HomeMy WebLinkAboutCLE200500101 Action Letter 2017-08-01-Application for Zoning Clearance
OFFICE j�SE 5 !C]/
❑ Zoning Clearance = 535 CLE #
Check # Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # D Staff:
PARCEL INFORMATION ' , I
Tax Map and Parcel: :5�l '!-., CUAfD Existing Zoning ]f
Parcel Owner:
Parcel Address: City State Llt_�l Zi
_____Sinclude suite or ilo
APPLICANT INFORMATION
Who should we call/write concerning this project? :; ,!U iA
Address _a I b-0 J I kQe_A) WWL C_$- City C- 'J State Zip A�'
office Phone: � 915-Y0 TD Cell -AL -
PROJECT INFORN&4TION
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Business NamelType:
Previous Business on this site:
Proposed use:
t�
Fax #qig-q70 3 E-mail
Circle (if applicable): Fireworks / Christmas Tree
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet3)
*717his 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 owner's permission to use the space indicated on this application. 1 also certify that the information provided is
true and accurate to the best of my lmowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
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Sigh Printed
APP INFORMATION
,VTApproved as proposed { ) Approved with conditions{
Building Official .,_...i Date
Zoning Official Dated
Other Official Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
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
r Ok a) If using less than the entire structure, note the location within the structure;
b) Note the total square footage of the use;
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 IVs 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 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 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.
Y)I N Is the parcel on public water and sewer?
VA
N ` Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
Y (N) Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit #
Y / N Is thus for sales of Fireworks?
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If so, obtain a copy of FIR permit. Permit #
Zoning Tech to complete the following:
V olati s:
Y N If so List:
If so, List
Reviewer to complete the following:
Square footage of Use:
If so, List:
Y X N 1 If so, List:
Permitted as:
Under Section:Supplementary regulations section:
Parking formula: .A- uA'7°Required spaces:
Y. L/ Items to be verified in the field: