HomeMy WebLinkAboutCLE200500077 Action Letter 2017-08-01Application for Zoning Clearance ;51;1Mft- =
OFFICE E ONLY
❑ Zoning Clearance = $35 CLE # .5--0
Check # Date:
PLEASE REVIEW ALL 3 SHEETS Receipt #-- Staff:
PARCEL INFORMATION y�
Tax Map and Parcel: (Z2-i� —6V '[/(/ Fristinji-7.nnine
Parcel Owner: rL. a Y
&v M AA�.f 5- -
Parcel Address: koVt 0 #4 V a N Cz LR.4..,vp,- city (:::�*1V 1 State Zip O
--_-
.... suite or floor2---------
APPLICANT INFORMATION
Who should we call/write concerning this project?
Address: (. a� K._/? r_4% _ City -o ZED~ State _ _ zip _41-Z" A
Office Phone:" Cell # o*?-14-17 Fax # E-mail P T '� �.3� f� N Ew
------------------------------ ------------------------------------------
PA'Rrt>7��M/ N�aV . c-aM
PROJECT INFO TION
Business Name/Type: IV ELAJ
Previous Business on this site:
s
V
11
\/"a
Proposed use: TO P__ T7t.I!~- TEzr a"d-f ma- _=w -7- rL-
Circle (if applicable): Fireworks / Christmas Tree
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet3)
'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 them, and that I will abide by them.
Signature Printed ;0Fr W_a,
APPROVAL INFORMATION
( ) Approved as proposed
Building Official a
Zoning Official
( ) Approved with conditions
Other Official P-JL-�+A • D�
'cRI'rf- -e-
/u.I - -
to -
---------••---------------------•-----------•---------------••----...------------------------------•-----------------•----------........--------
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
3/3/2005
A pli r�VE the following information to apply:
��ax ap an &cel or Address with unit number or floor if appropriate.
fior Planer a sketch or an architectural drawing
i) If using less than the entire structure, note the location within the structure;
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.
Intake to complete the following:
Y / N Is the use in a LI, HI or PDIP zoning?
If so, give applicant a Certified Engineer's Report (CER) packet.
Can not issue until CER is approved by the County Engineer.
Y /1�9 Will there be food preparation?
If so, fax application to Health Department. FAX DATE
Can not issue until we receive approval from Health Dept.
Y� N Is the parcel on private well and septic?
If so, fax application to Health Department. FAX DATE
Can not issue until we receive approval from Health Dept.
Y) N Is the parcel on public water and sewer?
Y /rN Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
Y "ill
there be any new construction or renovations?
so, obtain the proper Permit. Permit #
Y I'E)Is this for sales of Fireworks?
If so, obtain a copy of F/R permit.
Zoning Tech to complete the following:
Violations:
Y / N If so, List:
Variance:
Y / N If so, List
Reviewer to complete the following:
Square footage of Use:
Linder Section:
Parking formula:
Y / N Items to be verified in the field:
Permit #
Proffers:
Y / N If so, List:
SP's:
Y I N If so, List:
Permitted as:
Supplementary regulations section.
Required spaces: