HomeMy WebLinkAboutCLE200500082 Action Letter 2017-08-01Application
for Zoning
Clearance
-T .
Of Zoning
Clearance —
OFFICE J,{SE ONLY
CLE # (�
p?
Check # 0 o Date:
PLEASE REVIEW ALL 3 SHE ITS
Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel: (P5(0 — 00 -00 — 06 6 E3dsting Zoning
Parcel Owner: ,jC l S o ,r A_. N - _b( V Ka C HO Y Y I g
Parcel Address: q 7U �j-t.1 ,!j l �Gft; �1 � S City & (� &P9J �I State Zip � r
---- include suite or floalr ------------------------------------------- ...
------------- - - - i-----...-_..------------------------------ -----
APPLICANT INFORMATION
Who should we call/write concerning this project? '
3
Address :121 6 Dr 4City CkY,@.de 7&U,66tate I)1q zip 7Z�` 3
Office Phone: d- t) Q77-C aH i Cell #"(35 7-690Fax #
PROJECT INFORMATION
Business Name/Type:
,Previous Business on this site:
E-mail Vi ralid l d q
Circle (if applicable): Fireworks 1 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 o L G (� Printed i
APPROVAL INFORMATION
{ ) Approved as proposed ( ") Approved with conditions ' f - c A
Buildinj
Zoning
Other umcial
Date L(r t o -
Date
Date
---+-----------------------.--County of Albemarle Department of Community Development------------------------------
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
3/3/2005 Page 2 of 3
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 JN1 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 N. Will there be food preparation?
If so, fax application to Health Department. FAX DATE
Cannot issue until we receive approval from Health Dept.
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 / :+1 Will you be putting up a new sign of any kind?
-J If so, obtain proper Sign permit. Permit #
Y / N Will there be any new construction or renovations?
-} If so, obtain the proper Permit. Permit #
rr.:
Y / NIs this for sales of Fireworks?
If so, obtain a copy of F/R permit.
Zoning Tech to complete the following:
Vi * s:
Y N� If so, List:
Y � N 3,1f so, List
Reviewer to complete the following:
Square footage of Use:
Under Section: S 13(2c
Permit #
so, List:
Y # N j If so, List:
Permitted as:
Supplementary regulations section I t
EXIDIA—VO
Parking formula: Required spaces: X2LLNZ
Y / N) Items to be verified in the field: