HomeMy WebLinkAboutCLE200500106 Action Letter 2017-08-01-KECEIVED
Appliggi ingor Zoning Clearance
t0UNIDEVELOPMENTOFFICE ES�L�Y
CLE # t X6l 0
ElZoning Clearance = $35 Check # Date:
PLEASE REVIEW ALL 4 SHEETS Receipt # Staff:
PARCEL INFORMATION r �1
Tax Map and Parcel: oc l� R, C c-t_ � 3 (01, 9 L Existing Zoning
Ise - ,�,d �=u,'Y ci , ; 11, e l., L, L C s � ,,.. q
ParcelOwner: Sp— �—� r�
Parce[ Address: 2i (v4' f d re1AC' 12d City ChAL4 6-q"aV 1f_State J Zip 7_21 0
--------------------------- (include -suite or floor}
APPLICANT INFORMATION y
Who should we call/write concerning this project? 1" , �� 1 e L. . W
Address: 2 % 7 q- 14 k rA,,J k .c. 0- A City Ck"k"4-=v ; kiC' State ' FY Zip 12 i t7
l Q`] 3 -3348 03` )
Office Phone: (,� Cell # Fax # 3,2 3 — 3 i 29 E-mail va-cte-1+,L , cowl
PROJECT INFORMATIONCe,,14CAt 0" - � Cj {� �t �ar�'�.I .%,r�e r~.s � %DLX,
Business Name/Type: d r cq—A Jed p�"c ;1 io -�, e i -A wear cr
Previous Business on this site:
Proposed use: f�. v'4—
Circle (if applicable): Fireworks / Christmas Tree
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet 1)
*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 kno edge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed * C5 L.
-------------------------------------------------
APPROVAL INFORMATION .5+ eq i15
( } Approved as proposed PS;Opppoved with conditions
Building Official
Zoning Official
Other Official
A"eftfrik. i=__ 0 e:
X '5>
Date S
Date 12 D_5
Date
--------------------- -------------------------------------------------------------------------------------------------------
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
3/28/05 Page 2 of 4
Applicant to complete the following:
�/ N ,
You have one of the following?
Tax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate;
/ N
o you have a Floor Plan (sketch or an architectural drawing) that
includes the following, and if so please provide it with the
application?
The total square footage of the use and/or;
The square footage of each room or area of use;
Use of each room or area
If using less than the entire structure, note the location within the
structure.
Zoning Tech to
Violations;
Y/N
If so, List:
• w■ [a HI:C:
Y/N
If so, List:
the
Intake to complete the following:
Y/N9
Is use in LI, HI or.PDIP zoning?
Engineer's Report (CER) packet.
If so, give applicant a Certified
j- i o 9AA `� J "-
Yl
Will there be food preparation?
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval from
Health Dept. FAX DATE
Is parcel on private well and septic?
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval from
Health Dept, FAX DATE
►/ N
on public water and sewer9
wYIN
ill you be putting up a new sign of any kind? If so, obtain
Proper Sign permit.
Permit # d
g/ N �]
ill there be any new construction or renovations?
If so, obtain th p,Iop r err�t� � � ��
Permit # (,� (p
Y /®
Is this for sales of Fireworks?
If so, obtain a copy of F/R permit.
Permit #
Yi/N
Jf 50, List:Ir
F f
SP's:
Y/N
If so, List:
3/28/05 Page 3 of 4
Rev ter to compleee the following: \
5qunre luolagc VFUse= J S, H o sF cv.�a1
T/ N , 1�
ermitted as: _ _ ,, n0 A S P
Under Section: j l
Svpplcmraiwr , 1 egui #itlngi #eetiC�l1:
Parking forMULD: (,'1S(rlP—(rA&., m2�r�
1pir+ed spaces;
l�
Y
Ite to be verified in the field:
Inspector Name & Date:
S u) Pez -
Notes
3/28/05 Page 4 of