HomeMy WebLinkAboutCLE200500094 Action Letter 2017-08-01Application for Zoning Clearance
OFFICE USE ONLY [Zoning Clearance = $35 CLE # 0
Check # D e:
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff:
PARCEL INFORMATION �' /��y/� `, C-
Tax Map and Parcel: [.JAI N () ! 0 a —00 " W'W Existing Zoning
Parcel Owner: f°n/A,go, A-n/t , Z L- C.-
Parcel Address: �
include suite or floor
APPLICANT INFORMATION
Who should we calllwrite concerning this project?
City (ny,1 - State L497 Zip aP90 r
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Address: /� t�vv+n v�. )ru' City �! �,~ k'-P State Vim- Zip
Office Phone: J r-, f zi Cell it AUd-2" !%Fax E-mail
PROJECT INFORMA'
Business Name/Type:
.F
LZ,
Previous Business on this site: -eO r c 01 f
Proposed use: , ! %�J' ! Fvdz
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 1 own or have the ownees 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 ad the conditions of approval, and I understand them, and that I will abide by them.
Signature /r- Printed C�`/y� �•-
APPROVAL INFORMATION
tasved-as purposed
( ) Approved with conditions A -A
Building Official Date
Date Zoning Official ��?=,� ..�, A� 4�
Other Official Date
-.-.. -. County �of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
2 of 3
Ap icant MUST HAVE the following information to apply:
1) Tax Map and Parcel or Address with unit number or floor if appropriate.
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 I j N J Is the use in a LI, HI or PDIP zoning?
v If so, give applicant a Certified Engineer's Report (CER) packet.
Can not issue until CER is approved by the County Engineer.
Y / NO Will there be food preparation?
If so, fax application to Health Department. FAX DATE
Cannot issue until we receive approval from Health Dept.
Y E) 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.
I N Is the parcel on public water and sewer? .
Y e Will you be putting up a new sign of any kind? n� 5Gt rr� �'"'�`�
If so, obtain proper Sign permit. Permit #
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Y 1(N) Will there be any new construction or renovations?p
/��'--�// If so, obtain the proper Permit. Permit #
Y I N) Is this for sales of Fireworks?
�/ If so, obtain a copy of FIR permit. Permit #
Zoning Tech to complete the following:
N If js6, List:
Y (1 N Yf so, List
Reviewer to
Square
Under Sectiom:4
N I If so, List:
/ N ) If so, List:
—9.;)-q -
IOC.A ro,
Permitted as:6i�j Q1
®fflk trfit '
Supplementary regulations section:
14M1al.aw.V— a r m-\ l S
Parking formula: kb ] Required spaces: _ ✓ -�
1 CAD
Y.� Items to be verified in the field: _Q 44