HomeMy WebLinkAboutCLE200500080 Action Letter 2017-08-01Application for Zoning Clearance rT
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OFFICE 11E ONLY
El Zoning Clearance = $35
CLE #
Check # Date: �+-
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff: S
PARCEL INFORMATION
Tax Map and Parcel: 6 Z Existing Zonin
Parcel Owner:
Parcel Address: 140 Sys 5F n X4 City State 1114 Zip229IJ
_ (include suite or t]oor)_
APPLICANT INFORMATION
Who should we callfwrite concerning this project? Yi
Address: lll"9 sTyrF 1%ti7 ?LvD sK X City C11 V/6t1— State V4 Zip22?1/
Office Phone: L!46 '90 D.700 Cen #
Faz # f/? - 0.701( E-mail 0)(J701rdo
PROJECT INFORMATION
Business Name/Type: %;V7,FA ,,971- 0A1 1- %A•C llvhbLed*46- 7Z&5-91Ce0 LMF
Previous Business on this site: A14446
Proposed use: OF,&f•C-r U6jc-
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 owners permission to use the space indicated on this application. I also certify that the information provided is
true and accurate to the best of m owl . I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature 3 Printed AeNaE oy's7-E-SL
APPROVAL INFORMATIONG
( ) Approved as proposed (#) Approved with conditions
Building Official Date lz a
Zoning Official Date �•15'"GL5
Other Official Date
............. -................................................. -.................................................................................
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-$832 Fax: (434) 9724126
3/3/2005 Pa c
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 the use in a LI, HI or PDIP zoning?
t//If so, give applicant a Certified Engineer's Report (CER) packet.
Can not issue until CER is approved by the County Engineer.
YONif
Will there be food preparation?
so, fax application to Health Department. FAX DATE
Can not issue until we receive approval from Health Dept.
Y / 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.
Oy I N Is the parcel on public water and sewer?
Y / V Will you be putting up a new sign of any kind?
L.� If so, obtain proper Sign permit. Permit #
YIN Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit #
Y ! tiN 1 Is this for sales of Fireworks?
U If so, obtain a copy of FIR permit. Permit #
Zoning Tech to complete the following:
Viol ons:
Y / N) If so, List:
Y INN/ If so, List
Proffers:
Y I N If so, List:
YN} If so, List:
Reviewer tTomplete the
fik
Square foo Permitted as:
Linder Section: SA .2. 1 7 3.2 • I 2 Supplementary regulations section:
Parking formula: I 2mn s Q i�tZx� • 9t3.6 Required spaces: s
s00
N Items to be verified in the field: `