HomeMy WebLinkAboutCLE200500096 Action Letter 2017-08-01v
`-Application for Zoning Clearance =
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❑ Zoning Clearance = $35 CLE #
Check # Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # staff..
PARCEL INFORMATION
Tax Map and Parcel D , 00 - a) -06 f J Existing Zoning
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Parcel Owner:
Parcel Address: City r State )a-- Zi�
__(include suite or floor_. - `—
APPLICANT INFORMATION =— Tf ->4rj. I r
Who should we call/write concerning this project?
Address :. 2 t 1nzSj (� d C f� City
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*Hfice,Phone: ell # -7 J�Faa # --�
PROJECT INFORMATION
Business Name/Type:
Previous Business on this site:
State _ 44 _ Zip %
E-mail
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.
1 hereby certify that I own or have the ownees permission to use the
true and accurate to the bcgA*mv knowledge. I have -&ad the condi
APPROVAL INFORMATION
( ) Approved as proposed
Building Official ALP 't
Zoning Official
Other Official
indicated on this application. I also certify that the information provided is
f approval, and I understand then-, and that I will abide by them.
4 'th conditions
ions q
Date
Date ISIJ
Date
- .................•.....•.....County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice; (434) 296-5832 Fax: (434) 972-4126
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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 16) 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
Can not issue until we receive approval from Health Dept.
Y / 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.
1 N Is the parcel on public water and sewer?
Y / �? Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
Y Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit #
Y I ITT Is this for sales of Fireworks?
If so, obtain a copy of FIR permit. Permit #
Zoning Tech to complete the following:
Violations:
Y 1 N If so, List:
Variance:
Y i N If so, List
Reviewer to complete the following:
Square footage of Use:
Under Section:
Parking formula:
Y / N Items to be verified in the field:
Proffers:
Y / N If so, List:
SP's:
Y / N If so, List:
Permitted as:
Supplementary regulations section:
Required spaces: