E-mail: C�,e �a @ \un4 • tAim
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Business Name/Type: CQrV L &.�c�u d G0.k
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Previous Business on this site: 1llorri@. UCIAS h1k6rt5auge CGn-.P"
Proposed use: T arms i
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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 certifythat 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 them, and that I will abide by them.
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Signature e � ` ,� ' Printed �.AAdIM U p-bly,
................................................................................................:.....................................
( ) Approved -as proposed ( ) Approved with conditions
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BuildingOfficial
. Official
Date 1S J
Date p �23 2l) D5
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;
rN Do you have a Floor Plan (sketch or an architectural drawing) that includes the following:
�J 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 N is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet.
Y / N 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 i N 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 / N Is on public water and sewer?
Y / N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit.
Permit #
Y / N Will there be any new construction or renovations? If so; obtain the proper Permit.
Permit #
Y / N Is this for sales of Fireworks? If so, obtain a copy of F/R permit.
Permit #
Zoning Tech to complete the (following:
Violations: Y /I N 1 If so, List:
Proffers: Y / N If so, List:
Variance: / N If so, List: mU YY t
SP's Y / N If so, List: 3
Reviewer to complete the following:
6/ N
Su
Ib6q�� 1 I'L — t $
Y N Items�rt rro he verified in the field:
Inspector Name & Date:
Square footage of Use:
2�: Z• �[1)
Udder Section: •Z • �. 3D
S (y Required
spaces: 13 $ Ce s