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HomeMy WebLinkAboutCLE200500092 Action Letter 2017-08-01Application for Zoning Clearancea OFFIC US IL [y Zoning Clearance = $35 CLE # Check # Date: PLEASE REVIEW ALL 3 SHEETS Receipt # Staff.. PARCEL INFORMATION Tax Map and Parcel: 5 _ to -s 0, 05-5tb 60 00 163C4xisting Zoning 44 Q. Parcel Owner: 1 � Parcel Address: + ity tUC ) State A - Zip 2 2.23 Z. ------------------------------- --------------------------- Sinclude suite or floor)_ - APPLICANT INFORMATION Who should we call/write concerning this project? ©o�� �, D .LL)9t�� r nf-� t L _. Address : C9 t'F'_N A 1 �- %Ak LIAR cm R,,.- City QAO State V Office Phone: Cell # Fax # E-mail ---------- C?r- --=---------------------------------------------------------------------------------------------------- - -- PROJECT INFO] Business NamelType: Previous Business on this site: V Proposed use: d+ O G I + d �■ Circle (if applicable): Fireworks / SEE CONDITIONS OF APPROVAL IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet3) *This Clearance will only be valid on the parcel Tor 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 i icated 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 roval, and I understand them, and that I will abide by them. IM ---------------------------------------------------------------------------------------- ------------------------------------- -- APPBDM INFORMATION Approved as proposed (proved with conditions /"65/4 C� Building Official p� — Date t o S Zoning Official Date �I� Other Official Date ------------------------------......------------------------------------------------....------------------....----------------------------------- County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 971-4126 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 thanthe 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 4 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. N 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 i 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. yal YIN YEN YINj Is the parcel on public water and sewer? �j OY119 Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # Y Nj Is this for sales of Fireworks? ' If so, obtain a copy of FIR permit. Zoning Tech to complete the following: Vi ns: Y N If so, List: N If so, List Reviewer to complete the following: Square footage of Use: fit: Under Section: `f. 2. Permit # Pro Y "so, so, List: SP's: Y / N If so, List: Permitted as: �i„L Supplementary regulations section: Parking formula: _� _ Required spaces: - Y Items to be verified in the field: , ,�„_ �, r �� .. - ` �J�%..m Gy