HomeMy WebLinkAboutCLE200500088 Action Letter 2017-08-01Application for Zoning Clearance
OFFICE USE O Y
UU/ning Clearance = $35 CLE # ✓
Check # Date: 11
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff•
PARCEL INFORMAT?jW
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Tax Map and Parcel: �T -0 —6 (n ) -031
�� Existing Zoning
Parcel Owner: "�'P'jlo t?deyA --T—WO &C I
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Parcel Address: l.� �'Ci{�f t State Z 6
_______(include suite or floor)_ I
APPLICANT INFORMATION
Who should we calVwrite c eruii g t proje 9
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Address 3Q - $T� tTaCittyy CAA UffnES1(1L.1.Ltate Nik . zip 21.9 t L
Office Phone: (�4}gj 5" 2S5 Cell # Fax # E-mail
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PROJECT INFORMATION
Business Name/Type: OSt" C , C P—L0T KES ti.
Previous Business on this site:
Proposed use:
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 1 own or have the owners percussion to use the space indicated on this application. I also certify that the information provided is
true and rate to best of owledge. I have read the conditions of approval, and I understand them, and that I will abide by therm_
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Signature .� _ Printed PETE2Pf-_-LLJ--_CA4jA
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A ?PROVAL INFORMATION
( Approve as proposed { ) Approved with. conditions
Building Official Date _ 41-1 os
Zoning Official _ Date/s
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
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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 thanxhe 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 s the use in a LI, HI or PDIP zoning?
If so, give applicant a Certified Engineer's Report (CER) packet.
Cannot issue until CER is approved by the County Engineer.
Y Will there be food preparation?
I€ 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?
4(� 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 // I� Will you be putting up a new sign of any kind?
l� If so, obtain proper Sign permit. Permit #
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Will there be any new construction or renovations? , nn
If so, obtain the proper Permit. Permit #
Y N Is this for sales of Fireworks? '
Y6
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:
Permit #
Proffers:
Y / N If so, List:
SP's:
Y / N If so, List:
Square footage of Use: _gOQ P( _ Permitted as: _ _ _ -1
Under Section: 25A ,2.) -')'o 23 , 2.1(z� Supplementary regulations section:
Parking formula: t jd ,�2do'O gO gm4j&&d`/_ MRequired spaces: 14 Aw _
Y /� Items to be verified in the field: &_