HomeMy WebLinkAboutCLE200500098 Action Letter 2017-08-01implication for Zoning Clearance
OFFICE
(Zoning Clearance = $35 CLE #
Check # Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff.
PARCEL INFORM�TIO
Tax Map and Parcel:
Parcel Owner:
Parcel Address: �'Vqc� -A
SMude
APPLICANT INFORMATION
Who should we call/write concerning this project?
Address :_ nn City
Vkome
-effift Phone: �ab Cell # Fax #
PROJECT INFOI
Business Name/Type:
Previous Bust
Proposed use:
7ql
State _ Zip , p
State Ja 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.
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 1 will abide by them.
U —` `-
Signature �.� Printed 14 V)66�_ J - ] Y 1 1)
APPROVAL INFORMATION
( ) Approved as proposed Aobroved with conditions
Building Official Date S 1 3(t 2
IL
Zoning Official Date
Other Official Date
................................................................................................................................................
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fag: (434) 9724126
3/3i 2005
Applicant MUST HAVE the following information to apply:
d 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 { N) 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 A 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 /3Is 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.
VNN Is the parcel on public water and sewer?
Y /{ N"J Will you be putting up a new sign of any kind?
�/ If so, obtain proper Sign permit. Permit #
�-N.
Y�, N 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 F/R permit. Permit #
Zoning Tech to complete the following:
V' a ns:
N If so, List: J �7
V anc :
Y V iN If so, List
Reviewer calfollowing: l
Square footage brUm:- [
Under Section: 2 . b 2
Y I N ) If so, List:
Y. 4 N f JW so, List:
Permitted as:
Supplementary regulations section:
Parking formula: 1-TftO Required spaces:
Y, AS Items to be verified in the field: