HomeMy WebLinkAboutCLE200500079 Action Letter 2017-08-01Application for Zoning .� g Clearance
OFFICE USE ONLY
[Zoning Clearance — $35 CLE #
Check # y :z Date: 3 — — Q
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff: `
PARCEL INFORMATION a ��� d� d 7,�
Tax Map and Parcel: Existing Zoning
Parcel Owner: P6n+YES lu+-+` LL G
Parcel Address: M + / �b�( Cit_yC_EG.r 10 �0S6 A ��State - � Zip
include suite or floor
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APPLICANT INFORMATION
Who should we call/write concerning this project?
Address i ) City _ PbAl TrA State zip2 � ��b
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Office Phone: (� `7 - ,766D Cell # Fax # E-mail b� . ?r S
ext -j1 Y� e>ti5
PROJECT INFORM ON �}
Business Nartte/Type: � U C111 n CL
Previous Business on this site: ? G �P /�JO✓7 %�r1 ��C�i7f
Proposed use:
Circle (if applicable): Fireworks I 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
AVROVAL INFORMATION
(16 Approved as proposed IL -k ( } Approved with conditions
Building Official Date
Zoning Official Date &/es $
Other Official Date
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County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
3/3/2005
Applicant MUST HAVE the following information to apply:
1) Tax Map and Parcel or Address with unit number or floor if appropriate.
2) A Floor Plan - either a sketch or an architectural drawing
a) 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 /0 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 /0 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.
N Is the parcel 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 A Will there be any new construction or renovations?
If so, obtain the proper Pc►mit. Permit #
Y lOIs this for sales of Fireworks?
If so, obtain a copy of FIR permit. Permit #
Zoning Tech to complete the following:
Viol ons:
Y 1 If so, List:
Variance:
Y / N If so, List
Reviewer to complete the following:
Pro rs:
Y P j ) If so, List:
Y / Ill If so, List:
Square footage of Use. 46 0 Permitted as:
Supplementary regulations ulations section:
Under Section:g
Parking formula: Required spaces
Y / ® Items to be verified in the field:
Nam,.