HomeMy WebLinkAboutCLE200500103 Action Letter 2017-08-01application for Zoning Clearance
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OFFICE I EL-, ONLY
❑ Zoning Clearance = $35 CLE #
Check # Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # Qqf4 Staff:
PARCEL INFORMATIO
Tax Map and Parcel:
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Parcel Owner: Hat
Existing Zoning_ _C'
Parcel Address:_//'/ "b" g) Cityi��/te l Zips
include suite or floor
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APPLICANT INFORMATION
Who should we call/write concerning this project?
Address :_ &/ zo- Al'o Ci #State _ _ 1/ A Zip
Office Phone: .' Cell # I% Fax # E-mail 61Le344;f�g) JdL4V s
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PROJECT INFORMATION-�}�,Q�'�
Business Name/Type: ��— LL%.
Previous Business on this site:
Proposed use:
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 I will abide by them
Signature a Printed hb eOf
PYIWVAL INFORMATION
Approved as proposed
( ) Approved with conditions
Building Official Date
Zoning Offcis
Other Official
Date '_5-o;2-oG
Date 0
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County o Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
Applicant MUST HAVE the following information to apply:
1) Tax Map and Parcel or Address with unit number or floor if appropriate.
2) Floor Plan - either a sketch or an architectural drawing
a) If using less than the entire structure, note the location within the structure;
b) mote the total square footage of the use;
e) 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 �9Is 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(DIs 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.
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I N Is the parcel on public water and sewer?
/0 Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
Y IT
Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit #
' a N Is this for sales of Fireworks?
i If so, obtain a copy of FIR permit.
Zoning Tech to complete the following:
Y / 11 1 If so, List:
N If so, List
Reviewer to complete the following:
Perndt #
Y 4 N / If so, List:
Y AN 1 If so, List:
Square footage of Use: 2 C-j 90 SF Permitted as:
Under Section: 22 2 • Supplementary regulations section:
Parking formula: Required spaces:
I N Items to be verified in the field: r����