HomeMy WebLinkAboutCLE200500081 Action Letter 2017-08-01Application for Zoning
❑ Zoning Clearance = S35
PLEASE REVIEW ALL 3 SHEETS
Clearance
OFFICE USE ONLY
CLE #
Check # Date:
Receipt # QQX1 Staff- saw
PARCEL INFORMATION
Tax Map and Parcel: _ ) - �p - Clam& Existing Zoning NC
Parcel Owner:—S A I(1(l ' 5
Parcel Address: f -7b kknp,-City \ . a do rlq T 1 � li' State LZip
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APPLICANT INFORMATION
Who should we calllwrite concerning this project? fill
Address • 4
i� a City. C�tA, ijkyllb State
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Zip Zzq0-3
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Office Phone: UAL)
Cell # 551-,?64-9'ax # E-mail
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PROJECT INFORMATION
Business Name/Type: PYL15 C
Previous Business an this site:
Proposed use: C.6L r- UPaS�l
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 my knowledge. I have read the conditions of approval, and 1 understand them, and that I will abide by them.
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APPROVAL INFORMATION
( ) Approved as proposed ved with conditions
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Building Official, Date l o
Zoning Official — Date -' `
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)
972-4126
3312005
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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 1 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 / 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 . V 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 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 10 Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit #
Y 10 Is this for sales of Fireworks?
If so, obtain a copy of F1R permit. Permit #
Zoning Tech to complete the following:
Vio ns:
Y If so, List:
Va an :
Y / N I If so, List
Reviewer to complete the following:
Square footage of Use:
Under Section:
Parking formula:
Y N terns to be verified in the field:
Pro s:
Y / If so, List:
Y IIN J If so, List:
Permitted as:
Supplementary regulations section:
Required spaces: