HomeMy WebLinkAboutCLE200500105 Action Letter 2017-08-01Application for Zoning
WZoning Clearance = S35
PLEASE REVIEW ALL 3 SHEETS
Clearance
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PARCEL INFORMA,
Tax Map and Parcel: UiQ ''l �[J -t.tl - aim Eristing Zoning
Parcel Owner:
Parcel Address: City
-__-__ include suite or floor__
APPLICANT INFORMATION
Who should we call/write concerning this project?
Address :-1:Q0 F.
F(trj 1ptj City
Office Phone: A-3 - Cell #
PROJECT INFORMATION
Business Namell'ype:
Previous Business on this site:
Proposed use:
,U ! UP— State
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• State Zip
Uax 'limaill
Circle (if applicable): Fireworks 1 Christmas Tree
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet3)
*"is 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 o the best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed a [ �{- I t klE Ir 50 N
APPROVAL INFORMATION
( ) Approved as proposed �pproved with conditions
Building Official _." Date`j1��{ter _
Zoning Official -C -4� �—� - Date
Other Official
Date
.................................................................................................................................................
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fag. (434) 972-4126
3/312005 Page 2 of _
A cant 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 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 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 Iri } 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.
YI! N Is the parcel on public water and sewer?.
Y IN) 1 Will you be putting up a new sign of any kind?
Y Ivl )
If so, obtain proper Sign permit. Permit #
Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit #
Y IG) Is this for sales of Fireworks?
If so, obtain a copy of FIR permit.
Zoning Tech to complete the following:
Violations:
Y / N If so, List:
Variance:
Y ! N If so, List
Reviewer to complete the following:
Permit #
Proffers:
Y I N If so, List:
SP's:
Y I N If so, List:
Square footage of Use: d0' Permitted as -:`T.
Under Section: Supplementary regulations section:
Parking formula:
Y /�T Items to be verified in the field:
Required spaces: d